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1400 N Western Ave #A
Lake Forest, IL 60045

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5465 Grand Avenue, Suite 103
Gurnee, IL 60031

847-623-5420

True orthodontic emergencies are rare, but when they occur, we are available to see you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put dental wax on the piece that’s sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

It is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.

General Soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressure for three to five days. Stick to a soft diet until you can chew without discomfort.

Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water solution. Dissolve one teaspoonful of salt in eight ounces of warm water and rinse your mouth vigorously. An alternative (better tasting) mouthwash is the Healthy Gums Rinse by The Natural Dentist. Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy. If the tenderness is severe, take acetaminophen (Tylenol) or whatever you normally take for a headache or similar pain. Aspirin, ibuprofen (Motrin, Advil) and naproxen sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they become accustomed to the surface of the braces. You can put wax on the braces to lessen this irritation. We’ll show you how!

Headgear

Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it is worn, so be sure you wear it for the prescribed number of hours.

Loose Appliance

If your appliance is poking you, place wax on the offending part.

Loose Bracket
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it, if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and bring to your next appointment.

Loose Wire
Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot place the wire into a comfortable position, and covering the end with wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp, place wax on it.

Poking Wire
Using a pencil eraser, push the wire back into place, or place wax on it.

We want our patients to know that they can contact us with questions, and that we will be happy to provide help and answers. If you have questions related to emergency care, feel free to give Goshgarian Orthodontics a call at 847-295-3370. As your Lake Forest and Gurnee, Illinois orthodontist, Dr. Ara Goshgarian and the team will work with you to address the problem.

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Do you have questions about your orthodontic treatments? Get in touch with us by completing and submitting the form below! Our orthodontist and team are always happy to answer your questions and help you understand your treatments. Feel free to contact us at any time!

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