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Orthodontic Emergencies

January 5, 2020

At first, having orthodontic treatment may take a little getting used to. It isn't uncommon to experience a bit of soreness when appliances are first put on, or some minor aches as teeth begin moving into new positions. Yet it's comforting to know that genuine orthodontic emergencies are rare.

If you think you may have an emergency, however, the first step is to determine the severity of the problem: Is it an urgent situation that requires immediate attention, or a minor problem that you can take care of yourself, temporarily, until you can come in to the office?

A Major Emergency

There are only a few true orthodontic (or dental) emergencies. They include:

Trauma or injury to the teeth, face or mouth
Infection or swelling of the gums, mouth or face
Severe, unmanageable discomfort or pain in these areas

In any of these situations, you should seek help as soon as possible — go to an emergency room, if that's your best option. Generally, however, the place to start is at the dental office. If, for example, you have a fractured tooth, that immediate problem requires diagnosis and treatment. Afterwards your orthodontic treatment plan can be adjusted as needed. Likewise, severe pain or swelling could be a sign of infection or disease, which also needs immediate treatment.

Some Minor Troubles

Fortunately, the vast majority of orthodontic problems are minor compared to these situations — but they may still cause discomfort or irritation. In general, it's best to try and soothe the immediate cause of the discomfort, and then call for an appointment. Here are a few of the more common orthodontic problems, along with some tips on what you can do to relieve them at home:

Loose or broken brackets, bands or wires

This problem is often caused by eating hard or sticky candy or food, or playing with the braces. If the band or bracket is still attached to the wire, leave it as is — but don't connect any elastics to it! You can cover it with orthodontic wax if it's irritating the inside of your mouth. If it has come off, save it. In either case, call our office to let us know what happened, and we will recommend the next step.

Misplaced or poking archwire, bracket or tie

As the teeth start to move, the wire that connects them (archwire) may begin poking near the back of the mouth or irritating the cheeks. You can try moving the wire into a better position with a pencil eraser or a Q-Tip. If the wire won't move, you may be able to cut the end off with a nail clipper sterilized in alcohol — but before doing so, please call for guidance or instructions. Often, you can also use tweezers to gently move a misplaced wire or a tie that's causing problems.

When wires or brackets cause irritation, covering the metal parts with wax will often help ease the discomfort. As with any of these types of problems, it's best to make an appointment so it can be taken care of.

General tooth pain or loosening

It's normal for teeth to become slightly loosened during orthodontic treatment — that shows they're moving! Sometimes, this movement may be accompanied by tenderness, especially after braces are placed or adjusted. For minor soreness, you can use your regular over-the-counter pain reliever. A twice-a-day salt-water rinse may also help: Mix one teaspoon of salt in an 8-ounce glass of warm water, and rinse for 30 seconds. A warm washcloth or heating pad placed on the outside of the jaw can also offer some relief.

While actual emergencies are rare, the goal is to make orthodontic treatment as comfortable as possible.

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Dr. Haddad

D.M.D

Dr. Haddad’s purpose at Sewell Dental Designs is to empower his patients so they can achieve and maintain excellent dental health and have a smile they are happy to show off. He decided on this path after receiving treatment from a competent and friendly dentist when he was a teen.

Dr. Haddad obtained his Bachelor of Science degree at George Mason University in Virginia and went on to earn his Doctor of Medicine in Dentistry degree (DMD) from Temple University Maurice H. Kornberg School of Dentistry.

Dr. Joanna

D.D.S

Dr. Joanna Haddad was born and raised in Lebanon and now resides in Philadelphia, PA. She speaks Arabic, French, and English fluently. Dr. Joanna earned her Doctorate of Dental Medicine from the University of Pennsylvania School of Dental Medicine, graduating with honors in Public Health. During her time in dental school, she was highly involved in various organizations and served as the Chapter President of the American Student Dental Association. She is also a proud member of the American Dental Association, American Association of Facial Esthetics and American student dental association.

Dr. Giesberg

D.D.S

Dr. Konstantina S. Giesberg, DDS, is a board-certified dentist anesthesiologist who has earned the privilege of becoming a Diplomate of the American Dental Board of Anesthesiology (DADBA).Dr. Giesberg obtained, with honors, her degree of Doctor of Dental Surgery (DDS) from the University of Buffalo, NY. She then completed her General Practice Residency in Dentistry at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Giesberg then furthered her studies at Wyckoff Heights Medical Center with a Specialty Program in Dental Anesthesiology, involving three years of concentration in deep sedation and general anesthesia.