Orthodontic Emergencies Flashcards
- wire sticking out causing ulceration
- cutting into buccal mucosa
- causes and management?
ends of the wire are not trimmed
- cut with distal end pliers
arch wire has moved
- reposition the arch wire
broken wires
- make sure wire is not sharp
- make appt soon with ortho
debonded bracket
- causes and managements
- traumatic occlusion
- patient has knocked bracket off
- arch wire is over-activated = has distorted in force
management
- remove the bracket off the wire
- make appt soon with ortho to replace
a loose band
- causes and managements
- the band is too big for the teeth
- the pt eats sticky foods
management
- re-cement the band with GIC
- can remove the wire and cut excess
teeth feel loose!!
this is common with ortho tx
- to have a slight increase in mobility
check the mobility
reassure tha pt
teeth are painful/jaw hurts
discomfort is normal
reassure pt
advise on analgesia - paracetamol and ibuprofen
can apply dental wax onto the wire to prevent rubbing on the mucosa
water is watering
common when appliance first fitted
- as its a change
reassure pt
will resolve as pt gets used to it
pt struggles to speech
will improve with time
the removable appliance feels loose
the claps may not be retentive
- adjust with Adams pliers
what if a removable clasp has fractured?
- causes
- management
causes
- clasp has become overstressed from taking in and out all the time
management
- appt with ortho
- cut the clasp for comfort
removable acrylic has been fractured
- cause
- management
over stress
smooth down any fractured sharp bits
redness on the mouth
- causes
- management
candida induced stomatitis
poorly fitting appliance causing trauma
management
- OHI
- anti-fungal prescription
headgear - the facebow comes out the tubes at night
- causes
- management
causes
- ill fitting facebow
- problems with the locking mechanism
management
- advise to stop wearing headgear
- see ortho soon as
headgear feels really tight
causes
- forces caused by the headger
management
- reassure the pt that this is common
pt struggles to fit the headgear
can be various causes
book appt ortho asap
retainers don’t fit
- retainers are deformed
- teeth have relapsed due to not being worn often
management
- imps to make new retainers
- can’t do anything but new retainers to move teeth again
bonded retainers are loose
the composite bond has failed
management
- depends on extent of failure
- if 1/2 teeth debond = repeat with composite resin
- if the wires deformed too, make pt comfortable and refer to ortho
