How to Handle Common Orthodontic Emergencies at Home

When a device like a computer is acting strangely, you might try to troubleshoot it. When orthodontic emergencies occur, you will also probably try to devise solutions, but you should do so carefully. Ragan Orthodontics is here to tell you about how to handle common orthodontic emergencies at home, and when it might be necessary to let Dr. Ragan intervene. 

What Qualifies as an Orthodontic Emergency?

This can actually be a point of confusion for a lot of patients. Like any type of damage, there are different levels of severity. Let’s categorize potential events that can happen during your orthodontic treatment:

Minor Issues (Manageable at Home)

  • Mild discomfort or soreness
  • Loose or lost elastics
  • Minor poking wires
  • Slight irritation from brackets or appliances

Moderate Issues (Contact Our Office for Guidance)

  • A loose bracket that is still attached to the wire
  • A wire that has shifted and is causing discomfort
  • Lost or broken retainers/aligners

Serious Issues (Urgent Attention Required)

  • A swallowed appliance piece
  • Significant bleeding or injury to the gums, lips, or teeth
  • An allergic reaction to orthodontic materials
  • Increased jaw pain or swelling
How to Handle Common Orthodontic Emergencies

Handling Emergencies by Age Group

Every age group lives a distinct lifestyle that is directly linked to how they handle their orthodontic appliances. For differently aged patients, there are different risks. By understanding the individual orthodontic concerns of different age groups, you can take proactive steps to prevent complications and keep your treatment on track.

Children & Pre-Teens

  • Increased Risk of Breakage: Young children are often still adjusting to orthodontic appliances, making them more likely to bite down on brackets or play with their wires. They can also be a little rough-and-tumble with their playmates, putting them at risk for damage.
  • Fear or Anxiety: A loose bracket or poking wire might feel overwhelming for a child. Reassure them that this isn’t too serious, apply orthodontic wax to soothe irritation, and contact our office to see if further attention is needed.
  • Thumb Sucking & Other Habits: Some children may develop habits like thumb sucking or chewing on objects, which can slow down their treatment. We recommend gentle reminders and behavior modifications that can help prevent complications.
  • Swallowed Appliance Parts: If a child accidentally swallows an elastic, bracket, or band, monitor them closely. Most small items pass naturally, but if they experience difficulty breathing or prolonged coughing, seek immediate medical attention.

Teenagers

  • Responsibility for Aligners & Retainers: Teens undergoing treatment with clear aligners (such as Invisalign or our in-house Ragan Aligners) should develop the habit of keeping their aligners in a safe place, since they’re easy to lose. If an aligner tray is lost, they should wear their previous set until we can arrange for a replacement.
  • Dietary Challenges: It’s tempting to indulge in foods like popcorn, caramel, or chewy candies, but these will usually damage braces! Suggesting good dietary choices for your teen can help avoid unnecessary repairs.
  • Social Concerns: Many students worry about the appearance of braces or discomfort from adjustments. Remind them that orthodontic treatment is temporary and will ultimately lead to a smile they’ll be happier with.
  • Sports & Orthodontics: Teens involved in contact sports must wear a properly fitted custom mouthguard to protect their braces and teeth from potential injury. Failing to do so can lead to broken brackets or damaged wires.

Adults

  • Busy Lifestyles & Missed Appointments: Our adult patients often juggle work, family, and social commitments. Skipping orthodontic check-ups with Dr. Ragan can delay treatment, so prioritizing scheduled visits is really important.
  • Braces & Professional Settings: Many adults are concerned about the appearance of braces in professional environments. Our clear aligners provide a discreet alternative, and ceramic braces also offer a less noticeable option for those requiring traditional treatment.
  • Stress-Related Habits: Teeth grinding and jaw clenching, often caused by stress, can affect braces or aligners. If you notice sore jaw muscles or frequent headaches, it’s definitely worth bringing these symptoms up to Dr. Ragan.

Finally, for all ages we strongly recommend keeping a small braces care kit—including wax, floss, a mirror, and over-the-counter pain relievers—can help you or your kids manage minor orthodontic issues even while you’re on the go or busy with other tasks at work.

How to Handle Common Orthodontic Emergencies

Only A Call Away

While many minor orthodontic emergencies can be managed at home, we recommend you always give us a call to confirm the best course of action. If you’re ever unsure, it’s better to check in with us than to ignore an issue that could impact your treatment or cause further problems!

We want to mention that we have a team member on call every weekend to help with the most acute emergencies—so don’t worry if something happens outside of Monday through Friday.

Ragan Orthodontics is here to help you with every concern you have during treatment, whether it’s big or small. You can see us for a free consultation in Walnut Hill or Inwood.