Panorama Orthodontics

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Emergency Care

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True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you 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 temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. After alleviating your discomfort, 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 in 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 pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water rinse.  Dissolve half a teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously.   Over the counter pain medication such as Tylenol or Advil is very effective in controlling general soreness associated with braces, but should not be required on a regular basis throughout your treatment.

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

  • Loose Appliance

    If your appliance is poking you, place wax on the offending part of your appliance.
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  • Loose Bracket or Band

    If your bracket or band is still attached to the wire, you should leave it in place and use wax to secure the bracket and reduce irritation. If the bracket comes off entirely, please save it and bring it back to us at your appointment.
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  • Loose Wire

    Using a tweezer, try to put your wire back into place. If doing this and using 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 your discomfort continues, place wax on it.
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  • Poking Wire

    Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.
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Dr. Wilbur Chow Inc.
Certified Specialist in Orthodontics
and Dentofacial Orthopedics

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