Orthodontic emergencies

Question 1

What are common ortho problems?

Answer 1

• Brackets rubbing
• Ends of wires traumatising cheeks * Wires out of tubes
• Broken wire causing trauma
• Ligatures cutting cheeks
• Missing elastomeric modules
• General pain as teeth are moving

Question 2

What appliance is used to shorten arch wires?

Answer 2

Light wire pliers

Question 3

How do you manage a patient whose bonded retainer has fallen off?

Answer 3

• Ensure patient has removable retainer
• If not, then impression for new retainer
• Referral/ liaise with orthodontist

Question 4

What is the cause and management of a patient whose retainers don’t fit?

Answer 4

Causes:
* Relapse of teeth due to patient not wearing the retainers
regularly

Management:
* Take alginate impression and remake retainers

Question 5

A patient presents with redness on the roof of their mouth. What is the cause and management of this iin regard to their remoable appliance.

Answer 5

Causes:
* candida induced stomatitis
* Trauma from poorly fitting appliance

Management
* Oral hygiene instruction in relation to removable appliance * Prescription of anti-fungal