With the help of braces, a person gains determination in himself, beautiful, even teeth. This means that the smile becomes natural and attractive. But the bracket system requires special care and compliance with the rules of operation. If the patient does not follow the recommendations given to him, then the bracket may come off. And it is not always possible to visit a specialist.
Braces come off
The stability of the orthodontic system can be influenced by a high load or a sudden external influence that leads to the fact that the adhesive does not hold the system. The patient feels that the device has fallen off. There are 3 key factors that cause braces to fail.
Questions about braces
Why did the bracket come off
They may lag behind already at the first stage of their operation. The reason is crowded teeth and a lack of space in the oral cavity. A simple and small arc can have a significant effect on the tooth, as a result of which the plate comes off.
The bracket is able to detach if you make sloppy and sudden movements with a toothbrush, freeing up space among the arch and teeth from food debris. Most often, a person notes that the bracket fell off when the instrument is abruptly removed from this interval.
The most popular factor in orthodontic appliances detaching is considered to be non-compliance with the doctor's advice regarding nutrition. It is about consuming tough and gooey food.
Important: Be careful while wearing your orthodontic appliance. Since it often turns out that the structural element has lagged behind directly due to careless handling and improper care. Strict adherence to the advice of the orthodontist will reduce the threat of an unpleasant situation, and the course of treatment will have the result that was planned.
What to do if the bracket comes off
If your braces are behind, try not to panic. However, you don't need to relax either. Your quick response and quick action to solve this problem is a guarantee of an accurate and competent continuation of the course of wearing braces. Long-term use of even a partially lagging structural part can cause unpleasant consequences.
If the trouble happened during the daytime, try to visit a specialist immediately. The doctor will check how the other system is being strengthened and whether there are other problematic parts. In addition, the orthodontist will give first aid recommendations in such a situation.
Braces detached from the tooth Don't worry if the brace comes off during a period that is not comfortable for you. After identifying the difficulty, the first thing you need to do is get the tweezers with which you need to pick up the ligature. As a last resort, use a toothpick for this mission. Once free from the ligature, remove the bracket itself. If the device that you are wearing is ligatureless, then you just need to open the locking lock.
Attention! Do not discard any loose braces. Take it with you to your doctor's appointment. A professional is able to install a new bracket, or can reattach the unsticked part.
What is the danger
First, this environment creates physical discomfort. Braces apply pressure to the teeth to help align them.
If one bracket comes off, then the effect of the structures on all teeth will change. The longer the damage is not repaired, the worse for the patient. The teeth will eventually move to their original position.
A situation may arise when the client will not be able, according to this or other circumstance, to come to the dentist. In this case, you should get rid of the discomfort. The patient will need to either remove the lock, or fix it.
How to fix yourself
When the braces come off, there is no need to panic - you should act immediately. When everything is done promptly and correctly, the difficulty will not interfere with the upcoming use of the system. But if you do nothing, and then use the damaged mechanism, there will be consequences. The teeth will become irregular.
The most accurate solution is to instantly go to the orthodontist. However, this is only relevant when the device flew off in the daytime. And what to do if this happens in the evening or at night? In this case, you will need to act independently. First of all, you need to understand how to open the bracket.
Braces can be painful To do this, you need tweezers: if it is with a ligature, the structure will be freely picked up by it. As a last resort, you can use a toothpick instead of tweezers. If the ligature is released, the bracket is removed. With ligature-free modifications, you simply need to disconnect the fixing lock.
But it is definitely preferable to install a new one. A lagged bracket usually loses its original characteristics, and its fixation will not be as good as it was originally. In any case, this will help a professional: he will establish the reason, according to what the unstick happened, and give appointments to prevent the repetition of such a situation.
How to remove braces
There is a way out for every situation. A loose bracket can be removed without the help of others. This will require tweezers, and if not, then a toothpick or sharp nail scissors. The sequence of operations is as follows:
- Remove the ligature (rubber ring). She attaches the orthodontic arch to the bracket hole. It must be carefully picked up with tweezers and pulled. If the ligature does not come off the bracket, then you need to cut it with nail scissors. If the braces are not ligature, then a specially designed lock must be opened on the bracket.
