Brackets have become undone

One of the fewer discussed topics in emergency FAQs is what happens when an orthodontic appliance goes awry. Usually, when an appliance malfunctions, it is a question of loose brackets. This happens when brackets become undone or when the archwire slides out of the brackets adhering it to the teeth. 

Bracket Issues

This can be problematic for a number of reasons. First and foremost, your orthodontic treatment will be hindered by this, as that specific tooth, or teeth, where the bracket is missing or loose or does not have an archwire in it are not experiencing the pressure they need to align properly, in accordance with the treatment plan prescribed.


The other problem is that a loose bracket or a wire that is poking out can damage the mucous membranes in your mouth, causing problems and pain, and possibly scarification. This needs to be avoided, as it is not helpful in anyway to your treatment, but is painful and possibly damaging to your mouth. If a wire is sticking out, do not try to cut it at home, as this may ruin the wire and the appliance in general, and you will need to start the orthodontic treatment all over again, from scratch. 


The proper course of action is to call your dental practice and book an appointment with an orthodontist. If an appointment is not readily available, and your braces are hurting you, then you can book an appointment to see a general dentist, who may be able to provide you with a temporary solution until your dentist can see you.