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Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

ORTHODONTIC EMERGENCIES

Acute, Direct Injury to the Mouth, Jaw, or TeethWhether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

MINOR ORTHODONTIC ISSUES

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

• Poking wire
• Loose bracket
• Loose elastic band
• Loose wire
• Loose appliance
• Headgear does not fit
• Lost or broken elastic band
• General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Mount Vernon, WA office with any questions, or to schedule an appointment with Dr. Andrew Nalin at Nalin Orthodontics.

You may have noticed that we specialize in orthodontics and dentofacial orthopedics. And while most people we talk to have heard of orthodontics, many are confused by the dentofacial orthopedics part of the title. Today, Dr. Andrew Nalin and our team thought we would explain the difference.

While orthodontics entails the management of tooth movement, dentofacial orthopedics involves the guidance of facial growth and facial development, which occurs for the most part during childhood, and is a reason why kids are often the best candidates for receiving dentofacial orthopedic therapy. Dr. Andrew Nalin will examine and monitor your child’s growth to determine when starting treatment will be most effective. If your child begins orthodontic treatment before his or her adult teeth have erupted, it is known as Phase-One treatment. During this phase, Dr. Andrew Nalin will use treatments designed to correct your child’s jaw growth and make sure that the jaw bone is properly aligned before beginning the next phase of treatment, which usually involves placing braces to straighten your child's teeth.

Dentofacial orthopedics is also used to treat adult patients at Nalin Orthodontics, however, this process may involve surgery. With our younger patients, we know the jaw bones are still forming, making it easier for our team at Nalin Orthodontics to control bone growth and tooth movement. Adults, however, are a different story; their bones are no longer growing, and their jaw bones have hardened, so it is more difficult to adjust the bite and move teeth into proper alignment. Dr. Andrew Nalin may recommend surgery to adjust the jaw bone and establish the proper bite alignment before beginning treatment.

Because our team at Nalin Orthodontics is skilled in both areas, we are able to diagnose any misalignments in the teeth and jaw as well as the facial structure, and can devise a treatment plan that integrates both orthodontic and dentofacial orthopedic treatments.

We hope that helps! To learn more about dentofacial orthopedics, and to find out if this type of treatment is right for you, please contact our Mount Vernon, WA office and schedule an initial consultation for you or your child. It’s never too late to get a great smile, and we can’t wait to help you or your child get started.

Now that many of the schools in Mount Vernon, WA are back in session, Dr. Andrew Nalin would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports, and family duties to consider, we know that it can be challenging to find time to visit Nalin Orthodontics this fall. In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with a convenient appointment time.

As always, please remember to give us advanced notice if you’re unable to make your regularly scheduled appointment with Dr. Andrew Nalin and our team. Feel free to give us a call if you have any questions, or if you would like to schedule your fall appointment.

We’ll see you soon and hope summer is winding down nicely for you and your family!

Most of our patients at Nalin Orthodontics will need to wear rubber bands at some point during their orthodontic treatment. The main reason our patients are instructed to wear rubber bands is to correct their bite. If your teeth do not fit together properly, Dr. Andrew Nalin will recommend that rubber bands be used. Dr. Andrew Nalin may also recommend using rubber bands to close or open spaces.

Rubber bands are a critical part of your treatment, and wearing them as Dr. Andrew Nalin and our team recommend will help move your teeth into the desired position. Dr. Andrew Nalin may ask you to wear your rubber bands full time, meaning that they should only be taken out when you brush and floss your teeth three times a day. Other times, you may be asked to only wear them part-time, like only during the day or only during sleep.

If you still have any questions about orthodontic rubber bands, we invite you to give us a call or ask us during your next adjustment appointment. Remember, wearing rubber bands as prescribed by Dr. Andrew Nalin is an important step during your treatment, and can reduce the time you have your braces. If you lose your rubber bands or run out, stop by our Mount Vernon, WA office and pick up more!