What to Do If Your Braces Come Off: Expert Advice

Q: What to Do If Your Braces Come Off: Expert Advice

Hello： It is recommended to call the orthodontic clinic to see if you can return earlier to have the braces reattached.

Orthodontic appliance detachment?

Hello, doctor! I would like to ask if I can wait until my next appointment to reattach my braces if they come off? (There are still 19 days until my next appointment, and the area where it came off has rubber bands and is still in line.) Will my teeth shift if I don't go back to reattach the braces for a long time?

Xiao Chen, 10~19 year old female. Ask Date: 2022/07/13

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to call the orthodontic clinic to see if you can return earlier to have the braces reattached.

Reply Date: 2022/07/13

More Info

If your braces come off, it's important to address the situation promptly to avoid any potential complications. While it may be tempting to wait until your next scheduled appointment, which is 19 days away in your case, it is generally advisable to contact your orthodontist as soon as possible. Here’s why:
1. Potential for Tooth Movement: When braces are removed or a bracket comes off, the teeth can begin to shift back toward their original positions. This is especially true if the braces have been on for an extended period and the teeth have not yet stabilized in their new positions. If the bracket that has come off is one that is actively moving a tooth, waiting too long could result in unwanted movement, which may prolong your treatment time.

2. Maintaining Treatment Progress: Orthodontic treatment is a carefully planned process that relies on the consistent application of force to move teeth into their desired positions. If a bracket is missing, the force on that particular tooth is lost, which can disrupt the overall treatment plan. This could lead to complications that might require additional adjustments or even more time in braces.

3. Contact Your Orthodontist: It's best to reach out to your orthodontist's office immediately. They may be able to provide guidance over the phone or ask you to come in sooner than your next appointment. Many orthodontic offices have protocols in place for such situations, and they may prioritize your visit to ensure that your treatment continues smoothly.

4. Temporary Measures: If you cannot get to the orthodontist right away, avoid using the area where the bracket came off for chewing. This can help minimize any potential discomfort and prevent further issues. If there are any sharp edges from the broken bracket or wire, you can use orthodontic wax to cover them temporarily to avoid irritation to your cheeks or gums.

5. Follow-Up Care: Once you are able to see your orthodontist, they will assess the situation and reattach the bracket or make any necessary adjustments to your treatment plan. They will also check to ensure that no other components of your braces have been affected.

In summary, while it may seem manageable to wait until your next appointment, it is crucial to address any issues with your braces as soon as they arise. Contact your orthodontist immediately for advice and to schedule a visit if necessary. This proactive approach will help ensure that your treatment remains on track and that your teeth continue to move as planned.

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