Wesley D. Powell, DDS, MS, PC
Board Certified Pediatric Dentist
2244 Henderson Mill Road Northeast
Atlanta, Georgia 30345 [map]
With children's orthodontics, there are a number of issues that can pop up. You may be able to temporarily solve many of these orthodontic problems by yourself until you schedule a repair appointment with our office. If you feel you are unable to handle a problem on your own, please call us as soon as possible for guidance. Here's what to do for some common issues.
Loose band or bracket
If a band or bracket is still attached to the wire, leave it in place. Do not attempt to remove it. If it is scratching your child's mouth or feeling uncomfortable, place wax on it. That covers the rough edges and prevents scratches. If the band comes out completely, save it and bring it into the office.
Try to place the wire back into the bracket using tweezers. If that is not possible, clip the wire with a fingernail clipper behind the last tooth to which it is securely fastened. That will prevent the detached wire from hurting your child's mouth. Then, make a children's orthodontics appointment for the wire to be reattached.
Try to push the wire down with a spoon or an eraser. Alternatively, you can clip it as described above if it refuses to be pushed into place. If those options are not possible, place wax on the wire.
Lost elastic tie or “donut”
The elastic ties are designed to give extra support to metal braces, but with children's orthodontics, it's common for these to break or get lost. Luckily, if that happens, you don't need an emergency dentist. Please just notify us of the issue at the next appointment.
In some cases, your child's mouth may feel sore. That's especially common after an orthodontic appointment. Use Ibuprofen (Advil® or Motrin®) or Acetaminophen (Tylenol®) to subdue the pain. Don't give children Aspirin due to the risk of Reye's syndrome.
If the appliance is sticking or poking, place wax on it. If a band has slipped off a tooth, try to gently, but firmly, push it back onto the tooth. Call the dental office to schedule a time to have the appliance re-cemented.
In many cases, children's orthodontics involves removable retainers, and unfortunately, children often lose these or accidentally throw them away. If that happens, make an appointment to get a new retainer made as soon as possible . Ideally, you may want to set up dental care insurance that covers the cost of lost devices when you get the retainer.
If your child has headgear and it's not comfortable, check the manufacturer's instructions to make sure that you are putting it on correctly. If the pain persists, make an appointment with your dental orthodontics specialist to refit the device.
Trauma or injury
Unfortunately, accidents happen. If your child gets injured and a tooth is knocked out or becomes loose, contact our office or an emergency dentist right away as time is crucial. Put knocked out teeth in a bit of saliva or whole milk until your appointment. There may be a lot of blood in these situations. Although that's scary, it's completely normal.
If your emergency doesn't fit into any of the above categories, call us right away. At Dentistry for Children and Teens, we're always happy to answer your questions.