Song Orthodontics

330 Ratzer Road Suite C18   Wayne, NJ 07470  973-696-5220

Emergency Care

Emergency Care

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that 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 temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. 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 in 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. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

    The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!
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  • Canker Sores

    Canker sores are small, painful sores on the soft tissue of your mouth, inner cheeks, lips, and sometimes even your tongue and throat.  There exact cause is unknown.  However, you can develop canker sores if you injure the soft tissue of your mouth.  Some people experience outbreaks triggered by stress or certain foods.  Some people have a chronic problem with canker sores.

    Canker sores generally heal on their own in 5 to 7 days.  To relieve pain as they heal, try these tips:

    • Take an over the counter pain reliever to reduce pain and inflammation.  Follow label instructions.
    • Rinse your mouth twice a day with two parts water mixed with one part hydrogen peroxide or liquid Benadryl.  Don't swallow just swish for several minutes and spit out.
    • Apply ice or over the counter oral ointments.  We have found some of our patients like a product called, Canker Cover can be helpful as it heals and numbs the sore at the same time.
    • Avoid acidic or spicy foods.  These foods will irritate the canker sores. 
  • Headgear

    Sometimes headgear 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 is bent, please call our office for assistance. Surprisingly, the headgear may hurt less as it's worn more, so be sure you're getting in the prescribed hours.
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  • Loose Appliance

    If your appliance is poking you, place wax on the offending part of your appliance.
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  • 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 the wire comes out entirely, wrap the bracket with a tissue.
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  • Loose Wire

    Using a tweezer, try to put your wire back into place. If doing this and using 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 your discomfort continues, place wax on it.
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  • Poking Wire

    Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.
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