Patients sometimes experience an injury to the mouth while receiving orthodontic treatments. These emergencies generally fall into two categories: emergencies related to the orthodontic appliances themselves or direct traumatic injuries to the teeth themselves.



Appliances may sometimes become broken or bent during your orthodontic care. If you experience loose bands, loose brackets or broken or poking wires, please call our office to schedule an appointment or determine whether you should come in before your next scheduled appointment.

Loose Brackets or Bands

If a bracket or wire is loose, please call our office immediately as the bracket may need to be refitted as soon as possible. Should the bracket separate from the wire, please save it and bring it with you to your next appointment. In the event you need to cut a wire or slide a bracket after normal office hours, you may use fingernail clippers that have been washed and sterilized in alcohol. Please call our office the next business day to schedule an appointment with Dr Melanie – Affordable Orthodontist San Diego CA.

Wire Irritations

Wire discomfort may be resolved by using a cotton swab or an eraser to move the wire away from the irritated area. Try covering the end of the wire with a small piece of cotton or wax if you cannot move the wire. It is also possible to cut the wire using nail clippers or scissors sterilized in alcohol. If the wire irritation cannot be resolved, please call our office for an appointment.

Lost Separators

Patients may commonly lose a separator during their treatment. Please call our office to see if it needs to be replaced.
Discomfort with Orthodontic Treatment
It is normal to experience some soreness and discomfort during the first week of wearing braces and routine adjustments. Over the counter pain relievers such as Tylenol or Advil may be taken as needed to relieve pain while you adjust to your new braces.

Discomfort with Orthodontic Treatment

During the first week after your braces are in place and routine adjustments are complete, you may feel some soreness or discomfort. You may take over the counter pain relievers such as Tylenol or Advil as needed while you adjust to your new braces.


Please contact your regular dentist immediately following a direct traumatic injury to your mouth or teeth. Typically, an x-ray is needed to determine the extent of injury to your teeth. In the event of a tooth being displaced, knocked out, or fractured, please call your regular dentist first as we may not have the necessary materials or anesthesia required to treat these injuries. Please call our office if your dental appliances is dislodged or displace so that we can replace or adjust the appliances as soon as the comfort level of the patient allows.

After Office Hours

Please call out office immediately in the event of an orthodontic emergency. You will be provided with contact information to further assist you.