It's a fact of life; emergencies happen. And we understand that. We have provided you with a list of common emergencies, and how to handle them now that you've started your orthodontic treatment.
Rinse mouth with warm water to clean it out. Use dental floss to remove any food that might be trapped between the teeth. DO NOT place aspirin on the aching tooth or gum tissues. Send patient to the dentist as soon as possible, or call our office.
Problems with Braces and Retainers
If a wire is causing irritation, cover the end with a small cotton ball, pencil eraser, gum or a piece of gauze, until the patient can see the dentist. If the wire gets stuck in the cheek, tongue or gum tissue, do not attempt to remove it. Have the patient see the orthodontist immediately. If an appliance or a retainer becomes loose, or a piece of it breaks off, take the appliance / piece, place it in a bag or package, give it to the patient and send them to the orthodontist.
Broken or Loose Braces
If a brace has broken off the tooth and is still on the wire, it may be irritating the patient; have patient place wax on loose brace to act as a "Band-Aid". If the brace is off the wire, place in a bag or package and give to the patient. Either way, instruct them to see their orthodontist.
If the tooth falls out of the patient's mouth and gets dirty. Do not scrub it or remove any attached tissue fragments. Gently re-insert and hold the tooth in its socket or place under tongue. If this is not possible, place the tooth in a cup of milk. Send patient immediately to their dentist (within 30 minutes if possible). Don't forget to bring the tooth!
Gently clean dirt from the injured area with warm water. Place cold compresses on the face, in the area of the injured tooth, to decrease swelling. Send to dentist immediately.
Bitten Tongue or Lip
Apply direct pressure to the bleeding area with a clean cloth. If swelling is present, apply cold compresses. If bleeding does not stop within a few minutes, seek additional medical attention.
Objects Caught Between Teeth
Try to remove the object with floss. Guide the floss carefully to avoid cutting the gums. Have patient rinse vigorously. if you're not successful in removing the object, send patient to the dentist. Do not try to remove the object with a sharp or pointed instrument.
Possible Broken Jaw
Do not move the jaw. Secure the jaw in place by tying a handkerchief, neck tie or towel around the jaw and over the head. If swelling is present, apply cold compresses. Send immediately to a hospital emergency room, or call the patient's dentist.
( Please be aware that we are here to help you with any orthodontic / dental Emergency that may occur. Please do not hesitate to call Dr. Mortillaro's Office# (718) 238-1615 )