Orthodontic treatments can cause some urgencies that we must treat quickly, pain, canker sores due to orthodontics and ulcerations are common in the first days.
Orthodontic emergencies: Pain and canker sores due to orthodontics
When we place orthodontic appliances, be it fixed or removable, we can find some more or less important urgencies that we must treat as quickly as possible. The most frequent ones suffered by patients in dental practice are the following: Pain, aphthae and ulcerations; Removable orthodontics mismatched, broken or lost; Sharp areas, twisted arcs or long arcs; Descemented brackets and descemented bands. Today we review the references to pain, canker sores and ulcerations.
- Pain: pressure of force: it is normal for patients to have their teeth hurt after putting on dental appliances, since in one area of the tooth there is pressure and in the other there is tension. The pain in orthodontics is basically due to the forces or pressures that are exerted on the teeth and it is common that the first days the teeth are sore. To avoid these problems to the maximum we will recommend a soft diet, and pharmacological treatment (analgesics, anti-inflammatories) if necessary. If you are feeling some problem after treatment of orthodontics visit here for best advice Invisalign Dublin Ohio.
- Canker sores due to orthodontics: Canker sores are ulcerative lesions or wounds caused by the friction of the orthodontic appliance that occur in low keratinized areas of the buccal mucosa. They manifest as round white ulcers of regular contour, with an average size of 0.3 cm in diameter, with an erythematous halo with grayish or yellowish exudate in the central part, single or multiple, mechanically or chemically exacerbated. They cause pain or burning and disappear spontaneously after a week.
- Canker sores due to orthodontia are white areas surrounded by a more reddish area. Sometimes aphthae are in contact with the devices, but sometimes not. The appliance may bother or may not, will not always appear due to orthodontics. The aphthae remit after a time. We must lighten the contact areas in the case of removable orthodontics. In the case of fixed orthodontics, we will use wax or silicone and analgesics will be prescribed if necessary. Chlorhexidine rinses will also help us avoid infections.
- Ulcerations: Ulcers constitute ruptures of the epithelium with exposure of connective tissue. They are usually painful, and may even bleed. In most cases it is accompanied by an erythematous halo around with exudate in the central part.
They are usually located on the floor of the mouth and are due to the pressure of the device on the mucosal tissues. Keep in mind that as the treatment progresses, the device is adjusted. One way to tighten the device is with the expansion screw. We will consider the following:
- By decubitus: Ulcers are secondary to the pressure caused by the decubitus of the orthodontic appliance.
- Lighten the contact areas in removable orthodontics, with hand piece or untightening the screw.
- Lighten the contact areas in removable orthodontics, with hand piece or untightening the screw.
- In case of persistent pain, analgesics may be administered.
It is important that to avoid discomfort and ailments, the Dentist of Prop dental should be informed quickly about any problem that is experienced with the orthodontic appliances since in the majority of occasions they can be easily solved.
