Orthodontic Emergencies Bethel Park

Fast Care When You Need It Most

An orthodontic emergency can happen in the blink of an eye, leaving adults and children alike struggling with sudden oral pain and worry. Thankfully, Smiles by Palmer is here to help. Dr. Palmer always makes time for urgent cases as soon as he possibly can, and our friendly staff members can also provide assistance over the phone if you’re unable to reach our office right away. We have two locations in McMurray, PA, and Bethel Park, PA – please contact the one closest to you when experiencing an orthodontic emergency.

Why Choose Smiles by Palmer for Emergency Orthodontic Care?

  • Compassionate and Board-Certified Orthodontist
  • Same-Day Appointments Available for Emergencies
  • Two Convenient Office Locations

What to Do in an Orthodontic Emergency

If you or a loved one experiences an orthodontic emergency, follow these steps right away:

  • Step 1: Call us right away. Call us as soon as you can so we can schedule you for a same-day emergency appointment
  • Step 2: Follow our instructions until you reach us. Over the phone, one of our team members will walk you through how to manage your emergency until you arrive at our office.
  • Step 3: See Dr. Palmer for an emergency exam. When you arrive, we will see you right away to evaluate your situation and alleviate any serious pain.
  • Step 4: Get the professional care you need. Our team will review their findings with you and how they recommend moving forward. In most cases, we’ll be able to completely address the issue right away, but if needed, we can schedule a follow-up appointment.

You should visit our office for any emergency that involves fixing your orthodontic appliance, or any questions you have about treatment. However, if a serious injury occurs that affects your breathing, or there is uncontrollable bleeding, you should head to the nearest emergency room as fast as you can. If you’re unsure, you can also call our office and one of our friendly team members can give you steps on what to do next.

The Most Common Orthodontic Emergencies

It’s important to understand that if any part of your braces becomes loose or broken, you should book an appointment with our office immediately. Waiting too long to correct your orthodontic appliance can extend your treatment time dramatically. Additionally, if you feel any pain, call our office right away. Soreness and tenderness are completely normal, but we need to treat any severe, persisting discomfort as soon as possible. Here are some of the common situations we see from patients and some helpful tips for what you can do to improve your situation before you arrive at either of our locations:

Toothaches

Is a toothache an emergency? Right after you’ve started your orthodontic treatment (or after an adjustment or new aligner), it’s normal to feel some discomfort in your teeth and gums for about 3-5 days afterward…this just means they are working! However, in rare cases, tooth pain could indicate a dental emergency. If your pain persists for more than a week, is getting worse, or is accompanied by a bump on the gums, be sure to call us and let us know!

How you should handle toothaches: To help manage soreness, you can rinse your mouth with warm saltwater or use an over-the-counter pain reliever like Tylenol, Advil, or Aspirin. Applying a cool ice pack to the outside of the mouth or eating or drinking cold things can also help numb discomfort. If you suspect something may be caught between your teeth and braces to cause irritation, try flossing.

Loose Bracket
or Wire

Is a loose bracket or wire an emergency? A braces bracket is the small attachment that connects the archwire to your teeth. Your braces are designed to stay firmly in place as you go about your day, but they can be knocked loose. Should this happen to you, call us right away. The tightness of your brackets and wires is essential for moving your teeth into their ideal positions, so we will need to treat you right away to ensure your treatment stays on track.

How you should handle a loose bracket or wire: If one of your brackets is loose but still attached to the wire, do your best to maneuver it back into place and cover it with dental wax or sugarless gum. Not only will this help hold it in place, but it will protect your soft tissues from irritation. Avoid touching a loose wire, as this could further the issue. If needed, you can use dental wax or sugarless gum to secure it, but this is only a temporary measure until we can see you.

Broken Bracket
or Wire

Is a broken bracket or wire an emergency? A damaged wire or bracket often requires more urgent attention than one that has simply become loose. Broken orthodontics can cause serious irritation and sores to the soft tissues of your mouth, including the inside of your cheeks, lips, and tongue. Or, they may poke your gums or scratch your teeth! Call us as soon as you can.

