Orthodontic Emergencies

Fixed Orthodontic Treatment

The treatment performed with small force transmitters called “brackets” attached to the teeth is called fixed orthodontic treatment. As the name suggests, the brackets are fixed on the tooth by the orthodontist and cannot be removed by the patient during the treatment. Brackets are basically divided into two groups as metal and ceramic (porcelain). Although both types of brackets have their own advantages, both types of brackets can be used effectively in adults and children. After the brackets are glued on the teeth, they are connected to each other with an “arch wire”. “Shape memory” archwires, produced with advanced technology from a mixture of nickel and titanium, try to bring the teeth into the desired shape. After the brackets are applied to the teeth and the wires are placed, the teeth begin to move. In the first 72 hours, there will be sensations such as compression, pressure, numbness, and inability to step on the teeth, these feelings are the harbinger of the first movement in our teeth. During this period, minor irritations can be observed on the cheeks and lips. Oral tissues will get used to the wires and brackets in a short time and your discomfort will be completely gone by the end of the first week.

Removable Appliances

They are appliances that can be put on and taken off by the patient, consisting of wires that provide holding in the mouth with the acrylic palate part. These appliances are used to make simple tooth movements, to widen narrow jaws in children, and in some cases to prepare for treatment before fixed treatment or for reinforcement after treatment. The wearing times of removable appliances will be determined by your orthodontist.

Functional Appliances

They are special appliances that mostly patients can put on and take off at a young age before puberty in order to correct the deteriorated relations of the lower and upper jaws with each other (skeletal problems). It is used with fixed orthodontic appliances, especially in cases where the lower or upper jaw is behind or in front.

Orthognathic Surgery (Orthodontics+Surgery)

In cases that cannot be corrected with orthodontic or orthopedic treatment, surgical corrections are applied in addition to orthodontic treatment. Jaw and face disorders may be congenital or may occur later due to accidents and diseases. The incompatibility of the jaws with respect to each other and the face causes both aesthetic, functional and psychological disorders in patients. With the developing technological applications and plastic surgery applications, these disorders are corrected.

Orthognathic Surgery (Orthodontics+Surgery)

Orthodontic or orthopedic

Many orthodontic problems can be solved by yourself at home. It is possible to list the frequently encountered problems and their solutions as follows:

Pain

During your first appointment, while you are sitting in your patient’s chair, no action will be taken that will hurt you. However, there may be mild pain that persists for a maximum of 1 week after the brackets are attached.

The intensity and duration of the pain depends on your body’s response and your pain threshold. These pains can be repeated on the day of the one-month check-ups, for a shorter period of time and less frequently. If you have pain in the first session and in the following controls, you can take a painkiller to relieve the pain. Warm mouthwash with salt water is also relaxing. For this, a small amount of salt to be put into a tea glass with the tip of a teaspoon will be sufficient.

Sinking of brackets or tubes:

It is possible that the brackets or other apparatus that we attach to your teeth may sink into your cheek, tongue or lip. It takes some time to get used to this situation. Usually by the end of the first week, you feel like you have nothing in your mouth.

Your doctor will give you a gum-like substance called orthodontic wax in order to make this one-month habituation period more comfortable. Take a lentil-sized piece from this candle and stick it on the bracket corresponding to the sinking area.

As a result of such an application, the angular parts of the bracket will be rounded and the stinging sensation will be reduced. But you can not use these candles until the end of treatment. Your lips and cheeks need to get used to this situation. You can also do the same with a piece of gum when you don’t have a candle with you.

Call your doctor if you have a stabbing place like a needle.

Broken band or bracket:

If the broken bracket is still attached to the archwire, do not make any effort to remove it. At the next control, if your doctor deems it necessary, he or she will stick the bracket again.

Arch wire sinking

As a result of the arch wire coming out or lengthening, it may sink into the cheek or lip. If the arch wire has come out of the tube of the rearmost tooth, try to place the wire back in the same place. If you cannot reattach the wire, then cut it with a clean nail clipper or stick a wax.

Sometimes the ends of the small wires that we attach the arch wire to the brackets change direction during brushing and sink into the cheek or lip. To prevent sinking, it will be enough to push the wire with an eraser at the tip of a pencil. Or you can put a candle in this area again.

rocking teeth

All teeth that have been exposed to force with orthodontic treatment will wobble in the course of the treatment. It’s normal. This will go away over time after the treatment is over.

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