Braces often get damaged in some way throughout the course of treatment.
Although most kids are pretty careful (or lucky), we have cases of
broken braces from time to time. It is very common to have some kind of
problem with braces--be careful, but expect some normal problems. Here
are a few of the most common:
1. Loose Bracket-
The bracket comes loose from the tooth (very common). It usually stays
attached to the wire but tends to roll around or move some. This is
usually not an emergency. The bracket (or a new one) can be re-bonded
at the next orthodontic appointment (hint--let the office know ahead of
time).
2. Wire poking - Sometimes the
wire slides around to one side and can cause discomfort in the back part
of the mouth and cheek. This seems to occur in the earlier stages of
treatment when the teeth are beginning to move and the wire straightens
out. However, it can happen anytime. Usually the wire is clipped off
or the wire slid back around into place with a simple adjustment.
3. Appliance Loose/Off-
Sometimes an orthodontic band, space maintainer, expander, or other
dental appliance may come loose from the tooth. If only one part or
side is loose, it often just moves up and down, but can be re-cemented.
Sometimes the appliance is damaged and needs repair or replacement.
4. Band Broken or Appliance Damaged-
Orthodontic ligatures, bands or other attachments can become damaged
and create an ulcer on the soft tissues of the cheek, lips or tongue.
5. Traumatic Injury-
If the lips are traumatized into orthodontic hardware, they can become
"stuck" in the braces. A gentile tug can free the lip. Otherwise, the
dentist can free the tissue. Braces can actually protect the teeth in
cases of major trauma, preventing teeth from being knocked out or more
severely displaced.
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