How you should handle a broken bracket or wire: If there are completely broken-off pieces, collect them and bring them with you to your appointment. Rinse your mouth out with water to ensure there are no unconnected pieces of your orthodontics in your mouth that you could accidentally swallow. If there are sharp edges, cover them with orthodontic wax or sugarless gum.

Poking/Protruding
Wire

Is a poking or protruding wire an emergency? When you first get braces, your soft tissues will feel a bit sore as they adapt to your new brackets and wires. However, in some cases, a wire may poke the inside of your mouth after this adjustment period. This may happen after tightening your braces or if a wire comes loose. We want you to feel as comfortable as possible during your treatment, so give us a call if your poking wire bothers you for more than a day.

How you should handle a poking or protruding wire: First, try using the eraser end of a pencil to gently push and bend the wire so it doesn’t cause any irritation. However, don’t force it! You could accidentally end up breaking your braces, so don’t use too much force. If this doesn’t help, you can also try covering it in some dental wax, which we’ll give you. Take an over-the-counter pain reliever or rinse with warm saltwater to address soft tissue irritation.

Mouth Sores or
Irritation

Are mouth sores or irritation an emergency? At the beginning of your treatment, braces and other orthodontic appliances can irritate your soft tissue, often leading to sore spots. This problem should subside as your mouth becomes adjusted, but in the interim, it can feel uncomfortable. Generally speaking, mouth sores and irritation do not count as an emergency unless they become infected.

How you should handle mouth sores or irritation: We recommend placing dental wax on the area of your braces that is resulting in sores. You should also rinse with warm water mixed with a teaspoon of salt somewhat regularly. This will clean away bacteria, protect against infection, and help reduce swelling and discomfort. If these suggestions do not provide any relief or the sores/irritation seems to be growing worse and worse, please let us know right away.

Broken
Ligature

Is a broken ligature an emergency?  Ligature is another term for the rubber bands that secure the archwire to your braces brackets. If one of these ligatures comes off, there’s no reason for alarm. Follow the instructions below or give us a call for more instructions on how to put it back in place. However, if your ligatures keep falling off, or if many of them have come off, give us a call to schedule an appointment right away. This could be a sign of a larger underlying issue.

How you should handle a broken ligature: If the ligature is intact, you may be able to put it back onto the designated bracket with sterile tweezers. However, if it is broken, you’ll need to come in to have it replaced.

Cut Lips, Cheeks,
or Tongue

Is a cut lip, cheek, or tongue an emergency? If you suffer from an impact to the face, check to make sure that you haven’t broken any facial bones like your jaw. In that case, you need to go to the emergency room right away. Next, check for knocked-out teeth, damage to your brackets, and other injuries. These injuries are emergencies that need to be treated right away! Call us for the next available appointment so that we can make any adjustments to keep your treatment headed in the right direction.

How you should handle a cut lip, cheek, or tongue: Most soft tissue injuries can be handled at home. Rinse your mouth out with water to clean the area and use a wet washcloth or piece of gauze to apply pressure to the area. Once the bleeding has stopped, you can use an ice pack or over-the-counter pain reliever to address discomfort. If you can’t get the bleeding to stop after 10 minutes, go directly to your local ER.

Something Stuck
Between Teeth

Is having something stuck between the teeth an emergency? It’s common for patients undergoing orthodontic treatment to get something stuck between their teeth. Should that happen, you must remove the debris as soon as possible. Otherwise, you could experience pain and have a higher chance of developing certain oral health problems. Don’t worry – you can always give us a call if you can’t get it out on your own!

How you should handle something stuck between your teeth: Thoroughly rinse your mouth with warm water to dislodge the debris. If that doesn’t work, you can use dental floss to carefully remove the stuck item. Consider using special tools like a threader, pick, or interdental brush as they’re helpful for patients with braces. Avoid using a sharp object like a toothpick because it can accidentally hurt your soft oral tissues.

