Dr. Steven C. Demetriou, D.M.D.
Pediatric Dentistry

1147 Main Street - Cottage Place - Tewksbury, MA 01876
(978)  851- 6334




Orthodontic Emergencies or Problems

 

Loose Bracket
Poking Wire
Wire out of Back Brace
Poking Elastic (Rubber Band) Hook
Sore Teeth

Please feel free to contact the office if you are experiencing any discomfort or if you have any questions. Below are a few simple steps that might help if you are unable to contact us or if you need a "quick fix".

LOOSE BRACKET

Occasionally, a glued bracket may come loose. You can remove the loose bracket and save it in an envelope to bring to the office or leave it where it is, if it is not causing any irritation. Call the office as soon as possible in order for us to allow time to re-glue the bracket
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POKING WIRE

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.
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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.
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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.
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SORE TEETH

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:
  • Rinse with warm water, eat a soft diet, 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.
  • If pain persists more than a few days, call our office.
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Steven C. Demetriou , D.M.D.

Pediatric Dentistry
1147 Main Street - Cottage Place
Tewksbury, MA  01876
 (978) 851-6334


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