Emergency Care

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem 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 soft 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, and replace it in the tube on the back tooth.

After alleviating your discomfort, it is vital 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 pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chew.

Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. 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 headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) actually slow 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 learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. 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 our office. If the facebow (metal piece) is bent, please call us for assistance. The headgear should hurt less the more it’s worn, so make sure you get in 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 save it to 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 put 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 poking wire down or place wax on it so it is no longer poking.

Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Dr. Bruno was very through. He explained things very well by answering all of my questions in a professional manner. I liked that if Dr. Bruno wasn't sure on something, that he was honest about it and answered it truthfully.
Bruno Orthodontics Bruno Orthodontics
from Clawson
Very comfortable having my son see you with the current guidelines.
Bruno Orthodontics Bruno Orthodontics
from Troy
Dr. Bruno seems very attentive knowledgeable and staff is friendly.
Bruno Orthodontics Bruno Orthodontics
from Birmingham
Such a great ortho experience
Bruno Orthodontics Bruno Orthodontics
from Rochester Hills
Dr. Bruno and the staff always do a fantastic job! Thank you.
Bruno Orthodontics Bruno Orthodontics
from Berkley
Always great service!
Bruno Orthodontics Bruno Orthodontics
from southfield
Congenial and professional doctor and staff, always. Have appreciated the reminders and flexibility, and just overall personable nature of everyone there. Thank you. I'll do my best to keep Ryan Stottlemyer wearing his retainers at night!
Bruno Orthodontics Bruno Orthodontics
from Clawson
Very smooth process. Good communication.
Bruno Orthodontics Bruno Orthodontics
from Washington
Always love my visits to the office! Staff is super friendly and Dr. Bruno is the best. As an adult in her 50’s who went through braces I can’t recommend this office to enough people! Dr. Bruno worked with my dentist and my periodontist and everyone was on the same page. Thanks Dr. Bruno and you amazing staff!
Bruno Orthodontics Bruno Orthodontics
from Birmingham
Outstanding employees! Highly recommend
Bruno Orthodontics Bruno Orthodontics
from Clawson
Thank you for the all of wonderful care from Dr. Bruno , and his staff .
Bruno Orthodontics Bruno Orthodontics
from Clawson
Dr Bruno, and staff have always been very professional, and wonderful job.
Bruno Orthodontics Bruno Orthodontics
from ROYAL OAK
We were pleased with the entire staff for all the work that was done. They were very friendly and professional.
Bruno Orthodontics Bruno Orthodontics
from Troy
I enjoyed talking with the front desk staff and the ortho team. I appreciated how Dr. Bruno talked about Dr. Greenlee since I was a former patient of his.
Bruno Orthodontics Bruno Orthodontics
from Clawson
It was good
Bruno Orthodontics Bruno Orthodontics
from Pleasant Ridge
We are very happy with the work you are doing with our kids
Bruno Orthodontics Bruno Orthodontics
from Pleasant Ridge
Always on time. Very thorough with explanations related to treatments or billing. Use of modern technology makes scheduling and contacting staff easy.
Bruno Orthodontics Bruno Orthodontics
from Oak park
We had a great experience, as always!
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Great first impression of the staff. The office is nice and clean while the staff were very professional.
Bruno Orthodontics Bruno Orthodontics
from Clawson
We are so happy to be with you all! Dr. Bruno and the entire staff are amazing!
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Friendly staff.
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Great experience. Great staff and wonderful orthodontist!
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from warren
My daughter feels very comfortable when she goes for her appointments
Bruno Orthodontics Bruno Orthodontics
from Royal Oak
Always amazing!
Bruno Orthodontics Bruno Orthodontics
from Grosse Pointe Farms
Love Dr. Bruno and the entire team.
Bruno Orthodontics Bruno Orthodontics
from Troy
Dr. Bruno and the girls are awesome. Love everybody and happy to recommend them! Definitely love the vibe and easy to schedule with them. Highly recommend!
Bruno Orthodontics Bruno Orthodontics
from Oak park
It’s always a great experience. The staff are professional and courteous. They do wonderful work.
Bruno Orthodontics Bruno Orthodontics
from Warren
Always friendly!!!
Bruno Orthodontics Bruno Orthodontics
from Clawson
Always such a great experience! The staff feels like family.
Bruno Orthodontics Bruno Orthodontics
from Berkley
Happy with the care our child receives with his braces
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