

Your trusted emergency orthodontist in Durham is here to help.
At North Durham Orthodontics, we understand that starting orthodontic treatment can be an adjustment. While it’s normal to experience mild soreness when appliances are first applied or as teeth begin moving into their new positions, it’s reassuring to know that true orthodontic emergencies are rare. If you’re unsure whether your situation requires urgent care, the first step is to evaluate the severity of the problem. Is it a genuine emergency requiring immediate attention, or a minor issue you can temporarily manage until visiting our office? When in doubt, your trusted emergency orthodontist in Durham is here to help.
Recognizing a Major Orthodontic Emergency
Although most orthodontic concerns are minor, there are a few true emergencies that demand prompt attention:
- Trauma or injury to the teeth, face, or mouth
- Infection or swelling in the gums, mouth, or face
- Severe, unmanageable pain or discomfort
If you experience any of these issues, seek immediate care. Visiting an emergency room may be necessary if the situation is critical. However, your first point of contact should often be your regular dentist. Dentists are equipped to manage a wide range of dental issues, including fractures, infections, and severe discomfort. For example, if you have a broken tooth, your dentist can address the immediate concern, after which we can adjust your orthodontic treatment plan as needed. For infections or significant swelling, a dentist or periodontist is often best equipped to provide the necessary care.
Addressing Minor Orthodontic Problems
Fortunately, most orthodontic issues are minor and can be managed temporarily at home before scheduling an appointment with your emergency orthodontist in Durham. Here are some common issues and quick solutions:
Loose or Broken Brackets, Bands, or Wires
This often occurs due to eating hard or sticky foods or handling braces improperly. If the bracket or band is still attached to the wire, leave it as is but avoid connecting any elastics to it. Cover any irritating areas with orthodontic wax. If it has detached, save the piece and bring it to your next appointment. Call our office to let us know about the issue so we can plan accordingly.
Misplaced or Poking Wires, Brackets, or Ties
As your teeth move, the archwire may poke the back of your mouth or irritate your cheeks. Try moving the wire with a Q-Tip or pencil eraser. If the wire won’t shift, you can trim it with sterilized nail clippers — but call us first for guidance. You can also use orthodontic wax to cover any irritating components. For misplaced ties or brackets, tweezers can often be used to reposition them. As always, contact us for an appointment to resolve the issue properly.
General Tooth Pain or Loosening
Slight tooth loosening is normal during orthodontic treatment as teeth shift into new positions. This process may cause temporary tenderness, especially after adjustments. Over-the-counter pain relievers and saltwater rinses can provide relief. Mix one teaspoon of salt in an 8-ounce glass of warm water and rinse twice daily for 30 seconds. Applying a warm washcloth or heating pad to the jaw can also soothe discomfort.
When to Contact Your Emergency Orthodontist in Durham
While most issues can be managed at home temporarily, our goal at North Durham Orthodontics is to ensure your treatment is as comfortable as possible. If you’re experiencing pain, irritation, or have concerns about your appliances, don’t hesitate to reach out. Your emergency orthodontist in Durham is here to provide the care and support you need, ensuring your journey to a beautiful smile is smooth and worry-free.
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