While your braces or Invisalign are diligently working to perfect your smile, sometimes unexpected issues can occur. At Swenson Family Orthodontics, led by Dr. Brendon Swenson, we understand that orthodontic emergencies can happen, and we're here to help patients in Lewiston, Idaho, Clarkston, Washington, and the entire Lewiston-Clarkston Valley. This guide will help you manage common orthodontic issues at home before you can get to our office for a professional fix.

Important Note: This information is for managing minor orthodontic discomforts or issues with your appliance. If you experience a severe injury to your face, mouth, or teeth, or have uncontrolled bleeding, please seek immediate medical attention from your general dentist, an urgent care center, or the nearest emergency room.

For a DIY Orthodontic Emergency Kit, it's helpful to have on hand:

  • Orthodontic wax (often provided by our office)
  • Small, clean tweezers
  • A pencil with a clean eraser
  • Cotton swabs
  • Salt for saltwater rinses
  • Over-the-counter pain relievers (like ibuprofen)

Common Orthodontic Issues and How to Handle Them:

Oral Cavity Accidents (Non-Orthodontic Specific)

Ideally, if your child is participating in sports with braces, they should always wear a custom-fitted mouthguard to protect their teeth and gums. However, accidents can still happen. If a significant injury occurs to your teeth, gums, or the soft tissues of your mouth (like cheeks or lips) due to a car accident, sports incident, or fall, it needs immediate attention from a dentist or medical doctor.

  • Bleeding: Apply firm, gentle pressure to the bleeding area with a clean cloth or gauze.
  • Knocked-Out Tooth: If a tooth is knocked out, time is critical. See a dentist immediately. If possible, preserve the tooth by placing it back into its socket without touching the root, or keep it in a container of milk. Bite down gently on a handkerchief to hold it in place on your way to the dental office.
Dr. Brendon Swenson
Dr. Brendon Swenson

Loose Brackets

If one of the small metal or ceramic squares (brackets) attached to your teeth becomes loose, it's important to schedule an appointment with Swenson Family Orthodontics as soon as possible. While the adhesive is strong, brackets can occasionally detach.

  • If it's still attached to the wire: Leave it in place and cover it with orthodontic wax if it's causing irritation.
  • If it comes completely off the wire: Carefully try to remove it using clean tweezers. Place the bracket in an envelope or small plastic bag and bring it with you to your appointment. Do not attempt to reattach the bracket yourself.

Wire Issues (Poking or Broken Wires)

Though rare, wires can sometimes become loose, bent, or even break during treatment. This can cause significant discomfort by poking your cheek, gum, or tongue.

  • Poking Wire: If a wire is poking, try using a clean pencil eraser to gently push the offending wire back into a more comfortable position. Alternatively, cover the sharp end with a small piece of orthodontic wax to create a cushion.
  • Broken Wire: If a wire has broken and is causing discomfort, you may try to clip it with clean nail clippers or small wire cutters, but only if you are confident and can do so safely, ensuring you don't swallow the piece. Always call us afterward.

Always Call Us

Even if you manage to alleviate the pain temporarily, please contact our Lewiston office immediately to schedule an appointment. It's crucial for Dr. Swenson to assess the wire, ensure your braces are functioning correctly, and prevent any delays in your treatment progress.

Dr. Brendon Swenson
Dr. Brendon Swenson

Missing or Loose Rubber Bands (Elastics or Ligatures)

Rubber bands (elastics) are used to apply specific forces to correct bites (like underbites, overbites, or crossbites). Small rubber bands called ligatures hold the wire into the bracket.

  • Ligature (small band around bracket) comes off: If a small colored rubber band that holds the wire to your bracket comes off, call us. Sometimes you can gently re-seat it with clean tweezers. If it's a metal ligature that's poking, gently try to push it back into place with a pencil eraser.
  • Elastic (larger band worn between arches) comes off: This is generally not considered an orthodontic emergency. Patients can remove and replace these themselves. If you accidentally swallow an elastic, there's no need to worry as they are non-toxic, but do let us know at your next appointment.

While some irritation is normal during orthodontic treatment, persistent pain, loose appliances, or poking wires are not and require attention. Make an appointment with Swenson Family Orthodontics as soon as possible to correct these issues and avoid discomfort, injury to your mouth, or a delay in the course of your braces or Invisalign treatment.

Dr. Brendon Swenson

Orthodontic Emergency FAQs for Lewiston & Clarkston Patients

Got an urgent question about your braces or Invisalign? Here are some common orthodontic emergency questions.

Q: What constitutes an orthodontic emergency?

A: An orthodontic emergency refers to any situation involving your braces or clear aligners that causes significant discomfort, pain, or damage to your appliance, requiring professional attention to remedy the situation and avoid treatment delays. It's important to distinguish these from medical emergencies that pose an immediate risk to your life (e.g., severe trauma, uncontrolled bleeding, difficulty breathing or swallowing).

Q: How can I handle minor orthodontic emergencies at home?

A: Many common orthodontic issues can be temporarily managed at home using simple tools. For poking wires, orthodontic wax or a pencil eraser can provide relief. For loose brackets that are still attached to the wire, apply wax. For lost elastics, simply replace them. Our goal is to empower you with temporary fixes until you can get into our Lewiston office for a permanent solution.

Q: Can an orthodontist help in all dental emergencies?

A: An orthodontist like Dr. Brendon Swenson is equipped to handle emergencies specifically related to your braces, Invisalign, or other orthodontic appliances. If you experience a severe dental emergency like a knocked-out tooth, significant swelling, persistent bleeding, or facial trauma not directly related to your appliance, you should contact your general dentist or an emergency room for immediate care.

Q: What's the difference between an "orthodontic emergency" and a "dental emergency"?

A: A dental emergency typically refers to a problem with your teeth or gums that requires immediate attention (e.g., severe toothache, knocked-out tooth, abscess, broken tooth). An orthodontic emergency specifically relates to issues with your braces or Invisalign appliance (e.g., broken wire, loose bracket, poking elastic) that cause discomfort or disrupt treatment progress.

Q: How do I find an emergency dental treatment center if it's not orthodontic?

A: For non-orthodontic dental emergencies, your first step should be to contact your general dentist. If they are unavailable, they can often direct you to the nearest urgent care center or an emergency dentist. It's crucial not to underestimate the severity of any dental problem and to seek professional help as soon as possible.

Q: How should I handle an orthodontic emergency while traveling?

A: If you're traveling and experience an orthodontic emergency, remember the temporary fixes: orthodontic wax, tweezers, and clean nail clippers can address most common issues. Always keep our Swenson Family Orthodontics contact information handy. If you're far from Lewiston, you might need to find a local orthodontist, but we can often guide you through the initial steps over the phone.