Emergency Care: Bracket Has Come Off

Houston, We Have a Problem:
When something with your braces is just not quite right…

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Your braces are a system made up of a lot of little parts that work together to make lots of little movements to your teeth. Since there are a lot of parts that move, and they are attached to your mouth, which also moves, it is likely that you might have some part of your braces that breaks, falls off, or just does something flat out weird.

Today, we are going to explore one of the different things that can go wrong while you have your braces, and what you should do. Some problems you might be able to fix on your own (or with a little help from mom and dad), but other problems might be a little more complex. For those, you will definitely want to ask your orthodontist to lend a hand.

Loose Bracket:

So you had a bracket come loose from your tooth. The tell-tale wiggle of a loose bracket is easily noticeable, and might be annoying to you. However, there is no reason to panic or worry if you have a bracket that has decided to break free. For this problem, your orthodontist will have to be involved as you can’t re-bond (what orthodontists call re-attaching a bracket) a bracket to your tooth on your own!

While having a piece of your braces come loose might seem like a big deal, this is not an orthodontic emergency. Having a bracket come loose causes no pain or bleeding, and as long as the rest of your brackets are still attached, there is no rush to get in to your orthodontist to have it re-bonded. In fact, when you call your orthodontist, they will even tell you it is okay to have a bracket off for up to a month and will usually just reattach it at your next regular visit.

In the meantime, here are some ideas to minimize any irritation caused by having a bracket off. If the bracket is still attached to the wire, you can attempt to slide it off if it is the back bracket, or if it is in between other, still attached brackets, you can use wax to keep it from moving around. When using orthodontic wax, make sure to dry the area where you intend to place the wax thoroughly. Paper towel works well for getting an area dry enough. Take a pea-sized amount of wax and roll it into a ball. Press the ball firmly over the loose bracket. The bracket should be stuck in place and no longer able to slide around on the wire.

Remember, having a bracket off is not a true emergency, and wont cause a delay in your orthodontic treatment if you get it re-bonded within a month. If your next appointment is over a month away, and you have a loose bracket, just call your orthodontist and get scheduled to have it repaired. Otherwise, a courtesy call to your orthodontist to just let them know you have one off is great as they will will know they just need to take a few extra minutes with you at your next regularly scheduled appointment.

For any questions regarding orthodontic emergencies, braces in general or to schedule an initial exam, call our office. For our Fishers location, call 317-570-0011, or for our Shadeland office, call 317-849-0110.

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