The British Orthodontic Society (BOS) regularly provides useful, updated guidance for patients to help with emergencies at home, please use:
Also, our Facebook page has regularly updated advice/guidance, please use:
Here are some tips for the more commonly encountered problems:
It is normal to encounter tenderness and mobile teeth for the first few days after the braces are fitted or adjusted. Most people usually find it just a minor irritation. Occasionally, a few patients may find the use of a regular pain killer such as paracetamol or ibuprofen helpful during the initial few days.
Ulcers may be caused by a new bracket or the sharp end of a wire rubbing against the lips and cheeks. Pick out a small lump of wax provided to you, roll it into a small ball, dry the offending bracket or end of wire with tissue paper and place the ball of wax over to cover up the sharp offending part of the brace. This will give the ulcer a chance to heal and the lips and cheeks to get used to the presence of the brace.
If the wire has come out of the tube at the back, please tuck it under the hook at the back and stick it down with wax for the time being.
If a bracket has come loose from the tooth, it should still be attached to the wire and is usually not an emergency. Please phone the practice during surgery hours to see if you can wait until the next appointment or if we should see you sooner for a repair.
Removable and functional appliances
Sometimes a removable or functional brace may crack, a small piece of the plastic may break off, or a wire component may fracture. Provided that the brace still fits and is not loose in the mouth, please continue to wear it but call the practice during surgery hours to arrange a repair.
If a distorted wire component or a broken brace is causing discomfort or is loose and potentially dangerous to be worn, please stop wearing it and ring during surgery hours at first opportunity to arrange a repair.
If a headgear becomes loose, does not fit well, or comes off during the night, please stop wearing the headgear immediately and ring the practice during surgery hours to arrange an appointment for it to be checked.