A broken tooth in braces

Teeth can break because of a number of things; an infection can have compromised the physical structure of the tooth to the extent where it breaks, sudden changes in temperature can cause the structure to shatter, and of course the odd accident can bring the tooth in contact with something much harder than itself, causing the tooth to break. These situations are all medical emergencies, and require a trip to the dentist ASAP, regardless of their causes. If the patient is wearing braces at the time of the tooth breaking, then the situation becomes that much more complicated, especially if a bracket is dislodged or moved. 

Broken teeth

Teeth are a closed structure, and if they become open, sooner or later terrible pain, an infection, and eventually the loss of the tooth in question will be a result. The nerve is insulated with a layer of mylar, and is surrounded by soft and hard tissues meant to keep air, food, saliva, and possible abrasive or otherwise harmful elements off of it. When these become injured or removed, there will be problems. This is why it is important that you go and get the tooth in question fixed. 

Orthodontic treatment

Orthodontic braces work on the principle of controlled inflammation. The braces cause the gums and soft tissues to become inflamed, and thus the teeth can be moved around within the soft and even the hard tissues. The braces are set in the mouth and are anchored to a few strategic teeth, and they exert pressure by pulling or pushing on the teeth. This is done through adhering brackets onto the enamel of the teeth and pushing a wire through the brackets, thus exerting the necessary pressure in the direction needed.

A wrench in the cogs

When a tooth breaks, the entire makeup of the orthodontic treatment needs to change. First and foremost, if the tooth needs to be removed, because it is so badly damaged or because there is so little left of it, that will change the entire makeup and nature of the orthodontic treatment that is being performed. The treatment in question will no longer be possible as not all of the same teeth will be in the mouth, and the pressure that is being applied will have to be applied from a different angle and possibly to different teeth. 

What to do

Your first trip should be to the emergency dentist, immediately after the tooth breaks. You should go and make sure that the tooth is in fact broken, whether it can be saved, and securing the appliance so that ti does not cause damage (a bunch of broken pointy metal) to the mouth or teeth. Once this is done, you should book an appointment to see your orthodontist and have the entire structure redone. If you act quickly, you will probably lose only little time, and will only have to lengthen the treatment time by a miniscule amount. 

image: 1.