Pinole Valley Orthodontics

Shaping smiles that change the way patients look and feel!

Emergency Care

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem you can't take care of yourself. We'll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that's sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.

For emergency services please call (510) 275 3200, listen to the voicemail all the way through, there is an emergency line that reaches someone at any hours for after hours emergency.


General soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chewing. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. An alternative (better tasting) mouthwash is the Healthy Gums Rinse by The Natural Dentist. Placing Orabase on the affected area may also help relieve discomfort; Orabase can be found in a pharmacy. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!



Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it's worn, so be sure you get in the prescribed number of hours.


Loose appliance

If your appliance is poking you, place wax on the offending part.


Loose bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.


Loose wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp place wax on it.


Poking wire

Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.


Freno o Banda Suelto

Si el freno o la banda todav�a son atados en el alambrar, esta bien deja lo as�. Si se cae completamente del lugar p�ngalo en una bolsa de zip-loc. Ll�menos para una cita y traigan el freno o la bando con usted.

Alambre Suelto

Trate de colocar el alambre en el lugar con unas pinzas. Si no es posible corte el, alambre con un corta u�a detr�s del �ltimo diente que est� solidamente fijado.


Trate de empujar el alambre abajo usando una cuchara o goma de borrar. Si el alambre es lo suficientemente largo usted puede tratar de cortar el alambre con un corta u�as.

Lazo Perdido

Notif�quenos en la siguiente cita si s�lo uno ha ca�do. Si m�s de un ha ca�do, hable para una cita.


Use agua de sal caliente y/o Tylenol o Ibuprofen. Si hay para incomodidad comer, refi�rase a ideas de dieta en la p�gina de dientes dolorida.


El problema puede levantarse a consecuencia de no llevar puesto la aplicaci�n como prescribi�. Si facebow es doblado, ll�menos inmediatamente.

Para algo adhesivo o empujar que causa la incomodidad ponga, cera en lugar en el �rea que causa la incomodidad. Muchos problemas tienen soluciones provisionales que puede manejar usted mismo en casa hasta que usted sea capaz de programar una cita de reparaci�n con nosotros. Si usted piensa que usted es incapaz de manejar un problema en su propio, por favor ll�menos cuanto antes.

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