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SOS for problems with braces

Sollten Probleme mit der Zahnspange auftreten, melden Sie sich in unserer Praxis für einen SOS-Termin.

Wenn die Probleme abends, am Wochenende oder an Feiertagen auftreten, können Sie mit unseren hilfreichen Tipps die Zeit bis zum nächsten Termin überbrücken.

Im Notfall, außerhalb unserer Öffnungszeiten, wenden Sie sich bitte an den Zahnärztlichen Notdienst.

Removable orthodontic appliances

Your orthodontic appliance is pinching your gum

First you need to determine whether your appliance is pinching your gum or pressing against the teeth. The latter may hurt a little, but indicates the repositioning of the tooth we want to achieve. If your appliance is pinching your gum and the pain does not pass, please make an emergency appointment.

Broken removable appliance

If a small piece is missing in a place where it does not bother you, you can continue wearing your removable appliance until your next appointment.

If your removable appliance is broken in two, no longer fits or is bothering you, please call for an emergency appointment.

If the wire has broken off of your removable braces, please call for an emergency appointment.

Your removable appliance does not fit

This could have various causes:

  1. If you are setting your removable appliances with a key, it is possible that your jaw is not adjusting as fast as your adjustments, which may be due to insufficient wearing time. In this case, it might help to set your removable appliance backwards, once against the direction of the arrow (or more often, if necessary).
    If this does not produce the desired effect, please call for an emergency appointment.
  2. A milk tooth that wobbles can cause removable appliances not to fit right. If you do not lose the tooth within a week, please make an emergency appointment.
  3. For removable retainers that do not have to be adjusted, the recommended wearing time is of great importance, because otherwise your teeth can change position again. If you suspect that your teeth have shifted position because you are not wearing the retainer enough, please schedule a check-up appointment.

Fixed Braces - 1. Pain after getting your new fixed braces or a new arch wire.

Fixed Braces

1. Pain after getting your new fixed braces or a new arch wire.

When you get new fixed braces you may feel pain due to tooth movement. Particularly when chewing hard foods you will feel tension that express itself as masticatory sensitivity. We recommend sticking to soft foods during these first few days.

If you are suffering greatly from the masticatory sensitivity, take a mild pain killer like paracetamol or aspirin (please take as directed). Complaints may vary widely in intensity and length. If you should be uncertain, please call us at the practice.


2. A bracket is loose

2. A bracket is loose

If a bracket loosens please call for an emergency appointment as soon as possible.


3. An arch wire is loose or protruding

3. An arch wire is loose or protruding

Since your teeth are moving, it my occur that the end of the arch wire sticks out and pokes into your gum or cheek.

You can cover the offending wire with a pea-sized piece of protective wax. Dry the spot on the wire with a Q-tip or paper towel before applying the wax. If the wire does not bother you too much you can stick to the previously agreed appointment, but if it’s a real problem please call for an emergency appointment.


4. Loss of an elastic or metal tie

4. Loss of an elastic or metal tie

The arch wire threaded through the brackets is held in place by either elastic ties or metal ties. If one of these goes missing it can usually stay this way until your next appointment. But keep an eye on the tooth it fell off of. If the tooth changes position, please call for an emergency appointment.


5. Palatal bar

If the secured palate bar should loosen, replace it in the desired position place using your fingers and we will secure it again on your next check-up. If the palate bar is bent or loosens repeatedly, please call for an emergency appointment.

6. Gaps between the teeth

At the beginning of your orthodontic treatment gaps between your teeth may occur, but these will usually disappear in time. Nevertheless, if you are unsure, please call.


7. The rubber chain

7. The rubber chain

You may get a rubber chain over the brackets to keep them in place. If this chain breaks, call for an emergency appointment to get a new one.


8. Small hook for attaching rubber bands (elastics) came loose

8. Small hook for attaching rubber bands (elastics) came loose

Please call for an emergency appointment to renew it. If your next regular appointment is within one week, you can also stop wearing your elastics.


Other Appliances

Temporomandibular joint appliances or anti-snoring appliances

If your appliance is broken, defective or bothering you a lot, please call for an emergency appointment. In some cases it can be repaired or mended, but usually we need to make a new one, which means you have to bring it to the practice so we can determine how to proceed. If your appliance shows discolouration (turns yellow) we can give you a special cleaning powder.

Palatal expanders

Should your palatal expander come loose, please call for an emergency appointment right away.

If you have food debris stuck under it, you can try to get it out with a toothbrush or dental water jet. Try not to eat fibrous foods.

During treatment your palate and teeth might be very sensitive to pressure, caused by the stretching of your upper jaw. If you feel insecure, please call us in practice.


Face masks

If your chin or forehead pads are worn off, you will find additional pads in the package we gave you. Should the attachment rubbers be used up, you can receive new ones from the practice at any time. Please note the color of the bag containing the attachment rubbers, since there are different strengths.

If the mask is bent or the attachments loosen, please call for an emergency appointment. Please do not try to repair anything yourself.




If you have any further questions, that were not answered in the texts above, please call us at the practice.

Retainer loosens

Please call for an appointment to renew it, or your teeth will soon be out of place again.

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