The offices will be closed from the 8^th December 2018 and reopen on the 8^th January 2019

A few things to remember –

1. Make sure that you have your appointments made for the New Year coming as we tend to be busy in the first few weeks back and often will not be able to find appointment times if you leave it to the last minute.
2. Make sure that you have plenty of elastics and wax to last you over the time the office is closed.
3. If you have any long ends or if anything is annoying you please make sure that you come in before the office closes to have it attended to.

During the time that we are closed if something goes wrong here are some things to try at home:

Elastic Tie Falls off

Tiny rubber bands hold the wire to the bracket. If a rubber ligature should come off, you may be able to put it back in place by using sterile tweezers. In either case, this is not an emergency, and the patient can wait until their next visit to replace the tie.

 

Elastic chain breaks

If the elastic chain breaks, this is not an orthodontic emergency. Please call our office when we reopen to schedule an appointment.

  A Wire is Poking

There are several possible scenarios when a wire is poking:

1. A ligature wire may be poking
2. The main archwire may have come out of the tube
3. The main archwire may be protruding out the back of the molar tube

Ligature wire poking

Try tucking the ligature wire away from the area by using the eraser end of a pencil or a Q-tip. If the ligature wire cannot be tucked in, cover the end of the wire with a small piece of wax, a cotton ball or a piece of sugarless gum. Cutting the wire should only be done as a last resort.

Main Archwire out of tube

You may attempt to reinsert the wire with a pair of needle nose pliers or tweezers. If you are not successful in placing the wire back into the tube, place a piece of wax over the area. If the archwire is long and poking you, apply wax to the area. If wax does not help, the wire can be cut with wire cutter or nail clipper close to the back of the brace. Cutting the wire should be done as a last resort.

Protruding Archwire

If the main archwire is long and poking you, we recommend you cover the area with wax until you can get in to see us for a comfort appointment. If you are unable to get relief from that you may wish to try and trim the wire with nail clippers or small wire cutters, if you have them. Do this as a last resort.

Broken Bracket

If a bracket (the small rectangular brace) is loose, call our office to let us know so that a time can be made to see you when the clinic reopens. In most cases, the bracket will remain attached to the main archwire. A loose bracket can be left in place until you are seen for your repair appointment. You may use a pair of eyebrow tweezers to reposition the bracket if it flips around the wire and becomes a source of irritation.

Irritation of Lips and Cheeks

Sometimes new braces can be irritating to the mouth, especially when the patient is eating. Usually, the tissues toughen, but in the meanwhile, soft wax placed over the offending hardware will smooth it out. Simply pinch off a small piece and roll it into a ball the size of a small pea. Flatten the ball and place it completely over the area of the braces causing irritation. Warm salt water also helps (1 tsp salt in a glass of warm water). Over-the-counter ointments like Bonjela will also provide comfort and help with healing.

Sometimes archwires bow out into the cheeks and irritate the soft tissue. A ball of cotton over the wire, at least during sleep, relieves the cheek from this pressure.

Mouth Sores

Some patients are susceptible to episodes of mouth sores which may be precipitated or exacerbated by an irritation from braces. One or several areas of ulceration of the cheeks, lips or tongue may appear. This is not an emergency, but may be very uncomfortable for the patient. Placing wax over the bracket(s) in the area of irritation may also bring relief, and allow the irritated area to recover.

Mouth sores generally last 10 to 14 days, even if you don’t do anything. They sometimes last up to 6 weeks. The following steps can make you feel better:

• Avoid hot beverages and foods, spicy and salty foods, and citrus.
• Take pain relievers.

Bent Appliances

If any appliance gets bent, or is not fitting well it should not be worn until it can be properly adjusted in our office. Please call our office to schedule a repair appointment.

 Lost or Broken Appliances or Retainers

If you lose or break your appliance or retainer, bring all the pieces in with you for repair. There may be a fee for the repair of the appliance or retainer. Please call our office to schedule an appointment.

Sore teeth

If your teeth are sore after a visit, take aspirin or ibuprofen unless you are allergic to them

Food Stuck Between Teeth

If food becomes stuck between your teeth, use dental floss or an Interproximal brush to dislodge the food. It sometimes helps to tie a small knot in the middle of the floss and then slide the floss back and forth through the food mass.

Loose Teeth

If a permanent tooth feels loose, a little movement is normal when wearing braces.

If you have suffered any trauma to your teeth please contact an emergency dentist straight away for an assessment and leave a message or email to let us know what occurred.