- Remove the unsticked bracket. If the ligature is removed, then, as a rule, it is quite easy to remove the detached part itself. It is necessary to carefully move the arch forward and release the bracket hole.
Important! Do not lose or throw away the removed bracket. Take him to your dentist appointment. A new one costs money, and by agreement with the doctor, he can attach the old one.
But it must be borne in mind that the spraying, which is responsible for the better adhesion of the adhesive, in this case loses its characteristics due to the remaining glue particles. For this reason, the quality of fixation deteriorates and the bracket may fall off again.
What to do if not removed
If it did not work out to remove it, then it remains on the arc and you need to quickly get to the dental clinic.
To prevent the lagging bracket from slipping off during sleep or eating, you can fix it with a special orthodontic wax.
Important: make an appointment with your doctor as soon as possible. Since all the teeth will begin to move, and the remaining one without connection with the bracket-concept remains in place. For this reason, try to reduce the time, the whole concept affects the jaw in the wrong way.
Braces rub
Braces for correcting bite pathologies are a strong orthodontic system that, under physiological pressure on the teeth, gradually rotates them and moves them to the correct position. Because of this its influence, the teeth ache a little, but the first time after the installation of the structures, other problems appear. Rubbing cheeks, gums and tongue. What are the reasons for what is happening, and what are the methods to avoid unpleasant consequences?
Why are braces rubbed
The mucous membrane of the mouth is damaged with the following options:
- the arc that goes through the grooves of any bracket turned out to be longer than the required size and if the doctor did not bent or remove an extra piece of it in a timely manner, he begins to dig into the gum or cheek, thereby damaging soft matter;
- in cases where the bracket (lock) has separated from the enamel surface and, when wobbling, violates the mucous membrane, causing an inflammatory process;
- increased lip susceptibility to alloy.
In these cases, you need to consult an orthodontist. Having identified the cause, he is able to partially eliminate it. If the arc itself is longer, its extra slice will be bitten off with a special device, and the fallen off lock will stick in its place with special glue.
Orthodontic wax applied to braces What to do when braces are chafing
To remove signs of discomfort, the patient only needs to use local anesthetics. They come in the form of gels or mouthwashes. Substances muffle pain for a couple of hours. They are freely available in pharmacies (available without a prescription). The most popular are:
- Orajel;
- Colgate Orabase.
Some patients may have allergic reactions to substances. For this reason, carefully read the manual before using them.
Orthodontic wax
Orthodontic wax (silicone) can be used to eliminate pain. Its function is to form a protection for the mucous membrane, minimizing the rubbing process. Small pieces of this substance stick to those parts of the system that stick out, rubbing and scratching the oral cavity.
In most dental hospitals, orthodontic wax is dispensed by the attending physician immediately after the braces are installed. The orthodontist gives complete information on how and in what cases to use this substance. However, if this has not happened, the wax can be bought from dentists or stores that specialize in this product. The product is dispensed without a prescription in a special box for its safety.
Additional ways to eliminate pain
The following rules will undoubtedly help to reduce the pain syndrome from rubbing with braces:
- avoid foods with acidic content, which getting into wounds, even more irritating and corroding them;
- when wearing braces, you need to refrain from solid food, it can ruin the system, and it will begin to rub the mucous membrane;
- rinsing the mouth with salt water (1 tablespoon / glass of water) helps to reduce pain;
- use toothpaste, which contains an element that reduces susceptibility nerve endings in the gums;
- brush your teeth only with a soft bristle brush.
Do they take with braces in the army
Soldier with braces Installation of braces is an expensive process that requires careful attention to the course of treatment. A young man is obliged to periodically undergo an examination by an orthodontist and constantly take care of the system: to clean his teeth after each meal, use dental floss and other hygiene products.
In the army, such concern is not always feasible. If during the period of stay in the military unit the conscript has a certain opportunity to take care of the braces, then during his stay in the field exercises he will have to forget about the care. However, this circumstance does not empower young people to get rid of the call or evade the teachings.
