First Aid


  • If a wire causes irritation, push the wire away from the area using the eraser end of a pencil or a Q-Tip. If the wire cannot be tucked away, cover the end of the wire with a small piece of wax, a cotton ball, or a piece of sugarless gum, until you can see Dr. Way for an adjustment.
  • If the main wire has come out of the tube or pipe on your back molar tooth, attempt to reinsert the wire with a pair of needle-nosed pliers or tweezers. If the wire is not sticking you, place a piece of wax over the area. If the wire is sticking you and wax does not help, the wire can be cut with a small wire cutter or toenail clipper close to the back of the last brace. This is a last resort if professional help is unavailable.
  • In case a rubber spacer falls out, take two pieces of dental floss and insert them through the spacer. Pull on both pieces of floss to stretch the spacer, then slide the spacer back and forth between the two teeth where it belongs. Once the bottom half of the spacer slips under the tight spot between the teeth, release and remove the floss and the spacer will fit back properly.
  • If a bracket becomes loose, it usually remains connected to the main wire by a little rubber colored ring. Eyebrow tweezers can be used to reposition the brace if it flips around the wire and becomes a source of irritation. Call our office and inform us of your situation.
  • If a piece of your braces breaks, save the piece and call our office to schedule a repair visit.
  • Remain calm if you swallow a piece of your appliance. This will usually go either into the stomach and pass out of the body in a bowel movement. However, if difficulty breathing is experienced, you should seek immediate medical attention. X-rays will be taken to determine the location of the swallowed piece.
  • If a retainer cracks, remove the retainer from your mouth and bring all the pieces to our office for professional repair.
  • Take Tylenol or Ibuprofen (unless allergic) if your teeth are sore after a monthly visit.
  • Rinsing your mouth with a cup of warm water and teaspoon of salt can also be soothing. If you teeth get sore suddenly in the middle of the month, give us a call because it is unusual for the teeth to get sore several weeks after your last office visit.
  • If food becomes stuck between your teeth, use dental floss or a proxy brush to dislodge the food.
  • If you cut your gums, tongue or the inside of your cheek, apply finger pressure to the bleeding site for several minutes. If the bleeding won't clot, call your orthodontist or family dentist.
  • The healing of canker sores caused by a virus or by the irritation of your appliance can be sped up by applying a hydrocortisone cream such as "Cortaid." This can be .5% or 1% cream. A study published in the Journal of Maxillofacial Surgery showed that the healing time can be significantly reduced and the cream is safe to use intra-orally. We have seen the same results with our patients whom have used this cream. Place a small amount of the cream on your finger or a Q-tip and apply it to your canker sore several times a day until the sore is gone.