Orthodontic Emergencies: What to Do and When to Call Your Orthodontist

Orthodontic emergencies can happen when you least expect them. Whether you’re dealing with braces, clear aligners, or other orthodontic appliances, it’s essential to know the difference between a true emergency and a manageable issue. At Milnor Orthodontics, we want our Fort Collins patients to feel empowered and informed—because knowing what to do can help you avoid unnecessary stress and treatment delays.

Immediate Orthodontic Emergencies

Some orthodontic issues require urgent care, especially if they cause severe discomfort, affect your ability to eat or speak, or pose a risk of infection.

Swelling in the Gums, Mouth, or Face

Facial swelling isn’t common in orthodontics but can occur due to irritation from a bracket or expander. If you notice any swelling, rinse your mouth with warm salt water or a commercial mouth rinse like Peroxyl, TheraBreath, or Listerine. Gently massage the irritated area with a soft toothbrush.

If you have an expander and notice surrounding tissue swelling, contact Milnor Orthodontics right away. For facial swelling with difficulty breathing, go to the nearest ER.

Severe Unmanageable Pain

Mild soreness is normal, especially after adjustments. However, severe or unmanageable pain may be a sign of something more serious. Try using over-the-counter pain relievers like Tylenol or Ibuprofen. If discomfort persists or is isolated to one area, flush the area thoroughly and maintain proper oral hygiene.

If pain continues or becomes intense, contact our Fort Collins office. It could be due to a cavity or another dental issue, and we may recommend seeing your general dentist.

Trauma to the Mouth

Injuries involving broken or knocked-out teeth, lacerations, or fractures require immediate care. Go to the ER for trauma-related injuries. Visit your general or pediatric dentist for broken teeth. Contact Milnor Orthodontics if you’re unsure what step to take first.

Non-Emergent Orthodontic Issues

Not every orthodontic issue requires immediate attention. Many minor problems can be managed at home until your next scheduled visit.

Pokey Wires

If a wire is poking your cheek or gums, cover it with orthodontic wax or carefully trim it with sanitized nail clippers. If the discomfort continues, call our office so we can help.

Broken Brackets or Invisalign Attachments

A broken bracket that isn’t causing pain can usually wait until your next appointment. If your Invisalign attachment comes off, it’s not urgent unless it’s used with rubber bands—call us if you’re unsure. Let us know ahead of your visit so we can allocate time for repairs.

Loose or Broken Retainers

These can occasionally occur and are not emergencies. However, you should still call Milnor Orthodontics so we can guide you on the next steps and keep your treatment on track.

When in Doubt, Contact Milnor Orthodontics

Sometimes it’s hard to know what counts as an emergency. If you’re experiencing swelling, persistent pain, or something just feels off, it’s always better to call and ask. Our Fort Collins orthodontic team is available to walk you through your options—even after hours.

Avoid attempting to fix things yourself, as this can sometimes cause further damage. A quick phone call can prevent minor issues from becoming serious setbacks.

Conclusion

Learning to recognize orthodontic emergencies ensures that you or your child gets the right care at the right time. At Milnor Orthodontics, we’re here to help our Fort Collins community with responsive, expert care. Whether you’re dealing with a pokey wire or facial swelling, we’ll help you navigate the next step and keep your smile on track.

Have a question? Don’t hesitate to call our office. When in doubt—reach out.

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Frequently Asked Questions

What is considered an orthodontic emergency?
Severe pain, swelling, trauma to the mouth, or broken appliances causing injury are emergencies. Contact Milnor Orthodontics immediately.

Can I fix a poking wire at home?
Yes, try orthodontic wax or sanitized nail clippers. If pain persists, contact our office in Fort Collins.

What should I do if I lose a bracket?
If you’re not in pain and the wire isn’t poking, this can wait. Let us know so we can schedule a repair.

When should I call after an injury?
Immediately. Swelling, bleeding, or loose teeth require urgent attention.

Are loose wires or bands emergencies?
Not usually. Use wax to prevent irritation and schedule an appointment.

What should I do if my aligner cracks?
Continue wearing it if possible and contact our team for instructions.

Is mild soreness after adjustments normal?
Yes. Use OTC pain relievers and a soft diet. Call us if the pain is severe or lasts more than a few days.

Milnor Orthodontics is proud to serve Fort Collins families with top-tier orthodontic care—even when things don’t go as planned!