1200 Woodhurst F-400
Springfield, MO 65804
417.883.6898
802 Atlantic St.
Branson, MO 65616
417.334.6029
205 E Chestnut St.
Carthage, MO 64836
417.358.8389

Emergencies

Please refer to our video on “Emergencies” for more information on how to handle emergency orthodontic situations.

Typical Emergencies and how to solve them:

Loose or Poking Archwires:

If a wire causes irritation, push the wire away from the area using the eraser end of a pencil or a Q-tip. If the wire cannot be tucked away, cover the end of the wire with a small piece of wax or a cotton ball until you can see us for an adjustment.

If the main wire has come out of the tube on the back tooth, attempt to reinsert the wire with a pair of needle-nose pliers or tweezers. If the wire is sticking you, place a piece of wax over the area. As a last resort, if you cannot come into our office, the wire can be cut with a small wire cutter or fingernail clipper close to the back of the last brace.

Loose Brackets or Bands

If a bracket becomes loose, it usually remains connected to the main wire by a little colored rubber ring or a small steel ligature tie. Tweezers can be used to reposition the brace if it flips around the wire and becomes a source of irritation. Call our office and inform us of the problem. If a piece of your braces break, save the piece and call our office to schedule a repair visit.

Lost Separators

In case a rubber spacer or separator falls out, call our office so that we can arrange to replace it for you. If it happens a day before your appointment to put on braces or bands, you do not need to do anything.

If You Swallow Something

Remain calm if you swallow a piece of your appliance. It will usually go into the stomach and pass out of the body in a bowel movement. However, if difficulty breathing is experienced, you should seek immediate medical attention. X-rays will be taken to determine the location of the swallowed piece.

Broken Retainer

If a retainer cracks or breaks, remove the retainer from your mouth and bring all the pieces to our office for professional repair.

Sore Teeth or Sore Gums:

Take ibuprofen (Motrin/Advil) or acetaminophen (Tylenol) if your teeth are sore after your appointment. PLEASE CONSULT YOUR PHYSICIAN BEFORE TAKING ANY MEDICATIONS, PARTICULARLY IF YOU HAVE ANY HISTORY OF ALLERGIC REACTIONS.

Rinsing your mouth with a cup of warm water and half a teaspoon of salt can also be soothing. If your teeth get sore suddenly in the middle of the month, give us a call because it is unusual for the teeth to get sore several weeks after your last office visit.

If food becomes stuck between your teeth, use dental floss or a proxy brush to dislodge the food. If you cut your gums, tongue or the inside of your cheek, apply finger pressure to the bleeding site for several minutes. If the bleeding doesn’t stop, call your family dentist or our office.

Minor irritations and canker sores will heal much more quickly if you apply Zylactin or Orabase according to the manufacturer’s directions. You can purchase it over the counter at most pharmacies and convenient stores.

If you have an emergency that cannot be resolved without assistance, call the regular office phone number, select the option for emergency mailbox, leave a message, the office system will call the doctor and he will call you.

Wes Allai, DDS, MS, Inc. is a BBB Accredited Dentist in Springfield, MO

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