Know! Even if the conscript has braces installed, he is not entitled to a respite from the army. In the Schedule of Illness there is no article guaranteeing the right to temporary or complete suspension from military service when installing similar systems.
The only exception is if surgical therapy is used to correct an irregular bite of the 2nd degree with separation of 5-10 millimeters and chewing activity less than 60% or a bite of 2-3 degrees with separation of more than 10 mm.
If, when wearing a bracket, it interferes with the concept or rubs, you need to seek help from the attending orthodontist doctor. It is better to do this at the first signs until significant defects of the mucous membrane have appeared in the mouth, which are very difficult to treat. However, one should not forget that the therapy of malocclusion always in the first 2 weeks entails discomfort, which is inevitable.
In the first couple of weeks after the braces are installed, as well as during the process of wearing them, various unpleasant sensations may arise. Since they are designed to move the teeth into the correct position, they are quite rigid. Therefore, even at the installation stage, you need to realize that it will not be possible to completely avoid unpleasant sensations. This article will show you how to deal with situations where metal braces scratch or rub against the soft tissues of the mouth.
Why do you feel unpleasant?
The lips and cheeks are very sensitive. Nature did not foresee their constant contact with foreign rigid structures. Therefore, at first, braces are often rubbed. This occurs when the mucous membranes are systematically in contact with arches, ligatures or metal fasteners.
It is undesirable to ignore strong discomfort, since as a result of constant irritation, inflammatory processes can develop, wounds appear, and stomatitis may begin. Depending on the cause of the rubbing, the irritating factor can be eliminated on your own or during a trip to the dental office.
If painful sensations do not go away within two weeks after the braces were installed, or they appeared during treatment, then in most cases an unscheduled visit is required.
What to do in case of pain?
First of all, you need to figure out what caused them. To do this, take a small mirror and carefully examine the area where the braces rub against the mucous membrane of your cheeks. And we will tell you what to do with the detected problems.
Braces provide a great opportunity to correct bite and find a beautiful smile. Therefore, there is nothing left to do but patiently wait out the temporary inconvenience. Let the braces rub and scratch the inner surface of the cheeks while wearing them, but after a few months you will see an excellent treatment result. Do not hesitate to contact your doctor if necessary - the doctor will always help you to eliminate discomfort.
The article was prepared and edited by: surgeonVideo:
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To treat malocclusion, braces are used that load the teeth to align the row. The initial discomfort of a new product in the mouth is considered normal, since a foreign object takes up additional volume in the mouth and can rub soft tissues (mucous membranes of the cheeks, lips).
Expert opinion
Biryukov Andrey Anatolievich
doctor implantologist orthopedic surgeon Graduated from the Crimean honey. institute in 1991. Specialization in therapeutic, surgical and orthopedic dentistry, including implantology and prosthetics on implants.
Ask an expertI believe that you can still save a lot on visits to the dentist. Of course I'm talking about dental care. After all, if you carefully look after them, then it really may not come to treatment - it will not be necessary. Microcracks and small caries on the teeth can be removed with ordinary paste. How? The so-called filling paste. I single out Denta Seal for myself. Try it yourself.
Orthodontic constructions for bite correction are being improved, they differ in aesthetic and functional qualities, materials and cost. The principle of installing non-removable braces is the same: small locks are glued to the teeth with composite materials and connected with an elastic arch.
The system puts pressure on the teeth, gradually aligning the dentition. The locks are attached to the outside of the teeth in the vestibular braces, to the inside in the lingual braces. The arch is held in place by wire or silicone rings called ligatures. Orthodontists consider ligature-free vestibular braces to be a more convenient option; special latches hold the arch in them.
Installing and adjusting the bracket system requires a certain skill, so it is important to find a good specialist.
Strong and reliable lingual and vestibular metal braces (although they look unattractive) - used in clinics, as affordable. More expensive and aesthetic ones (ceramic, sapphire) in color (white, transparent) are similar to enamel and are not so noticeable.
