Orthodontic Emergency

Derry Orthodontic Emergency Care

Ensuring Your Teeth Are in Excellent Condition

Our team at Haas Dental Associates has provided recommendations for a variety of common dental issues.

Food Caught Between Teeth

Food and debris that is lodged between teeth can cause discomfort and sometimes significant pain, but once it is removed the area will quickly recover. To remove food, it is recommended to use floss, an interproximal brush, or a toothpick. When using floss try tying a knot in the middle of the floss and sliding that knot through the problem areas. Don’t be surprised if gums bleed when the debris is removed initially. It will quickly stop and the area will feel sore but significantly better.

Mouth Sores

Mouth sores can be common for some. For those who are susceptible to getting them, you may experience more pain than normal due to the irritation from braces. Sores can occur on the cheeks, lips, or tongue. For pain relief from mouth sores, it is recommended to use a small amount of topical anesthetic. Topical anesthetics such as Orabase or Ora-Gel can be placed on the sore using a cotton tip and reappled when needed.

Loose Brackets, Wires, or Bands

It is recommended to call our office if any part of the braces become loose. Parts of braces include: Brackets, wires, bands brackets that are adhered to the center of each tooth using a special adhesive. Brackets can become loose from eating hard crunchy foods, the mouth being struck while at play, or the adhesive may have failed. If a bracket has turned or rotated and you cannot be seen immediately by the orthodontist, you can put the bracket back in place temporarily. To do this, use sterile tweezers to slide the bracket along the wire until it is back in the correct position. Rotate the bracket back into position if needed. Wires run through the brackets and are held onto the teeth with the bracket. If a wire feels loose, it could be due to a loose bracket or if the ligature to secure the wire has been lost. It’s advised to call your orthodontist if you believe your wire is loose.

Bands are usually only around the back teeth and look like a silver ring around the tooth. Bands can become loose from crunchy foods or failed adhesive. You can push a loose band back into place and call your orthodontist.

Irritation of Lips or Cheeks

It’s not uncommon to experience irritation or your lip or inside your cheeks especially when new braces are placed. To help ease the discomfort from the irritation, it is recommended to use a small amount of non-medicinal relief wax. The wax acts as a cushion between your braces and area of irritation. Roll a pea-sized ball of the wax, squish the ball, and put it over the part of the braces that is causing the discomfort. You can eat with the wax in place and the wax is completely safe if swallowed accidentally.

Ligatures Come Off

Ligatures are the small rubber bands or wires that hold the main wire to the bracket. If the rubber ligature comes off, it’s possible to put it back using sterile tweezers. If a wire ligature comes loose, you can either remove it with sterile tweezers or bend it down with a Q-tip or pencil eraser. If a ligature is missing you could contact your orthodontist to see if there is a need for the patient to be seen immediately.


Unfortunately, it’s normal for a patient to experience discomfort with braces. Discomfort can come from having braces on for the first time or adjustments made to the braces. It’s important to understand that this type of discomfort is temporary. Soft foods are recommended during this time of discomfort and rinsing with warm salt water can be helpful.

Protruding Wire

Sometimes the end of a wire can come out of place and cause irritation to the soft tissue in the mouth.

To alleviate the discomfort you could try:

  • Contact your orthodontist
  • Using a Q-tip or pencil eraser to push the wire back in place
  • Use relief wax to cover it
  • Last resort: to clip the wire using sterile sharp clippers to snip off the extended wire, placing gauze or tissue under the wire to catch the piece of wire being snipped off.

Piece of Appliance Is Swallowed

Sometimes a piece of appliance can be swallowed accidentally. It’s a rare occurrence, and if it does happen, the first thing to remember is to remain calm. Assess the situation and determine if the piece could have been aspirated.

Excessive coughing and having difficulty with breathing is a sign that a piece could have been aspirated. Look inside their mouth to see if the piece is visible. If something is visible carefully try to remove the item, but being careful not to try and do something that would cause them harm.

