Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
Even though you are careful, you may occasionally damage your appliances. Wires and brackets can become loose or break. Typically, this is not an emergency situation. If the patient is not in discomfort, you can call the office and make an appointment to come in when it is convenient. If the patient is in pain, please call for an immediate emergency appointment.
We want our patients to be informed of problems that may occur and understand how to solve them, at least temporarily, until it is possible to return to our office.
If a bracket comes loose from the tooth, call our office so we can determine if an emergency appointment is indicated. If the patient is comfortable and if it will not cause any problems or delay in treatment, additional time can be allowed to reattach the bracket at the next regularly scheduled appointment. If it is causing discomfort, we will schedule an immediate emergency appointment. If the loose bracket is still attached to a wire, leave it in place and apply wax to keep it from moving on the wire if it is bothersome. If the bracket comes completely out, place it in an envelope and bring it to your next appointment.
If a main archwire breaks (the one that goes all the way around the outside of your braces), you should leave it in if it is not uncomfortable and seems stable. If it is bothering you, you can do whatever it takes to make it more comfortable until you can visit the office to have the wire replaced. You can try such things as removing the offending piece, clipping an irritating piece with a small wire cutter or nail clipper, tucking the wire under a bracket, etc. Use wax as needed and call our office for an appointment.
Try to place the wire back in the bracket. Place wax if there is any discomfort and call for an appointment.
Sometimes a poking wire can be safely turned down so that it no longer causes you discomfort. Try to tuck the wire back in and out of the way with the blunt end of a toothbrush, pencil eraser or some other smooth object. If you are unable to take care of a poking wire, apply wax and call our office for an appointment.
Periodic soreness of the teeth or surrounding tissues during treatment is to be expected. If you experience this normal discomfort, it can usually be relieved by rinsing your mouth with a warm salt water solution (one teaspoonful of salt in a cup of warm water). A mild over-the-counter pain reliever (Motrin, Tylenol, etc.) can be taken as directed.
Lost or Broken Retainers
Contact our office as soon as possible to arrange for repair or replacement of the retainer. If the retainer is cracked or has a broken wire but still fits comfortably, you should continue to wear it until you can bring it in for repair or replacement. If, for example, you break or lose your upper retainer, make sure you continue to wear your lower retainer (or vice versa), as this will help reduce the shifting potential of the teeth until you can be seen in our office.
Accidents Involving Teeth
For serious mouth injuries, the patient should initially be seen as soon as possible at the emergency room or by his/her family dentist. Once the initial trauma has been resolved, contact our office for an emergency appointment so we can repair any damage to the appliances and evaluate the affected teeth.
If you are involved with contact sports, we recommend you use a mouthguard. Use only an orthodontic mouthguard (not one you boil and adapt). We will be happy to supply you with one and they are also available wherever mouthguards are sold.
Our office is generally open Monday through Thursday. We can usually get you in to repair a problem quickly. In some instances, we will make you comfortable and then schedule another appointment at a later date if more involved treatment is necessary to remedy the problem. In case of an after-hours emergency, call our office and follow the instructions on the answering machine.
What is flossing?
Flossing is a method for removing bacteria and other debris that cannot be reached by a toothbrush. It generally entails a very thin piece of synthetic cord you insert and move up and down between the sides of two adjoining teeth.
Why is flossing important?
Many dentists believe that flossing is the single most important weapon against plaque. In any event, daily flossing is an excellent and proven method for complementing your brushing routine and helping to prevent cavities, periodontal disease, and other dental problems later in life. It also increases blood circulation in your gums. Floss removes plaque and debris that stick to your teeth and gums.
How often to floss
Floss at least once every day. Like brushing, flossing should take about three minutes and can easily be done while doing another activity, such as watching television. Do not attempt to floss your teeth while operating a motor vehicle or other machinery.
There are two common methods for flossing, the "spool method" and the "loop method".
The spool method is the most popular for those who do not have problems with stiff joints or fingers. The spool method works like this: Break off about 18 inches of floss and wind most of it around your middle finger. Wind the rest of the floss similarly around the middle finger of your other hand. This finger takes up the floss as it becomes soiled or frayed. Move the floss between your teeth with your index fingers and thumbs. Maneuver the floss up and down several times forming a "C" shape around the tooth. While doing this, make sure you go below the gum line, where bacteria are known to collect heavily.
The loop method is often effective for children or adults with dexterity problems like arthritis. The loop method works like this: Break off about 18 inches of floss and form it into a circle. Tie it securely with two or three knots. Place all of your fingers, except the thumb, within the loop. Use your index fingers to guide the floss through your lower teeth, and use your thumbs to guide the floss through the upper teeth, going below the gum line and forming a "C" on the side of the tooth.
With either method of flossing, never "snap" the floss because this can cut your gums. Make sure that you gently scrape the side of each tooth with the floss.
Your gums may be tender or even bleed for the first few days after flossing - a condition that generally heals within a few days.