For short-term use, inexpensive (but also short-lived) plastic systems are suitable. The combined version can be used when installing corrective structures on each jaw: more expensive and beautiful - on the upper jaw and metal - on the lower.
Children (up to 10 years old) are given only removable devices for correction until all permanent teeth grow. Braces (usually metal for reliability) are placed after the final formation of the root system. Plastic and ceramics are suitable for children and adolescents, vestibular structures with multi-colored ligatures look unusual. Transparent ligature braces are relevant if there is a financial opportunity to purchase them. Together with your dentist, you can choose the most suitable corrective system from several options.
Braces - the construction is rigid and during the habituation period it can cause pain in the aligned dental units.
The first two weeks of treatment for an abnormal bite, uncomfortable manifestations associated with wearing a bracket system are inevitable. How to deal with them, for what painful sensations do you need to see a doctor?
Why do braces chafe my cheeks?
It is important to figure out what is the reason for the discomfort after installing braces. It is caused by an addiction to interfering alien body in the mouth or a structure injures the mucous membrane in certain places. An arc that is too long can permanently injure the tongue, which over time will provoke inflammation.
A detached staple hanging from an arc will cut into the inner lip with every movement. Increasing chafing, growth of the wound surface on the mucous membrane, bleeding wounds can become infected and cause more complex pathologies in the oral cavity. In such cases, you cannot postpone a visit to the orthodontist, who will correct the situation in a timely manner.
You will have to get used to the presence of a foreign structure in the mouth, braces cause impaired diction, aching pain in crooked teeth, discomfort when chewing. In the first days of wearing it, redness may appear on the soft tissues, even wounds in the places where the braces touch the mucous membrane.
If the bracket system injures the tissue with the appearance of bleeding wounds, then you need to seek help from an orthodontist.
Structures are rubbed for various reasons:
- the tail of the ligature, bending back, can scratch the cheek;
- too long tip of the arc can dig into the cheek (the orthodontist must bend or remove the extra piece);
- a peeling plate (lock) of the structure can injure the tissue;
- excessive sensitivity of the mucous membrane of the lips to the material.
First, you need to independently examine the system in front of the mirror, perhaps you will see for yourself what is the reason, which element rubs or injures soft tissues. Then it will be easier to explain to the doctor what should be corrected in the design in order to get rid of the excruciating discomfort.
What to do if braces chafe cheeks?
To get used to the orthodontic structure, it is necessary to eliminate the traumatic protrusions and (bend or cut the arc, glue the fallen off plate), use the auxiliary means described below in the text. If an allergic reaction occurs, the material should be replaced with ceramics and plastic.
- do not eat sour (hot, spicy) foods and drinks that irritate wounds;
- talking less and moving your lips after installing a bracket system, so as not to excessively rub the mucous membrane of the mouth;
- refuse solid products that can damage the structure, which will lead to even more rubbing of the mucous membrane;
- to heal scuffs and wounds in the mouth, rinse your mouth with salt water (1 tablespoon of salt per glass of water);
- brush your teeth with a soft bristled toothbrush;
- use a paste with potassium nitrate in a composition that reduces the sensitivity of the gums;
Preventing significant damage to the oral mucosa, the development of an inflammatory process, visit your doctor in a timely manner.
Various aids are used to relieve uncomfortable symptoms.
Braces wax
To protect the oral mucosa, orthodontic wax (silicone) is recommended, it is glued in the places of friction of the braces. In bright light, identify protruding and rubbing spots of the braces and apply wax to them. Wax should be removed with a brush or clean fingers before eating, however, it is not dangerous if accidentally swallowed. If it was not possible to purchase pharmaceutical dental wax, it can be replaced with ordinary beeswax or paraffin.
Waxing up the rubbing elements usually helps after 3-5 days. How to use:
- a small piece (the size of a match head) is cut from a whole piece of wax;
- dry the bracket and tooth with a cotton swab;
- warming in hands, forming wax into a ball, attach it to the rubbing surface of the structure to eliminate friction.
- in all problem areas, stick balls of wax one by one, trying not to get it into the interdental gaps;
- before eating, the wax is removed by hand or with a brush.
