Discomfort is normal when you start orthodontic treatment. A few days are normally enough to get used to it, but occasionally you might need some help. Here is a brief guide of what to do in case of emergency.

If you experience some pain, which is not unusual at the start, you can try the following: take paracetamol 500mg every 4 hours; if not sufficient, you can take 400mg Ibuprofen 2 hours after the paracetamol. Do not exceed recommended doses!

Your Braces:

Your braces are composed of the bracket bonded on your teeth, it’s the little cube silver or clear place on each tooth, and there is the horizontal wire linking all of them.

Debonded bracket: 

The special orthodontic glue used to bond the bracket on your teeth is strong, but not permanent to allow us to debond the bracket at the end of your treatment. Meaning that biting hard food with braces will debond it! When a bracket is debonded, the tooth is no longer going to move, potentially slowing down your treatment. Please adapt your diet and chew slowly! 

A debonded bracket is not an Urgent Emergency, so when it happens to avoid discomfort place some wax on it, always try to bring it with you at your next appointment, we will rebond it if possible, and if it is damaged we will replace it.

Protruding wire:

The wire linking your brackets is very important, it's what is moving your teeth. At every appointment we change the wire for a stiffer one. 

At the early stage the wire is very soft, and can move and hurt you at the back of the last tooth. 

To reposition it, you can use the gum you have at the end of a lead pencil, placing it at the back of the last bracket and push back the wire.

You can also use wax on it, but it is not always easy, as it is the back of the mouth. You can use some cotton roll in a ball instead.

Diet recommendations/avoiding hard - chewy food:

It is time to be disciplined…no chewing gum - no candy - no popcorn - no hard crust bread - no nuts - no biting into an apple! At the start of your treatment you will be given a list of the things to avoid to protect your braces.

Ulcers/cheek irritation: 

Put wax on the bracket and buy Iglu Protect orthodontic brace gel

Very strong pain for more than 3 days not released by painkiller? 

Maybe you have a cavity?

Please contact your orthodontist and come for a consultation in emergency 

Please take your hygiene with braces very seriously 

  • Brushing your teeth after every meal, take your toothbrush with you at school, at work to brush after every meal. 
  • Use the patient hygiene kit we provide you and follow our recommendations.
  • We strongly recommend that you see your dentist every 4 months during your treatment, to have a check-up and a thorough cleaning. This will reduce the risk of developing cavities, demineralisations, or gum inflammation and bleeding. 

Our Patient Reviews

Kind polite attentive and very professional

Dr Lionel Friedmann and his Nurse were kind, polite, attentive and very professional all at the same time. I felt very safe and well-looked after. I had a wonderful appointment and feel so happy with my smile. I am delighted and so is my sister and friend who picked me up from the clinic. They have already asked me for the clinic’s contact details. Merci beaucoup dear Dr Friedmann!!

Marianela Di Luca
Always a great experience with Dr Heintz

Always a great experience with Dr Heintz. My daughter loves her and the results of her orthodontic treatment are reallly good.

Dr Cumiskey is the best dentist ever

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