Orthodontic wax is typically made from non-toxic materials like paraffin, carnauba, or beeswax. It serves as a pliable, smooth shield placed over a bracket or wire causing friction or irritation to the soft tissues of the mouth, such as the cheeks, lips, or gums. The wax creates an immediate physical barrier, providing relief and allowing small sores to begin healing while your mouth adjusts to the new appliance. This application is intended only for temporary comfort, not as a permanent solution for discomfort.
Duration Limits and Oral Hygiene
The general recommendation is to remove and replace orthodontic wax frequently, certainly not allowing a single piece to remain on the braces for longer than 48 hours. A practical schedule is replacing the wax at least once or twice daily, and always after meals and brushing your teeth. This frequent replacement is essential for maintaining proper oral hygiene while wearing braces.
When the wax is left in place too long, it degrades and traps food debris and bacteria against the tooth and the brace. This accumulation can compromise dental health and potentially lead to demineralization or cavities underneath the appliance. Saliva and chewing motions naturally cause the wax to soften and break down over several hours.
You must remove the wax before eating any meal. Chewing will dislodge the wax, and food particles easily stick to it and become trapped against the brace. After eating, thoroughly brush and clean the area before applying a fresh piece of wax.
Applying and Removing Wax
Effective use of orthodontic wax depends on proper application, starting with meticulous hand and oral hygiene. Begin by washing your hands and thoroughly cleaning the area around the irritating bracket or wire. The most important step for successful adhesion is to use a clean tissue or cotton swab to gently dry the metal surface where the wax will be placed.
Wax will not stick reliably to a wet or saliva-coated bracket. Pinch off a small piece of wax, about the size of a pea, and roll it between your fingers to soften it with your body heat. This makes the wax more pliable and easier to mold over the sharp edge or protrusion.
Once softened, press the ball of wax firmly onto the offending bracket or wire until it flattens and fully covers the area, forming a smooth, rounded bump. To remove the wax, gently dislodge it with a clean finger, a soft toothbrush, or an interdental brush. Always discard the used wax immediately and brush the underlying bracket and tooth before applying a new piece.
When to Consult Your Orthodontist
A common concern involves accidentally swallowing orthodontic wax, which is generally considered safe. The wax is made from non-toxic substances like carnauba or paraffin and is designed to pass harmlessly through the digestive system if small amounts are ingested. While swallowing it is not a health risk, focus on proper placement to minimize the chances of it coming loose.
Orthodontic wax provides short-term relief and should not be treated as a long-term solution for discomfort. Contact your orthodontist immediately if irritation persists for more than a few days, even with wax use, or if you have a broken or loose bracket. Professional adjustment is necessary if a wire has shifted and pokes your cheek in a way that cannot be adequately covered by the wax. Using wax as a temporary fix while waiting for an appointment is appropriate, but it should not delay seeking a permanent solution.