Troubleshooting with the E-Arches
Troubleshooting with RPE
Poking Tie Wire (Pig Tail)
Wire out of Tube
Troubleshooting with the Herbst Appliances
Be aware of the “shims” (sleeves of metal used for advancing the Herbst). Be sure to check screws daily for tightness.
Be careful eating foods that are hard, or chewing on pencils. These items will bend the arms of the Herbst or they could loosen the crowns. Do not open your mouth and “play” by moving your jaw from side to side. We find that this may bend the rods and will cause a problem opening and closing properly.
Developing “holes” in the cheeks around the upper outside of the Herbst can be a problem. Once the “hole” develops, it becomes sore. The key to healing the soreness is to keep it clean, but no one wants to keep it clean because it is sore, so it gets worse. There are methods for preventing a “hole” from developing. Keep the cheek pads (Dri-Angle) between the cheek and the Herbst, especially at night when sleeping, so that resting on your cheek will not cause the “hole”. Massaging the area with an extra soft toothbrush will help as well. Cleaning the area with numbing medicines containing benzocaine, such as orabase, zilactin, anbesol, etc., are very helpful to use prior to cleaning.
After it draws the teeth together, it leaves some extra length of wire at the end because the teeth have come closer together. This is normal. However it can be painful.
Follow these guidelines until a member of our staff can see you:
- Put some wax over the very end
- Put an EZO denture cushions over the very end
Place a cheek pad (Dri-Angle) between the wire and the cheek. A piece of an index card will do the same. The index card will stick to the inside of the cheek. This will keep a barrier between the cheek and the sharp end.
Lost Tie Wire or Elastic Tie
If you have accidents involving your teeth, call your Dentist or Orthodontist immediately!
A small hook welded to a band or bracket can also be a pokie. They can sometimes irritate your lip or cheek. There is not much you can do without breaking the bracket. But you can apply wax or an EZO denture cushions over the area, until a member of the staff can see you.
Troubleshooting with the Distal Jet
Sometimes the back teeth are moved in such a way as to allow the “bend” of this appliance arm to embed in the palate tissue. Please call right away if you feel this is happening. We can adjust this to make you more comfortable.
Loose Bracket (Bond)
Soreness from Braces
Rubber Bands (Elastics)
When patients wear the rubber bands (elastics), they have been placed with great responsibility and control over their orthodontic care. If worn properly, they will correct approximately 1 mm within a 4-week period of time. Full time wear means just that, FULL TIME. We recommend you remove elastics to brush only. Changing elastics at least 1 time a day to maintain a good force or when they break will accelerate the success of the wear. Wearing them when eating will generate more force and speed up the progress.
Whatever the position of the elastics, it is important to pay close attention when shown how to wear them. Improper wear can actually cause problems. This can extend your treatment period. If you are afraid you will forget where to place the elastics, ask your technician to print the position for you
Visit Our Office
|Monday:||7:30 am – 4:30 pm|
|Tuesday:||7:30 am – 4:30 pm|
|Wednesday:||7:30 am – 4:30 pm|
|Thursday:||7:30 am – 4:30 pm|
1841 West Plaza Drive
Winchester, VA 22601