Skip to content
Salins Orthodontics

Broken braces? Take a breath

Orthodontic emergency help

Real orthodontic emergencies are rare. Most problems, like a poking wire or a loose bracket, are annoying but not urgent. You can usually get comfortable at home until we see you.

Is it an emergency?

Usually not. Loose brackets, poking wires, sore teeth and lost spacers can wait for a repair visit. Call us during office hours and we’ll set one up.

Go to the ER or call 911 for a serious injury to the face or mouth. That includes heavy bleeding that won’t stop, trouble breathing or swallowing, a possible broken jaw, or major swelling. Take care of that first. Your braces can wait.

Quick fixes at home

Keep some orthodontic wax handy. It helps with a lot of these.

A broken or loose bracket

If a bracket comes loose but is still on the wire, leave it. If it’s rubbing, cover it with orthodontic wax. If it has come off completely, save it and bring it to your appointment.

Call us even if it feels fine. A loose bracket isn’t moving that tooth, and we need to fix it.

A wire that’s poking you

  • Use a cotton swab or a clean pencil eraser to gently push the wire flat.
  • If it won’t move, cover the end with orthodontic wax or a small piece of cotton.
  • If it really hurts and you can’t get to us, clip the end with clean nail clippers. Wipe them with rubbing alcohol first, and clip behind the last bracket holding the wire.
  • Then call to schedule a repair, even if it feels better.

A wire that came out of place

Try to ease it back with clean tweezers (wipe them with rubbing alcohol first). If that doesn’t work, cover the end with wax and call us.

Sore teeth

Soreness is normal for a few days after you get braces or after an adjustment. It’s the same with each new set of aligners. What helps:

  • Rinse with warm salt water: about a teaspoon of salt in a glass (8 oz) of warm water.
  • Take an over-the-counter, non-aspirin pain reliever if you need one. Follow the label.
  • Hold a warm washcloth or heating pad against your jaw.
  • Eat soft foods for a day or two.

If the pain is severe or doesn’t settle, call us.

A lost spacer

Spacers (also called separators) are the little rubber rings that go between teeth before some appliances. Losing one is really common. Call us, and we’ll let you know if it needs replacing.

A broken retainer or aligner

Don’t try to fix or bend it yourself, and don’t force on one that no longer fits. Call the office and we’ll tell you what to do next. With aligners, that might mean moving to your next set or going back to your last one until we see you. See retainers and clear aligners.

An expander that feels loose or sore

Call us. Don’t keep turning it if something feels wrong, and don’t try to remove it.

When to call us

Call for anything that’s broken, loose or hurting, even if you have a regular appointment coming up. Let us know what happened so we can plan enough time to fix it at your visit.

Not sure? Call anyway. We’d rather hear from you about something small than have you worry about it all weekend.

Not a patient yet? A free consult includes an exam and a treatment plan, with no obligation. Book your free consult