Orthodontic Emergency Care

Orthodontic Emergency Care

What Is An Orthodontic Emergency?

These orthodontic emergencies are very rare. In the case of orthodontic treatment, brackets often detach and come off, wires protrude or poke into soft tissues, or sometimes complicated orthodontic devices break apart or become disassembled. All of these occurrences can cause mild to severe discomfort and often anxiety. Sometimes the soft tissue can become infected, but this is rarely an emergency. Fortunately there are few true orthodontic emergencies. Situations such as a wire embedded in the cheek or broken appliance not allowing closure or opening of the mouth should be addressed as soon as possible.

Orthodontic Pain and Discomfort

After orthodontic bands are placed in the mouth, it is fairly common for teeth to [become or , as the periodontal ligament around the fault adjusts to the pressure from the orthodontic bands.] The discomfort is not an orthodontic dental emergency, and any discomfort is transient, and if necessary, over-the-counter pain medication may be taken.

Loose bands, wires that have become bent, or debonded appliance may cause mild to sometimes severe soft tissue irritation leading to infection. Orthodontic wax can be used on the source of irritation temporarily until the patient can see their orthodontist.

When To Seek Emergency Orthodontic Care

If an infection becomes significant where there is life-threatening swelling involving the airway, it is an orthodontic emergency and immediate dental and medical care is required. In this case, the offending appliance may have to be removed and antibiotics used. Life-threatening orthodontic emergencies should be addressed immediately as untreated without regard or concern to affecting, the orthodontic treatment as the patient`s life is of primary concern.

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The pandemic caused by Covid-19 has been extremely arduous both health wise and economically on a global scale. Dentistry and dental emergencies in particular have not escaped this devastating global concern. Factors such as loss of employment, reduced income, delayed graduation, increased job workloads and sentiments of futility over when will this pandemic ever end have contributed to significant anxiety in the general population. The dental profession is seeing symptoms of augmented anxiety manifesting itself through increased clenching, bruxism and other parafunction. Dentist are reporting an increased frequency of severe unrelenting toothaches, broken denture, broken filing, broken fixed prosthesis and broken or fractured teeth resulting… Read More

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