Orthodontic Emergencies
Don’t Panic — We’ve Got You (And Your Braces) Covered
Orthodontic emergencies are rare, but we know that sometimes things feel uncomfortable or unexpected — especially when you’re new to treatment.
At Oakton Family Orthodontics, we’re always here to support you. Whether it’s a poking wire, loose bracket, or lost retainer, we’ll help you handle it calmly and safely.
When to Call Us
If you’re not sure whether something needs attention, go ahead and call us. We’re happy to walk you through what to do and determine if you need to come in for an emergency visit.
Call our office right away if you experience:
- Severe pain that doesn’t improve with wax or home care
- Trauma or injury to your face, teeth, or mouth
- A broken appliance causing bleeding or inability to close your mouth
- Swelling, pus, or signs of infection near an appliance
For serious medical emergencies, always call 911 or visit the ER.
Common Orthodontic Issues & How to Handle Them at Home

Poking Wire
Use a clean pencil eraser or cotton swab to gently bend the wire away from your cheek or gums. You can also cover the end with orthodontic wax until we can trim or adjust it.

Loose Bracket or Band
If a bracket is still attached to the wire but spinning or sliding, leave it in place and cover it with wax for comfort. If it comes off completely, save it in a baggie and bring it to your next appointment.

Broken Power Chain or Elastic Tie
These can sometimes pop off during brushing or eating. It's not urgent, but call us so we can make sure everything is still working as planned.

Soreness or Tender Teeth
Mild soreness is common after getting braces or following adjustments. Stick to soft foods, rinse with warm salt water, and use over-the-counter pain relief (like acetaminophen or ibuprofen) if needed.

Mouth Sores or Irritation
Brackets and wires can cause temporary irritation, especially when you’re new to braces. Orthodontic wax is your best friend here — just dry the area with a tissue and place a small ball of wax over the spot that’s bothering you.

Lost or Broken Retainer
If your retainer is lost, cracked, or no longer fits, call us right away. Your teeth can start to shift within days without a properly fitting retainer — and we want to avoid undoing all your hard work!

Aligner Not Fitting
If you’re in clear aligners and a new tray doesn’t fit properly, go back to your previous tray and give us a call. Don’t force it — we may need to make adjustments or rescan.
Tips for Staying Comfortable During Treatment
- Keep orthodontic wax handy — especially in the first few weeks
- Stick to soft foods after adjustments
- Use a mouthguard if you play sports (we’ll help you find the right kind!)
- Don’t eat sticky, chewy, or hard foods — they’re the #1 reason for broken brackets
Still Not Sure? Just Call Us.
You don’t have to guess. If something feels off, or you’re not sure what to do, we’re only a phone call away.
We’re here to make your treatment smooth, successful, and stress-free — no matter what comes up.
Proudly serving Oakton, Vienna, Fairfax, and the surrounding Northern Virginia community