Orthodontic emergencies

Question 1

What problems can there be with a fixed orthodontic appliance

Answer 1

1. Wire can stick out distal
2. Wire can stick out distal
3. Bracket can debond
4. Band loose

Question 2

What can cause a complaint of wire sticking out of a fixed appliance

Answer 2

1. The end of the wires may not be trimmed

2. Arch wire may have moved around

Question 3

How can we manage wires of a fixed appliance that may not be trimmed

Answer 3

Cut the distal end of the wires with pliers

Question 4

How can we manage arch wire moving of a fixed appliance

Answer 4

Re position the arch wire

Question 5

What might cause bracket to de bond

Answer 5

1. Bracket in traumatic occlusion
2. Achwire over activated to engage bracket
3. Patient has knocked try bracket off

Question 6

How do we manage a de bonded bracket

Answer 6

1. Remove bracket off wire

2. Book appointment with orthodontist to replace the bracket

Question 7

What can cause a band on a fixed applicant to become loose

Answer 7

1. Band is too big fro the tooth

2. Patient is earring sticky foods

Question 8

How do we manage a loose band

Answer 8

1. Re cement the band with a glass ionomer cement

2. If the band is too big remove loose band and cute long wire