Broken or Lost
Retainer

Is a broken or lost aligner or retainer an emergency? Not usually! However, you should still address a broken or lost aligner as soon as possible to prevent treatment delays and orthodontic relapse. Contact us right away to make an appointment. We’ll help get your treatment back on the right track!

How you should handle a broken or lost aligner or retainer: A broken aligner or retainer can move your teeth into the wrong positions. That’s why you should touch base with our team immediately to ask about your next best steps. We’ll resolve the issue quickly to ensure your pearly whites stay nice and straight. If you’ve lost your appliance, the best thing to do is retrace your steps and carefully look for it in the small crevices it could’ve fallen into.

Loose
Teeth

Are loose teeth an emergency? Braces are meant to move your teeth gradually and carefully. It’s intentionally done this way to ensure they don’t come loose. However, you should not feel like your teeth are wiggling. If that’s the case, schedule a same-day appointment to rule out gum disease or another oral health issue.

How you should handle loose teeth: Do not touch your loose tooth or teeth with your fingers or tongue! While you wait for your appointment, avoid chewing on that side of the mouth as well to prevent further damage. The best thing you can do is keep your mouth clean and visit us as soon as possible for assistance.

Understanding the Cost of Emergency Orthodontic Care

The cost of emergency orthodontic care can vary from case to case. When you come in for your appointment, we will assess the situation and provide an estimate for the cost of any necessary treatment. We always strive to address emergencies in an effective and budget-conscious manner.

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Every Emergency Is Different

Every emergency situation is unique. Therefore, costs can vary greatly. Some issues, such as a loose bracket or a broken wire, are quite easy to fix and do not cost a lot of money. Other problems, such as a severely loose tooth or other significant oral health problems, may come with greater expense. In some situations, we may need to send you to your general dentist or another specialist, which can further affect costs.

After we assess your situation, we will be able to have a candid conversation about the financial aspect of your treatment.

Taking Care of Your Smile Can Save You Money

There are some simple steps you can take to care for your smile and lower the cost of dealing with an orthodontic emergency:

  • Seek care as soon as a problem arises. Often, waiting to address a serious problem will only allow it to get worse. It could prolong your orthodontic treatment and cause significant discomfort in the meantime. Our team wants to help you when you are struggling with your braces.
  • Follow treatment instructions. Taking good care of your teeth and your braces on a daily basis can greatly reduce the risk that you will experience an emergency situation. For example, you should adhere to a good oral hygiene routine and wear a mouthguard when you play sports. Your excellent habits could help you save money!

Does Dental Insurance Cover Orthodontic Emergencies?

If your dental insurance covers orthodontia, it might help you if you face a serious problem related to your treatment. That depends on the details of your plan, including your lifetime orthodontic maximum. If you have a problem with a tooth, your dental insurance may help to pay for it as part of your regular coverage. Our practice accepts insurance, and we will be happy to help you figure out how your benefits apply in any given situation.

Other Options for Making Orthodontic Emergencies Affordable

Beyond insurance, there are a few options that might make it easier to afford your emergency treatment:

  • In-house payment plans. If you need a major service from us, you may choose to request a no-interest payment plan.
  • Third-party financing. Many patients qualify for no-interest or low-interest payment plans through CareCredit.
  • Discount for upfront payment. We provide a discount for patients who choose to pay in full at the beginning of their treatment.

Do not allow concerns about cost to derail your orthodontic treatment! Talk to our team to find out how we can help you manage the situation in a way that does not break the bank. We are sensitive to our patients’ budgets and want to help everyone have a positive experience with our practice.

Keys to Preventing Orthodontic Emergencies

Lady brushes retainer

While orthodontic emergencies aren’t 100% avoidable, there are ways for patients to be more conscious and minimize their overall risk of experiencing an emergency situation. Below, you will find a few of the guidelines we recommend, starting with prioritizing your progress visits at our office!

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Prioritize Your Progress Visits

Orthodontic assistant showing smiling patient braces

Whether you have traditional braces, ceramic braces, or clear aligners, you need to prioritize your progress visits at our office. Why? To start, these routine appointments allow us to regularly examine the condition of your brackets, wires, attachments, and any other orthodontic accessories you have. If something is loose or broken, we can fix it on the spot, reducing the risk of you needing to come to our office due to an orthodontic emergency in the process.

