Emergency Dental Care in Wake Forest, NC

Accidents happen, and we completely understand that! True orthodontic emergencies are rare, but when they occur we are always available to you! As a general rule, we recommend that you call our office when you experience severe pain or have a painful appliance problem you can’t take care of yourself. From there, we’ll be able to discuss temporary solutions or schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that’s sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

After alleviating your discomfort, it is very important that you still contact our office as soon as possible to schedule a time to inspect and repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.

General soreness

Getting your braces or dental appliances administered can be a pretty lengthy process! When you initially get your braces on, you may feel general soreness in and around your mouth. Your teeth may also be tender to biting pressures for three to five days.

We recommend that you do NOT go on a soft foods diet. You should eat like normal to exercise the teeth and keep the blood flowing to reduce the soreness. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm, salt-water mouthwash. To make your own mouthwash, dissolve one teaspoonful of salt in eight ounces of warm water, and thoroughly rinse your mouth vigorously. An alternative and better tasting mouthwash is Colgate Peroxyl Mouth Sore Rinse. Additionally, placing Orabase on the affected area may also help relieve discomfort; Orabase and Peroxyl can be found in a pharmacy. If the tenderness is severe, take Ibuprofen (Advil or Motrin) or whatever you normally take for headache or similar pain.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. Don’t worry! We’ll show you how!


Unfortunately, you may experience occasional discomfort due to your headgear. This can be caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist for correct practice. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it’s worn, so be sure you get in the prescribed number of hours.

Loose Appliance

If your appliance is poking you, place wax on the offending part.

Loose Bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.

Loose Wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. If you cannot put the wire into a comfortable position, and covering the end with wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp place wax on it.

Poking Wire

Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.

Call us at (919) 453-6325 for a tour of our newly remodeled office!

Gladwell Orthodontics
2824 Rogers Rd, Suite 200
Wake Forest, NC 27587
(919) 453-6325