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, replacing it in the tube on the back tooth.

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 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. 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 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 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 your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it's worn, so be 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 that it is no longer poking.

Read Our Testimonials

Dr. Leo Spyrou and his team are magnificent. My daughter has been a patient for 4 years, had the braces and now retainers. The experience was nothing less than positive. Her teeth are beautiful and people compliment her daily. We were so completely satisfied with Dr. Spyrou that we entrusted our second daughter's mouth in his care. Once again, happiness. My daughter goes in and out of the office willingly and happily. The women that work in the office are so friendly and considerate. I cannot say enough for Dr. Spyrou and his staff; they are wonderful and know their craft well. They get our constant recommendation!! ~ The Piccoli Family, Stoneham, MA ~
Dr. Spyrou has been working with our daughter for the past 2 years. His expertise and knowledge is evident when you sit down to discuss in length his view of your child's teeth a facial structure and overall health. Dr. Spyrou is able to show you firsthand what he sees when he looks at your child and explains to you treatment options. His staff has been nothing short of professional. Not only has our daughter's teeth come a long way, but throughout the entire process, Dr. Spyrou and his staff have always been willing and able to answer any questions or concerns. We would highly recommend Dr. Spyrou and will soon be bringing our son for his initial evaluation with Dr. Spyrou.~ John and Deb Spencer, North Reading, MA
Dr. "Leo" and his staff exemplify the "4P's" of what is most important to me as a parent… Professionalism, Personable, Price, and of course Perfection!

After experiencing a great orthodontic experience with my oldest daughter, bringing my youngest daughter to Dr. Leo was a "no-brainer". Great smiles… from both kids and parents alike!~ The Craham Family, Billerica, MA
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