Practice Good Oral Hygiene At Home

Closeup of patient using interproximal toothbrush

In short, you need to brush and floss thoroughly! After all, it’s easier than ever for small particles of food to get trapped between teeth and cause decay when you’re wearing braces. When flossing, feed the short end of your floss through the space that exists between the main arch wire and the upper part of the tooth. If you’re having a hard time brushing, consider investing in a toothbrush that is specially designed for cleaning braces, such as a proxabrush.

Be Mindful of What You Eat

Woman smiling while enjoying home-made pizza

With traditional braces, there’s a clear list of foods you should avoid, like whole apples, tortilla chips, and raw almonds. Avoiding foods that are overly chewy, sticky, hard, or brittle in nature is recommended if you have clear aligners as well. Instead, do your best to fill your plate with foods that meet three criteria: delicious, braces-friendly, and nutrient-dense. A few examples include mashed potatoes, oatmeal, cooked apples, and hard-boiled eggs.

Protect Your Teeth (and Your Braces!) with a Mouthguard

Closeup of patient holding clear mouthguard

There’s a common misconception that a mouthguard is only needed if you participate in a contact sport, like football. That’s not the case! After all, even if you ride your bike, run, skateboard, or rollerblade, you could accidentally fall, damaging your teeth and your braces in the process. For that reason, we recommend having a custom mouthguard made. It’s a small device that can make a big difference.

Take Good Care of Your Retainer

Patient placing blue retainer in case

Remember, a broken or lost retainer is considered an orthodontic emergency. So, don’t just wear it as instructed; take good care of it too! That starts with storing it properly and extends to cleaning it consistently. You can disinfect it by soaking it in denture cleanser – just make sure to rinse it thoroughly with water before placing it back inside your mouth.

Orthodontic Emergency FAQs

How should I sleep with tooth pain?

Following your adjustment appointments, it’s normal to feel some soreness. The good news is that there are several easy steps you can take to alleviate this and, in turn, help you sleep soundly. That starts with avoiding crunchy, hard, and sticky foods at dinner and extends to sipping on cool water and using a cold compress for 10 minutes at a time to create a temporary numbing sensation. About 30 minutes before bed, you can also take an OTC pain reliever, making sure to follow the directions on the label.

Are toothpicks safe to use?

If you have something caught around a bracket or between a wire, you might be tempted to reach for a toothpick. However, it’s possible for these small wooden posts to splinter off in your mouth, cut your gums, or push the debris further into position. That’s why it’s best to opt for pre-threaded floss instead. If the debris is particularly stubborn, you can also rinse your mouth thoroughly with warm saltwater to help loosen it.

Should I visit the emergency room first for orthodontic emergencies?

In rare cases, orthodontic emergencies require a visit to the ER. The best way to tell if you need to seek medical attention is to quickly assess your symptoms to see if any are potentially life-threatening. A few examples include extreme facial swelling, uncontrollable bleeding, and difficulty breathing. Conversely, if your orthodontic emergency is a bit more “straightforward,” like a broken bracket or loose wire, then your first call should be to our office.

Will my toothache go away on its own?

Periodically throughout your teeth-straightening journey, you might feel soreness from your teeth moving into their new positions. This is completely normal and to be expected. What isn’t normal is a sharp stabbing pain when you bite down or persistent discomfort that seems to be getting worse with time. If you find yourself in this situation, then the best thing to do is call us ASAP to share your symptoms and schedule an exam. That way, we can determine if the root of the problem is something that requires further attention, like a cavity.

What does chronic bad breath mean?

Oftentimes, chronic bad breath is the result of a diet filled with fish, garlic, onions, and other pungent foods. That said, it’s possible for the root of the problem to be something more serious, like gum disease, which is why it’s important to reach out to us if the odor persists even after brushing your teeth or using a sugar-free mint.