Most problems during orthodontic treatment are not emergencies but can be managed with a little knowledge.

If after reading the advice below, you remain unsure on what to do, please contact Reception on 01235 559269 or email info@pcortho.co.uk with a good description of your concerns and we can advise you on an individual basis.  Please do not just turn up at the practice as we may not be able to see you and it could be a wasted journey.

Discomfort/Pain

As you will have been advised discomfort is to be expected after having braces first fitted and less so after adjustment visits. Management can be anti-inflammatory medication following manufacture's directions and a soft diet. Tenderness normally becomes manageable after 2-3 days.

Rubbing /Ulcers

Use of silicone wax as shown at your fit appointment on any part of the appliance can minimise any irritation. If ulcers appear management with an anti-septic mouthwash, keeping a clean mouth and surface pain relief will encourage quick repair. Also ensure there is plenty of vitamin C in the diet.

Swollen Gums

This is usually caused by poor oral hygiene; follow the instructions given at your fit appointment, making full use of inter space brushes and the tufted end of your toothbrush behind the wire. Use of a fluoride free mouthwash daily will also help.

Allergic /Hypersensitive Reaction

A true allergic reaction is rare, (Nickel sensitivity rarely causes a problem) with symptoms of burning sensation, metallic taste, swelling and soreness of the tongue, difficulty breathing. If this is the case contact Reception for appliance removeal or out of hours contact NHS England on 111.

Lost Elastic

No immediate action is needed; keep your scheduled next visit.

Loose Bracket

Occasionally a bracket can come detached from a tooth but remains attached to the wire. If it is not causing discomfort it can be left to your next scheduled visit.

If it causes discomfort:

• You can either manipulate the bracket around or along the wire into its original or into a position of comfort.
• OR remove it using tweezers to hold the elastics band and gently remove it from the bracket then either dispose of the bracket carefully, or bring it in to your next visit.

Protruding Excess Wire

Cover with Wax, or trim carefully with nail clippers if wire is thin.

Loose or Broken Wire/ Band or Spring

If the broken piece is loose, carefully remove it with tweezers and contact the surgery.  If not, cover the part with Silicone Wax until your next scheduled visit.

Broken or lost Removable Appliance/Retainer

Contact Reception at the earliest opportunity to discuss whether an unscheduled appointment is needed for a repair or replacement appliance and any associated costs involved. In the meantime if possible continue to wear the appliance as directed.

We recommend that retainers are worn nightly for at least two years post end of active treatment and then reduced wear for as long as you want straight teeth.

Broken or partly unstuck bonded retainer