Orthodontic wax and recommendations for its use are usually given by the doctor after the installation of the bracket. Chewing gum cannot be used in this capacity, it promotes the growth of bacteria, is very difficult to remove (like a tenacious and sticky substance) and can damage the corrective system.
Do you feel anxious before visiting the dentist?
YesNo
Medicines
Anesthetics (Orajel, Colgate Orabase), which are sold in pharmacies without a prescription and have no serious contraindications, will help relieve pain in rubbed areas. Carefully study the instructions and composition, whether there is a risk of an allergic reaction to the components of the preparations.
Operate on the principle of local "freezing", dental ointments and gels containing anesthetics (Anestezin ointment, Dentol). They quickly eliminate pain and accelerate the healing of wounds on the mucous membrane (Kamistad gel, Solcoseryl paste). Apply a small amount of pain reliever and go to the doctor, as their effect is short-lived.
Mouthwash
It is recommended to regularly rinse your mouth with salt solution to prevent infection and strengthen soft tissues. It is very important to take good care of your oral cavity while wearing braces. You should carefully clean the structure from pieces of food stuck in it (using dental floss). Brush your teeth regularly to avoid the appearance of hard plaque, tartar. For rinsing, you can use decoctions of chamomile, calendula, which minimize inflammation.
The LISTERINE® mouthwash effectively fights mucosal inflammation, allowing you to clean the most inaccessible corners of the mouth. You should rinse your mouth with mouthwash for at least 30 seconds, using 20 ml of the product (4 tablespoons), without diluting it with water.
Toothpaste to reduce gum sensitivity
For thorough oral hygiene when correcting bite, there are special pastes recommended when wearing braces. Stuck food particles are difficult to remove from the gaps of the orthopedic structure. Bacteria that multiply in food debris contribute to the formation of plaque, tartar and the development of tooth decay.
Special pastes prevent the development of inflammatory processes, help prevent diseases and complications in the mouth. It is not recommended to use whitening pastes for treatment with braces. Fluoride and calcium should be present in pastes to protect against defects that can be caused by corrective constructions 
tions in the mouth. Recommended remedies:
- interprox gel cleans interdental spaces well;
- Vitis Orthodontic Toothpaste - healing paste for daily use;
- gum Ortho paste - protection against caries;
- megasmile foam - protection against plaque and caries.
Pastes must be changed periodically. Use a paste rich in calcium to strengthen the enamel for several months, then replace with a paste with anti-inflammatory properties.
Proper nutrition
When wearing braces, you must observe some restrictions in the diet. In order not to provoke peeling of locks or breakdown of the structure, it is necessary to abandon sticky (toffee, cheese, chips, cereals, fresh bread) and hard (nuts, candies, crackers, drying) products.
Braces are designed to put stress on the teeth to align them. For this reason, the structure is rigid enough to cause painful sensation in the teeth. Also, the bracket can injure the soft tissues of the oral cavity. There are frequent cases when the braces are rubbed. The situation is unpleasant, but it can be corrected.
Is it normal to rub braces?
It is quite understandable that a bracket is a foreign object to the oral cavity. And you should get used to this design, having endured some discomfort.
If the structure rubs or scratches the soft tissues of the oral cavity, forming bleeding ulcers, you should see a doctor.
It's important to understand how you feel about the design. Just discomfort or pain.
The presence of discomfort at the beginning of treatment will be required. The reasons for this are the reaction of the oral mucosa to a foreign object or the high sensitivity of the tooth enamel. Such sensations will pass on their own. Do not rush to the doctor.
Pain is usually the result of rubbing the braces on the cheeks, tongue, lips or gums. This is dangerous because inflammation can occur at the site of damage, and irritability will increase. If you do not take action, wounds and sores will appear, which can easily become infected. Here you cannot do without the help of an orthodontist. And you should contact him as soon as possible in order to avoid negative consequences.
What to do to protect your cheeks from rubbing with a braces system?
What to do to protect the delicate mucosa from damage? What can you do to prevent them? Most often, experts recommend using orthodontic wax.
