Dental braces are used mainly to have your teeth straight, fix overbites and underbites in order to have a beautiful smile. Wearing braces can be uncomfortable and it takes time to adjust to it. By the time you get used to them, it is time to adjust or take them off. The orthodontic brace on the teeth will eventually subside and the braces will stabilize the teeth in position without putting much force on them. When it comes to removing braces orthodontists simply take the wires and brackets out of a patient’s mouth.
Wash your hands thoroughly and don gloves. Tell the patient to brush his teeth, gargle and rinse well.
Remove the band that goes around the teeth called arch wire. This wire is usually held in place by rubber bands or braided wire called ligatures. Remove each rubber band ligature from around the bracket. If braided wires are in place, unbraid the wires with small disinfected tweezers. The arch wire will slip out after removing the ligature bands.
Remove the dental brackets with a small disinfected needle nose pliers. Apply the beaks of the pliers on the little arms of the bracket and twist the little arm of the bracket until it pops off. It is easier to start with the larger teeth with big roots rather than the smaller shorter teeth. Make sure to stabilize the teeth with your free hand when the arch wire is removed. For back molars with bands, you must get your instrument near the gum line and work around the tooth pushing up away from the gum line.
Dispose dental wire bands and brackets in a sharp biohazard container for safety.
Use an emery board to remove large cement that's left on the tooth.
Warning
Removing dental brackets may cause aspiration. Make sure to have patient sit upright.
Be careful not to scratch the enamel of the tooth when removing cement stuck to the tooth.
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