Orthodontic Emergencies: What to Do When Something Breaks

Orthodontic emergencies can be stressful, especially when a bracket breaks, a wire pokes, or a band comes loose. While these issues may feel alarming, most are not true emergencies. Knowing what to do when something breaks can help you stay calm, protect your teeth and gums, and avoid unnecessary discomfort until you see your orthodontist.

Common Orthodontic Emergencies

Orthodontic emergencies usually involve broken or loose parts of your braces or other appliances. Some of the most common situations include:

• Loose Brackets or Bands – A bracket can detach from the tooth, or a band may come off.

• Poking Wires – A wire that sticks out can irritate your cheek, lips, or gums.

• Loose Wires – Sometimes a wire may slip out of place and feel uncomfortable.

• Broken Retainers or Aligners – Damage to removable appliances can affect your treatment progress.

• Soreness or Irritation – Not always an emergency, but new braces or adjustments can make your mouth sore.

First Aid for Broken Braces and Appliances

If something breaks, you can often manage the situation at home until your next appointment. Here’s what to do:

1. Loose BracketsIf the bracket is still attached to the wire, leave it in place and cover it with orthodontic wax to reduce irritation. If it comes off completely, keep it in a clean container and bring it to your orthodontist.

2. Poking or Loose WiresUse the eraser end of a pencil or a clean cotton swab to gently push the wire back into place. If that doesn’t work, cover it with orthodontic wax or sugar-free gum. Never cut the wire yourself unless instructed by your orthodontist.

3. Irritated Cheeks or GumsPlace orthodontic wax over any rough or sharp area to protect your mouth. Rinsing with warm salt water can also ease discomfort.

4. Broken Retainers or AlignersStop wearing the broken appliance and call your orthodontist right away. Do not try to repair it yourself, as it may affect your treatment.

5. Pain or SorenessMinor soreness is common after adjustments. Over-the-counter pain relievers, soft foods, and saltwater rinses can help until the discomfort improves.

When to Call Your Orthodontist

Not every problem requires an immediate visit, but you should contact your orthodontist if:

• You lose a bracket, band, or aligner.

• A wire is poking and causing pain.

• A part of your appliance breaks completely.

• You have severe pain or swelling.

Your orthodontist will let you know if you need to come in right away or if it can wait until your next scheduled visit.

How to Prevent Emergencies

Most orthodontic emergencies can be prevented with proper care:

• Avoid sticky, hard, or crunchy foods that can damage braces.

• Wear a mouthguard when playing sports.

• Follow your orthodontist’s instructions for care and maintenance.

Final Thoughts

Orthodontic emergencies may seem scary, but most are manageable with simple first aid until you see your orthodontist. By knowing what to do when something breaks, you can stay comfortable and keep your treatment on track. Always call your orthodontist for guidance, and remember—prevention is the best way to avoid emergencies.