Its application to braces allows you to protect the mucous membrane, bypassing direct contact with the structure. Such wax is absolutely harmless to the body. Even if the patient has swallowed this composition, there is nothing to worry about. It is possible to reapply it when the previous layer is absorbed.
If severe discomfort lasts more than two weeks, when wax is applied several times a day, it may not perform the necessary protective function. If inflammation of the mucous membrane develops, you should immediately consult your doctor.
Reasons for rubbing with braces
The soft tissues of the oral cavity are damaged by braces in the following situations:
- when the orthodontic arch of the required length is exceeded;
- when the bracket is detached from the tooth, when it hangs on the arc and causes damage during vibrations;
- if the mucous inside the lips are very sensitive to the metal structure.
The person who got braces should understand the cause of his discomfort. Whether it is a foreign body discomfort, or rubbing, when one area of \u200b\u200bthe mouth is constantly irritated.
It is also important to wear braces correctly, preventing such troubles as inflammation of various areas of the oral mucosa.
An arc that is too long can damage the tongue. Starting with rubbing, they turn into inflammation and bleeding wounds may even form. That is, you need to eliminate chafing as early as possible in order to protect yourself from unpleasant consequences. Even a slight rub cannot be ignored, because it will increase, and the wound will grow.
The doctor will help the patient to prevent the pathology that caused the neglected rubbing. Do not postpone your visit. The sooner he corrects the situation, the easier the treatment will be.
Orthodontic wax
To eliminate minor difficulties, wax or, as it is also called, silicone helps.
Its task is to protect the oral mucosa by eliminating or minimizing chafing.
The wax is applied to the area where the bracket sticks out causing chafing.
In most clinics, orthodontic wax is issued by a doctor immediately after the installation of the structure. He gives advice on when to use the product and how to apply it.
It is important to know that chewing gum for a patient wearing braces is a big ban. This sticky and tenacious substance can disrupt the alignment structure, and chewing gum is an excellent helper for bacteria in the mouth to grow.
If your doctor has not provided wax for you, you can buy it at any pharmacy. This product is dispensed without a doctor's prescription.
How to use wax?
Before applying wax, it is important to determine the places where the brace system rubs the mucous membrane. In good light, use a mirror to inspect oral cavity... Having found places on the gums, lips or cheeks that are subject to chafing, apply the agent to the protruding parts of the structure.
Let's upset the procedure for using wax in stages:
- A small amount of wax (about the size of a match head) is cut off or turned away from a whole piece. It is best not to pull on the wax to prevent it from stretching into a long tape that is difficult to fit.
- Further, the surface on which the wax will be applied is dried. You can use cotton swabs for this, smearing them on the surface of the bracket and the tooth.
- A piece of wax is warmed in the hands, forming a ball out of it.
- Next, the ball is attached to the problem area. It is important to do this carefully so as not to disturb the structure and at the same time to adhere the wax well. You should also prevent wax from getting into the gaps between your teeth.
For the wax to be effective, it needs to protrude above the surface of the structure.
All the above manipulations are repeated in stages to eliminate chafing in all necessary places.
It is recommended to remove wax from the surface of the structure before eating. To do this, you can use a brush or simply remove it by hand. Otherwise, the wax may be swallowed from food. But in general it is safe for humans and there is nothing wrong with swallowing.
In the absence of orthodontic wax, it is allowed to use beeswax or paraffin wax.
Additional ways to relieve pain
To avoid or reduce rubbing with a bracket system, the following rules must be observed:
- Do not consume foods and drinks containing acid, because it can corrode wounds.
- Eliminate solid food that can damage the structure and provoke chafing. Rinse your mouth with saline.
- Use a toothpaste containing potassium nitrate. It is able to reduce the sensitivity of nerve endings.
- Use a soft toothbrush.
Rubbing the oral mucosa with braces is a reason to see a dentist. If you do this in a timely manner, you can bring the resulting inflammation to the stage of bleeding wounds, which are difficult to cure. It is important to understand that discomfort during treatment with braces is quite normal in the first 10-14 days.