A stray or poking wire is a common and uncomfortable issue during orthodontic treatment, often developing after teeth begin to shift and the archwire slides or becomes exposed. This problem can cause significant irritation, leading to painful sores or abrasions on the sensitive tissues of the cheeks, tongue, or gums. While rarely an emergency, these situations demand prompt attention to prevent prolonged discomfort and allow the irritated tissue to heal. The primary goal is to create a temporary barrier or reposition the wire until your orthodontist can make a permanent adjustment.
Immediate Relief Using Orthodontic Wax
Orthodontic wax is the safest and most effective initial solution for covering a protruding wire, creating a smooth, protective barrier against the soft tissues of the mouth. This wax, typically made from non-toxic materials like carnauba, beeswax, or paraffin, is designed to adhere to the dry surface of the bracket or wire. To begin, pinch off a small piece of wax, approximately the size of a pea, and roll it between your fingers to warm and soften it. This makes the wax more pliable and improves its ability to stick to the appliance.
Before applying the wax, dry the specific area of the wire and bracket with a clean tissue, cotton swab, or gauze, as the wax will not effectively bond to a wet, saliva-coated surface. Once dry, press the softened wax firmly over the sharp end of the wire or the irritating bracket, gently molding it into a small dome shape that covers the point of irritation. The wax should stay securely in place, shielding your cheek or gum until you can see your orthodontist.
If you accidentally swallow a small piece of orthodontic wax, there is no need for concern because the material is non-toxic and designed to pass harmlessly through the digestive system. Try to remove the wax before meals and while brushing your teeth, reapplying a fresh piece afterward, as food debris can collect on the wax and compromise oral hygiene. Regular replacement ensures the barrier remains clean and secure, providing continuous relief.
Alternative Temporary Solutions
When orthodontic wax is not immediately available, a few other household items can be used to provide temporary cushioning or coverage for the wire. A small, clean piece of cotton or gauze can be placed over the sharp end of the wire to protect the mouth tissue from direct contact. This material acts as a physical buffer, though it may need to be replaced more frequently than wax as it absorbs moisture.
Specialized dental silicone is similar to wax but provides a slightly firmer, more durable coating that can sometimes remain in place longer. As an absolute last resort, a tiny, sugar-free piece of chewing gum can be molded over the wire, but this option should be used with caution. The gum’s stickiness can attract food particles, and the chewing motion may accidentally dislodge the wire or damage the appliance.
Advanced Home Adjustments
For a wire that is merely poking out but is still relatively flexible, a gentle attempt at repositioning can be made as an alternative to simple cushioning. Using a clean cotton swab or the eraser end of a new pencil, carefully push the wire away from the cheek or gum. Apply light pressure to tuck the wire back toward the inside of the mouth or bend it slightly away from the sensitive tissue.
As a serious last resort, if the protruding wire is causing extreme pain and you cannot reach your orthodontist, you may consider clipping the wire. This procedure requires a sterile pair of sharp nail clippers and the assistance of another person for a clear view. The wire should be clipped behind the last securely fastened bracket. It is crucial to hold the loose wire end with gauze or tweezers while clipping to prevent accidentally swallowing the small, sharp piece. Improper clipping can damage the appliance or create a new, shorter sharp end, so this action should only be taken when all other home remedies have failed to provide relief.
When to Contact Your Orthodontist
While home remedies can manage minor discomfort, certain situations require professional attention to prevent complications and keep treatment on track. Contact your orthodontist promptly if:
- The wire is causing severe, persistent pain unmanaged by over-the-counter pain relievers.
- You notice signs of infection, such as swelling, increased redness, or pus around the irritated area.
- A bracket has come loose or detached from the tooth, or if a wire has broken entirely.
- You attempted to clip the wire at home and it resulted in a new, uncomfortable short end, or if you believe you swallowed a piece of the appliance.