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Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

Orthodontic Emergencies

Acute, Direct Injury to the Mouth, Jaw, or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

Minor Orthodontic Issues

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

• Poking wire
• Loose bracket
• Loose elastic band
• Loose wire
• Loose appliance
• Headgear does not fit
• Lost or broken elastic band
• General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Newark office with any questions, or to schedule an appointment with Drs. Lynn Collins, Patricia Smith, and Daria Ryan at Collins Dental & Orthodontics.

One exciting part about wearing braces from Collins Dental & Orthodontics is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place. These rubber bands may be individual or connected, depending on your mouth’s needs. From Drs. Lynn Collins, Patricia Smith, and Daria Ryan, you have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth. Here are a few options to consider:

• School spirit colors
• Favorite sports team colors
• Patriotic colors
• Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

Kids are active, and with lots of activity comes the potential for mishaps. Before an emergency occurs, you’d be smart to stay informed about the problems your child may encounter.

Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Discomfort while teething is common for babies from the time they are four months until they are about two and a half. Teething can cause drooling, tender gums, and irritability. To help relieve your child’s discomfort, gently rub his or her gums with wet gauze or offer a cold teething ring.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. If a tooth is knocked out by a forceful blow, however, you should make an appointment with our office to determine whether any damage may have occurred. You should also book an appointment if the baby tooth that’s on its way out develops a crack but doesn’t fully fall out.

Issues with Permanent Teeth

Sometimes, permanent teeth can come in before the baby teeth have fallen out. In this event, schedule an appointment with us even if your child does not report discomfort or pain. Drs. Lynn Collins, Patricia Smith, and Daria Ryan will need to determine if the permanent teeth are coming in correctly to avoid problems later on.

Bleeding Gums

Bleeding gums can have multiple causes: periodontal disease, rough brushing, or an injury to the gum tissue. If your child experiences heavy bleeding, it’s vital to call our office immediately. Wash the youngster’s mouth with warm salt water and put gentle pressure on the area to soothe it before your appointment.

Drs. Lynn Collins, Patricia Smith, and Daria Ryan and our team are always here to address any concerns you may have regarding your child’s dental health. Contact our Newark office for emergency services 24 hours a day, seven days a week.

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about orthodontics and the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctors and staff - we hope this will be a valuable resource for our patients, their families, and friends!