Serious orthodontic emergencies are rare. Most problems can be remedied at home but there may be situations that may cause patients or patents/guardians some concern. If you have a situation that cannot be resolved on your own, please call us as soon as possible, so we can determine if immediate attention or treatment is required of if we schedule a repair appointment.

If you suffered a serious injury to your teeth, cheeks, or gum, please call 911 or visit an emergency room or emergency dental care.

If you have any other concerns or questions before, during or after the treatment please feel free call 954-418-2354 and discuss with Dr. Adusumilli at Coral Orthodontics.

Discomfort

It’s normal for a patient to have discomfort for a day or two after braces or retainers are adjusted. But it can make eating uncomfortable. Discomfort is both normal and temporary. We recommend soft foods. Rinse the mouth with warm salt water. Call the office if the pain or discomfort is too severe.

Food Caught Between Teeth

This is not an emergency, but can be a little uncomfortable or embarrassing for the braces-wearing patient. It can be easily fixed with a piece of dental floss. Try tying a small knot in the middle of the floss to help remove the food. Or use an interproximal brush or toothpick to dislodge food caught between teeth and braces.

Sore Teeth or Jaw

Teeth or Jaws soreness is normal during orthodontic treatment, especially after a tightening appointment or if  a new Invisalign aligner was placed. Soreness in your jaw can be aided with a cloth soaked in warm water, heating pad, or a warm salt water rinse. Please call the office if soreness continues.

Loose Brackets, Wires or Bands

If the braces have come loose in any way or if the wire comes out of a bracket , please call our office so we can determine appropriate next steps.  A bracket can be knocked off if the patient has eaten one of those hard or crunchy foods orthodontic patients are instructed to avoid, or if the mouth is struck while at play. (all patients, especially those with braces, to wear a protective mouth guard while playing sports.)

Wire Irritation

If a section of wire is irritating your cheeks, try moving the wire away from your cheeks with a pencil eraser or cotton swab. If you cannot move it or if irritation persists, try covering the wire with a cotton ball or with a small amount of wax. If irritation persists, please call our office so we can determine appropriate next steps

Lost Separator

Separators ensure that your teeth maintain proper spacing during repositioning. Unfortunately, sometime people lose separators. Call our office so we can schedule an appointment to replace it and keep your treatment on schedule.

Food Tips:
You know that what you eat directly impacts your health, and that includes the health of your teeth and gums. But it can work the other way around too. If you have an orthodontic appliance, such as braces, or have had certain dental problems or procedures, the health and comfort of your teeth and gums can directly impact what you eat. Here are some tips for what to eat and how to avoid these common dental issues.

Braces: Braces are delicate, and any foods that are sticky, chewy or hard can easily cause them to break, including:
Ice, nuts, popcorn, hard candy, gum, chewy candy like caramel or gummi bears, whole hard fruit like apples and pears and hard, raw veggies like carrots, corn on the cob, hard pretzels, peanut brittle, pizza crust, hard rolls or bagels, ribs

Any food that you need to bite into to eat is prime for breaking braces. You can get around this by cutting the food, such as corn off the cob or rib meat off the bone, or slicing apples and chopping carrots into small, bite-size pieces. You may also experience problems eating after your braces are tightened–teeth may feel sore. The first few days are the worst, so try eating softer foods like those listed below until the soreness passes such as: scrambled eggs, oatmeal, soup with soft vegetables or pureed or cream soups, soft cheeses, including cottage cheese, smoothies and milkshakes, pudding and custard, meatloaf , mashed potatoes, sorbet and frozen yogurt , tortillas (soften by microwaving or steaming), yogurt , soft-cooked, shredded chicken and, meat, protein shakes, tofu, ripe fruits, such as peaches and nectarines, cut into bite-size pieces, couscous, quinoa, bulgur, soft-cooked rice , pasta and noodles , polenta, baked apples, peanut butter, chicken or tuna salad, refried beans, avocado , applesauce, macaroni and cheese, pancakes, soft bread, saltines and matzoh, mashed bananas, cooked veggies, hummus, canned or cooked fruit.

Problems Chewing:
Chewing problems may be caused by tooth loss, gum disease, cavities and ill-fitting dentures, so your first step should be a visit to your dentist to help determine the cause of your problem. Meanwhile, eating soft foods (see tips for braces) can you help maintain your nutrients until you can see your dentist.

Problems Swallowing:
Swallowing problems can occasionally happen, but if it persists, talk to your doctor since it could be related to something serious. Causes of swallowing issues vary and treatment depends on what is causing the problem.

If you are having trouble swallowing, to prevent choking and aspiration avoid these foods: alcoholic beverages, extremely hot foods and beverages, caffeine, spicy foods, popcorn, bran cereal, nuts, cottage cheese (unless pureed), skins of fruits, celery, dry, crumbly, or sticky foods (such as bread, cake, peanut butter, banana)

Depending on level of swallowing difficulty, the following foods may be included in the diet. These foods are grouped into four different categories:
Thin liquids that dissolve quickly in the mouth such as frozen yogurt, ice cream, gelatin and broth.
Nectar-like liquids where liquid coats and drips off a spoon such as nectars, milkshakes, cream soup and vegetable juices.
Honey-like liquids that flow off a spoon in a ribbon like in yogurt, tomato sauce and honey.
Spoon-thick liquids that are thickened to pudding consistency such as pudding, custard or hot cereal.

Dry Mouth
Dry mouth is not a normal part of aging. If you have dry mouth, talk to your dentist or doctor. Dry mouth can be a sign of certain diseases or can be caused by certain medications or the result of medical treatments. If you have dry mouth: don’t use tobacco or drink alcohol , drink water regularly—with and between meals, avoid drinks that contain caffeine such as colas, coffee and tea since it can dry out your mouth, chew sugarless gum or suck on sugarless candy to stimulate saliva flow ,avoid spicy or salty foods if they cause pain in your mouth

Canker Sores
There is no cure for canker sores but you may be able to reduce how often you get them by avoiding foods that irritate your mouth. Spicy foods, acidic foods like pickles and sauerkraut, and citrus fruits can cause irritation. If you have canker sores, help ease discomfort by eating bland foods until your sores heal, such as: low-fat milk and other dairy foods, cooked, canned and frozen vegetables, mashed potatoes (fortify by mixing in powdered milk to boost nutrition), cooked or canned fruit, including applesauce, hot cereals like oatmeal and cream of wheat (make with milk instead of water to boost nutrition), soft cooked and shredded chicken, beef and pork, creamy-style peanut butter, pudding and custard, scrambled or fried eggs, tofu,soup.