Emergency Orthodontic Care

Orthodontic emergencies are rare, but they can happen—especially when braces or appliances experience unexpected pressure or impact. At Coastal Smiles Family Orthodontics, we’re here to help you stay comfortable and protect your smile throughout treatment. Orthodontic emergencies generally fall into two categories: issues related to your appliances or direct injuries to the mouth and teeth.

Emergencies Related to Orthodontic Appliances

Brackets, wires, and other appliances can occasionally loosen or bend during treatment. While most situations are manageable at home for a short time, we encourage you to call our office during patient hours so we can schedule an appointment and resolve the issue safely.

Common appliance concerns and what you can do:

  • Irritating tie wire:
    Place orthodontic wax over the area or gently tuck the wire under the archwire using a pencil eraser or Q-tip.

  • Loose bracket or band:
    These can usually remain in place until we see you. Contact our office so we can schedule a repair appointment if needed.

  • Broken or poking wire:
    Try bending the wire toward the tooth with a clean pencil eraser. If necessary, you may trim the wire with disinfected nail clippers. After managing discomfort, call us during office hours so we can check and correct the issue.

To ensure the best care for all patients, we are unable to accept walk-in emergency visits. Please call ahead so we can accommodate you promptly.

Direct Injuries to the Mouth or Teeth

If you experience trauma to the mouth, whether or not you are in orthodontic treatment, immediate attention is important. Apply ice to reduce swelling and contact your family dentist as soon as possible. Dental injuries such as displaced, fractured, or knocked-out teeth require urgent dental care and X-rays to assess damage.

Once your general dentist has addressed the injury, Dr. Cardinal will evaluate your orthodontic appliances. If your braces have been loosened, bent, or displaced, we’ll schedule a follow-up visit to adjust or replace them as needed.

After-Hours Orthodontic Emergencies

If a true orthodontic emergency occurs outside of regular office hours and you are in pain, please contact our office. Our voicemail will provide instructions on who to reach for further assistance. We’re committed to helping you feel comfortable until we can see you in person.