If you believe a piece has been aspirated notify your orthodontist immediately.

Why It's Important to Seek Orthodontic Dental Emergency Treatment

Not seeking prompt treatment for an orthodontic dental emergency can have various repercussions, depending on the specific situation. Here are some potential consequences of neglecting to visit our Derry orthodontist:

  1. Increased pain and discomfort: Dental emergencies often involve pain and discomfort. Ignoring the issue may allow the problem to worsen, leading to increased pain and a higher level of discomfort.

  2. Delayed resolution of the problem: Orthodontic emergencies usually require professional intervention to address the underlying issue. Failure to seek timely treatment can result in the problem persisting or worsening over time, prolonging the discomfort and potentially necessitating more extensive or invasive treatment later on.

  3. Progression of misalignment or bite issues: Orthodontic emergencies may occur due to broken wires, dislodged brackets, or other problems related to braces or aligners. If these issues are not promptly addressed, they can lead to the misalignment of teeth or a disruption in the orthodontic treatment progress. This can result in prolonged treatment duration or the need for additional corrective measures later.

  4. Increased risk of complications: Neglecting an orthodontic dental emergency can increase the risk of developing complications. For example, a broken wire or bracket may cause oral injuries, such as cuts or sores in the mouth. These injuries can become infected if left untreated, leading to further health issues.

  5. Financial implications: Delaying treatment for an orthodontic dental emergency can potentially lead to increased costs in the long run. The worsening of the problem may necessitate more extensive treatment or repairs, which can be more expensive than addressing the issue promptly.

Not seeking timely treatment for an orthodontic dental emergency can result in a number of different difficulties and complications. It is important to prioritize dental emergencies and seek professional help as soon as possible to minimize these risks. Our Derry orthodontists can resolve your dental emergency.

If you have any questions about an orthodontic emergency in Derry, contact Haas Dental Associates at (603) 635-4137 today.

Patient Testimonials

Experiences To Make You Smile
  • “everyone is very sweet and makes my daughter feel as comfortable as possible!”

    - Brandi Pyles
  • “Always the best experience.”

    - Genevieve Lansil
  • “Wow! What an incredibly positive and professional dental practice!”

    - Ken A.
  • Dover (pediatric only)
  • Derry

Phone Number

(603) 635-4137


750 Central Ave B
Dover, NH 03820

Office Hours

Monday - 8:00am to 5:00pm
Tuesday - 7:00am to 4:00pm
Friday - 7:00am to 4:00pm


June 18th : Somersworth International Children’s Festival in Somersworth NH.

July 19th at 11:45-12:45, and August 2ndat 12:00-1:00: Children’s Art Festival in Dover NH

October 1st: Apple Harvest Day in Dover NH

Phone Number

(603) 434-1586


4 Manchester Avenue
Derry, NH 03038

Office Hours

Monday - 8:00am to 5:00pm
Tuesday - 8:00am to 5:00pm
Wednesday - 8:00am to 5:00pm
Thursday - 8:00am to 5:00pm
Friday - 8:00am to 3:30pm

Select Saturdays
Please Call to Confirm

July 1st to August 31st

Mondays - Fridays - 7:30am to 3:30pm

We Look Forward to Welcoming Your Family at Our Practice

Contact Us

Call us at (603) 434-1586 for our Derry location, (603) 635-4137 for our Dover location, or send us a message using the form below.
  • Please enter your first name.
  • Please enter your last name.
  • Please enter your phone number.
    This isn't a valid phone number.
  • Please enter your email address.
    This isn't a valid email address.
  • Please make a selection.
  • Please make a selection.
  • Please enter a message.

Haas Dental Associates

Why Choose Us?
  • Board Certified Pediatric Sedation Experts
  • Family-Like Environment Where All Ages Are Welcome
  • Highly Trained Team Working Together For Over 40 Years
  • Ability To Treat All Children Including Those With Disabilities & Special Needs
  • Available For Emergency Dental & Orthodontic Situations
  • Comfort Companion Dog On Site