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Orthodontic Emergencies

LOOKING AFTER YOUR BRACE 

It is important in this time to keep you brace, teeth and gums healthy. Please ensure you are following the steps given below,  if you have any questions, please call us on 01633 483151.

• Exemplary oral hygiene – brushing 3 times a day with their standard toothbrush,
followed by inter-proximal brush use. As an adjunct, use of a fluoride mouth-rinse once a day.
• Low sugar diet – Where possible avoid all snacking on sugars and drinks with ADDED
SUGAR. Fizzy drinks should be avoided in particular.
• Avoid hard, sticky and hard foodstuffs that could break the brace wire or fracture
brackets (de-bond) off a tooth.

BROKEN BRACE- WHAT DO I DO?

for video instructions please click the link below

https://www.bos.org.uk/COVID19-BOS-Advice/Patients-Advice/Patients-Home-Videos-Repairs

Wires digging in

• Home advice
• If a thin wire, it may be possible for the patient or family member to use
tweezers to replace wire in the tube/band or tweezers and a nail
clipper/scissors to shorten the long end
• It may be that a thin wire is the correct size but may have rotated round the
teeth so that it is short on one side and long on the other. Using tweezers a
pencil with a rubber on the end or a teaspoon, it may be possible to push the
wire back round to prevent the long end digging in.
• If the wire is very thick and stiff (discuss with your HCP) it may not be possible
to cut the wire with home instruments. If this is the case it may be necessary
to cover the wire to prevent it being sharp. Relief wax/silicone may be sent to you or you can buy it online (Orthodontic Wax) Failing that using a wax
covering from hard cheese (baby-bell, cheddar), Blue tack or even chewing
gum may help

Broken bonded retainers
• Home advice
• Push wire back down towards the tooth as much as possible. (Fingers or
tweezers)
• Cover with best medium available (Ortho wax, Cheese wax, Blu tack, chewing
gum)
• Cut the exposed un-bonded wire using tweezers and nail clippers/scissors
• Gently pull the wire to remove the whole retainer
• Advise greater use of removable retainers if present

Contact us ASAP to get retainer fixed

Lost Retainers
Contact us as soon as possible to have new retainers made

Gold Chains
• Home advice
• If the gold chain was recently place and is now dangling down, it may be
possible to cut it short. Gold is quite a soft metal and it may be possible to
cut the chain using some nail scissors or nail clippers. Always hold the loose
end with tweezers or similar item. If possible leave at least 5 links through
the gum so it can used later by your orthodontic team
• If you have a none dissolvable coloured stitch discuss with your HPC about
the feasibility of removing it at home using nail scissors to prevent a minor
infection in the gum.

Bracket off
This is not urgent unless it is causing trauma to the soft tissues.
• Please contact us to let us know so we can allow time to repair your brace on your next visit.

Elastic Bands
• Home advice
• At this time if you run low or out of elastics your HPC may either send you a
some more out via the post or advice cessation of wear.

Band off
•Please contact us to book an appointment and get your brace repaired for you.

Removable/Functional appliances
• Home advice
• Check for comfort and retention
• If fractured or ill fitting do not wear the appliance and contact us as soon as possible to book an appointment

Exposed end of wire tie – long ligature or short ligature
• Home advice
• Re-tuck sharp end under wire/bracket using tea spoon or tweezers
• Remove wire if broken with tweezers if possible
• Cut  end as short as possible to improve comfort with nail cutters or
scissors
• Cover for comfort using Ortho wax, Cheese wax, Blu tack, chewing gum

Contact us to book an appointment.