- Cut or Bitten Tongue, Lip or Cheek
- Knocked Out Permanent Tooth
- Knocked Out Baby Tooth
- Chipped or Fractured Permanent Tooth
- Chipped or Fractured Baby Tooth
- Severe Blow to the Head
- Possible Broken or Fractured Jaw
- Loose Bracket
- Poking Wire
- Loose Wire
- Wire Out of Back Brace
- Poking Elastic (Rubber Band) Hook
- General Soreness
Clean the area of the affected tooth. Rinse the mouth thoroughly with warm water or use dental floss to dislodge any food that may be impacted. If the pain still exists, contact your child's dentist. Do not place aspirin or heat on the gum or on the aching tooth. If the face is swollen, apply cold compresses and contact your dentist immediately.
Cut or Bitten Tongue, Lip or Cheek
Apply ice to injured areas to help control swelling. If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If bleeding cannot be controlled by simple pressure, call a doctor or visit the hospital emergency room.
Knocked Out Permanent Tooth
If possible, find the tooth. Handle it by the crown, not by the root. You may rinse the tooth with water only. DO NOT clean with soap, scrub or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in the socket. Have the patient hold the tooth in place by biting on a gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing the patient’s saliva or milk. If the patient is old enough, the tooth may also be carried in the patient’s mouth (beside the cheek). The patient must see a dentist IMMEDIATELY! Time is a critical factor in saving the tooth.
Knocked Out Baby Tooth
Contact your pediatric dentist during business hours. This is not usually an emergency, and in most cases, no treatment is necessary.
Chipped or Fractured Permanent Tooth
Contact your pediatric dentist immediately. Quick action can save the tooth, prevent infection and reduce the need for extensive dental treatment. Rinse the mouth with water and apply cold compresses to reduce swelling. If possible, locate and save any broken tooth fragments and bring them with you to the dentist.
Chipped or Fractured Baby Tooth
Contact your pediatric dentist.
Severe Blow to the Head
Take your child to the nearest hospital emergency room immediately.
Possible Broken or Fractured Jaw
Keep the jaw from moving and take your child to the nearest hospital emergency room.
Orthodontic Emergencies or Problems
As a general rule, orthodontic emergencies are very rare, but when they do occur we are available for you. You should call the office when you experience severe pain or when you have an appliance problem. We will be able to schedule an appointment to resolve the problem.
Loose Bracket or Band
Occasionally, a glued bracket may come loose. If your bracket or band is still attached to the wire, and is not causing any irritation, you should leave it in place and put wax on it. You can remove the loose bracket and save it in an envelope to bring to the office. Call the office as soon as possible in order for us to allow time to re-glue the bracket.
If a wire is poking your gums or cheek there are several things you can try until you can get to the office for an appointment. First try a ball of wax on the wire that is causing the irritation. You may also try using a nail clipper or cuticle cutter to cut the extra piece of wire that is sticking out. Sometimes, a poking wire can be safely turned down so that it no longer causes discomfort. To do this you may use a pencil eraser, or some other smooth object, and tuck the offending wire back out of the way.
Using a tweezer, try to put your wire back into place. You can use a small fingernail clipper to clip the wire behind the last tooth to which the wire is attached. If your discomfort continues, place wax on it.
Wire Out of Back Brace
Please be careful to avoid hard or sticky foods that may bend the wire or cause it to come out of the back brace. If this does happen, you may use needle nose pliers or tweezers to put the wire back into the hole in the back brace. If you are unable to do this, you may clip the wire to ease the discomfort. Please call the office as soon as possible to schedule an appointment to replace the wire.
Poking Elastic (Rubber Band) Hook
Some brackets have small hooks on them for elastic wear. These hooks can occasionally become irritating to the lips or cheeks. If this happens, you may either use a pencil eraser to carefully push the hook in, or you can place a ball of wax on the hook to make the area feel smooth.
You may be experiencing some discomfort after beginning treatment or at the change of wires or adjusting of appliances. This is normal and should diminish within 24-72 hours.
A few suggestions to help with the discomfort:
- If pain persists more than a few days, call our office
- Rinse with warm water, eat a soft diet, and take acetaminophen (Tylenol) or ibuprofen (Advil) as directed on the bottle.
- Chewing on the sore teeth may be sorer in the short term but feel better faster