If a tooth has been knocked out, do not clean off the tooth. Call Dr Arun immediately at 9819521758 to inform them of what has happened. Upon locating the tooth, hold the enamel end of the tooth, not the pointed end/root. Do not rinse the tooth in water. Do not scrub the root. You may remove large debris. If possible, put tooth back in socket where tooth was and hold in place with gauze or washcloth. If it is not possible to replace the tooth in its socket, put the tooth into cup of milk or saline solution, or put the tooth between the cheek and gum. Do not put the tooth in plain water. Apply an ice pack to the affected soft tissue area to reduce swelling. Do not let the tooth dry out. A tooth can often be saved if cared for properly and reimplanted within an hour.
Clean the injured area and apply an ice pack to the effected soft tissue area to reduce swelling.
Save the tip of the tooth (for possible reattachment) and call your dentist right away.
Piece of the Orthodontic Appliance is Swallowed or Aspirated
If you are able to see the piece, you may carefully attempt to remove it. But do not make the attempt if you would cause the patient harm.
Encourage the patient to remain calm. If the patient is coughing excessively or having difficulty breathing, the piece could have been aspirated (drawn into the lung).
If there is no coughing or difficulty in breathing, and you suspect the piece has been swallowed, call the patient’s orthodontist for advice and instructions.
If you are unable to see the piece and believe it may be have been aspirated, call the nearby hospital / emergency centre and the orthodontist immediately. The patient should be taken to an urgent care facility for an x-ray to determine the location of the piece. A physician will have to determine the best way to remove it.
Bracket is Knocked Off
Stabilize it with a piece of soft chewing gum. If you are in pain, please call Dr Arun at 9819521758 and inform them of the circumstance. If you are not in pain, this is not a true emergency. Please call the clinic to schedule an appointment to reattach the brace to the tooth. Save any pieces of your braces that break off and bring them with you to your repair appointment.
The Archwire is Poking
If the end of an orthodontic archwire (see diagram) is poking in the back of the mouth, attempt to put soft chewing gum over the area to protect the cheek. Call us to schedule an appointment and have that clipped. In a situation where the wire is extremely bothersome, as a last resort, the wire may be clipped with an instrument such as fingernail clippers.
Reduce the possibility of swallowing the snipped piece of wire by using folded tissue or gauze around the area to catch the piece you will remove. Use a pair of sharp clippers and snip off the protruding wire. Relief wax may still be necessary to provide comfort to the irritated area.
“Ligature Thin Wire” is Poking Lip or Cheek
Use a Q-tip or pencil eraser to push the wire (see diagram) so that it is flat against the tooth. If the wire cannot be moved into a comfortable position, cover it with soft chewing gum.
Initial Irritation of Lips or Cheeks Mouth Sores
This will subside. Warm salt water rinses will help you to get used to it.
People who have mouth sores during orthodontic treatment may gain relief by applying a small amount of topical anesthetic (such as Mucopain/Smyle) directly to the sore area using a cotton swab. Reapply as needed.
It’s normal to have discomfort for three to five days after braces or retainers are adjusted. Although temporary, it can make eating uncomfortable. Encourage soft foods. Rinse the mouth with warm salt water. Over-the-counter pain relievers, Crocin/Voveran for severe pain, may be effective.
What if the Lip Gets Caught on a Brace?
Try very carefully to release it. Apply ice to the affected area until you have the opportunity to been seen by your orthodontist or family dentist.