Orthodontic Problems & Emergencies

Some orthodontic problems can be made more comfortable temporarily at home, while others need urgent dental or medical attention. Use the guide below to decide what to do next.

Emergency Care Now

  • Trouble breathing or swallowing, choking, or suspected inhalation of a component

  • Heavy or uncontrolled bleeding

  • Major facial injury or a suspected broken jaw

  • A permanent tooth knocked out or severely displaced


In Canada, call 911 for a medical emergency. Tooth injuries need urgent dental care; do not wait for a routine orthodontic appointment.

Contact Your Clinic Promptly

Report loose brackets or bands, displaced or broken wires, loose fixed appliances, lost or damaged aligners or retainers, significant pain, swelling, or sores that persist or worsen.

Temporary Comfort

Use the relevant wax, wire, or loose-appliance guide. Choose softer foods and maintain gentle cleaning. These measures do not replace repair or assessment.

Lost or Damaged Aligner or Retainer

Do not wear a sharp or badly distorted appliance. Do not heat, glue, or reshape it. Ask the clinic whether a previous aligner or another temporary option is appropriate. Do not automatically change trays or alter your schedule.

What to Tell Your Clinic

Video demonstration — to be added

  • Which appliance and area are affected

  • When the problem began

  • Whether there is pain, swelling, bleeding, or an injury

  • Whether any component is loose or missing

  • Whether wax improves comfort

  • Provide a clear photo only through the clinic’s approved contact method


OrthoGuide.ca — independent orthodontic education for patients and parents.

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