Common Problems in Orthodontics and How to Handle Them
Common Problems in Orthodontics and How to Handle Them
Expert Tips for Braces and Invisalign

Common Solutions
Pokey Wires: How to Handle Irritation from Wires
One of the most common issues patients experience with braces is pokey wires. As your teeth shift, the archwire can sometimes extend past the last bracket and poke the inside of your cheeks or gums, causing irritation. Here’s how to manage this:
- Solution: Use orthodontic wax to cover the part of the wire causing discomfort. Simply roll a small piece of wax into a ball and press it over the wire. Your goal is to create a smooth surface and prevent further irritation.
- Temporary Fix: If you don’t have wax available, gently push the wire back with a clean cotton swab or the eraser end of a pencil.
- When to Visit Us: If the wire continues to cause discomfort or becomes painful, call our office. We’ll help you schedule a quick appointment to trim the wire and make you comfortable again.
Broken Brackets: What to Do When a Bracket Breaks
A broken bracket can occur if you accidentally eat hard or sticky foods or if the bracket gets bumped. A broken bracket is not a dental emergency, but it does need attention to keep your treatment on track.
- Solution: If the bracket is still attached to the wire and isn’t causing discomfort, leave it in place and call our office to schedule a repair. If it’s hanging or loose, use orthodontic wax to secure the bracket and prevent it from moving around.
- When to Visit Us: Let us know if a bracket breaks so we can fix it at your next appointment. Even though it’s not urgent, broken brackets can delay treatment if left unaddressed.
Discomfort When Starting Treatment: Getting Used to Braces and Invisalign
It’s normal to experience discomfort when you start treatment, whether getting braces or Invisalign. This discomfort is a sign that your teeth are beginning to move, but it usually subsides after a few days.
- For Braces: You may feel tightness or soreness in your teeth and gums after starting with braces or after an adjustment. Over-the-counter pain relievers like Tylenol and ibuprofen can help ease the discomfort. Sticking to softer foods like yogurt, mashed potatoes, and smoothies during this period can also make eating more comfortable.
- For Invisalign: Some patients experience mild discomfort when they switch to a new set of aligners. You can alleviate this by wearing the new aligners for shorter periods, allowing your mouth time to adjust. If the discomfort persists, over-the-counter pain relief can help.
- When to Visit Us: Contact us if the discomfort lasts over a few days or becomes severe. We can assess the issue and make any necessary adjustments.
Losing an Aligner: What to Do Next
Misplacing or losing an Invisalign aligner is not uncommon. While it can be concerning, it’s important not to panic—there are steps you can take to keep your treatment on track.
- Solution: If you lose your aligner, wear the previous set to keep your teeth from shifting backward. Then, contact our office right away to discuss options. We will replace the lost aligner or instruct you to move on to the next set.
- When to Visit Us: Let us know if an aligner is lost as soon as possible so we can help you decide the best course of action without disrupting your treatment progress.
Read our dedicated Invisalign and Clear Aligners FAQs page here.
Broken Invisalign Attachments: What to Do When an Attachment Breaks
Invisalign attachments are small, tooth-colored bumps that help the aligners apply the right amount of pressure to specific teeth. Sometimes, an attachment may break or come loose.
- Solution: If an attachment breaks, don’t worry—it’s usually a simple fix. Continue wearing your aligners as instructed, and call our office to schedule an appointment for reattachment.
- When to Visit Us: You’ll need to come in to have the attachment replaced. Without it, the aligner may be unable to move your teeth effectively, delaying your progress.
Losing a Retainer: Why It’s Important to Act Quickly
After orthodontic treatment, retainers are critical for keeping your teeth in their new positions. Losing a retainer can cause your teeth to shift back, especially if left unaddressed for too long.
- Solution: If you lose your retainer, contact us as soon as possible to arrange a replacement. In the meantime, avoid eating hard or sticky foods that could stress your teeth without the retainer’s support.
- When to Visit Us: Getting a replacement retainer as quickly as possible is vital to prevent unwanted tooth movement. Don’t wait—acting fast will ensure your smile stays aligned perfectly.
Managing General Orthodontic Discomfort
You may experience occasional discomfort from braces or Invisalign throughout your treatment. Here are some general tips for managing orthodontic discomfort:
- Use Orthodontic Wax: You can apply dental wax to brackets or wires irritating the inside of your mouth.
- Stick to Softer Foods: After adjustments or switching to new aligners, softer foods can make eating more comfortable.
- Over-the-counter Pain Relief: Medications like Tylenol and ibuprofen can help ease soreness.
- Saltwater Rinses: Rinsing your mouth with warm saltwater can soothe irritation and help heal any sores or cuts.
Why Choose Phillips Family Orthodontics for Your Orthodontic Treatment?
At Phillips Family Orthodontics, we pride ourselves on offering comprehensive orthodontic care with a personal touch. Here’s why our patients trust us to handle their orthodontic needs:
- Expertise and Experience: Dr. Joseph Phillips has treated thousands of patients with braces and Invisalign, offering a deep understanding of the challenges that can arise during treatment.
- Cutting-Edge Technology: We use the latest orthodontic technology, including 3D imaging and Invisalign innovations, to deliver precise and effective treatment.
- Compassionate Care: Our team will ensure you feel comfortable and supported throughout your orthodontic journey. Whether you’re dealing with a common problem or have a question about your treatment, we’re here to help.
Convenient Appointments: We offer flexible scheduling to fit your busy life, making it easy to get the care you need when you need it.
Common Solutions
Pokey Wires: How to Handle Irritation from Wires
One of the most common issues patients experience with braces is pokey wires. As your teeth shift, the archwire can sometimes extend past the last bracket and poke the inside of your cheeks or gums, causing irritation. Here’s how to manage this:
- Solution: Use orthodontic wax to cover the part of the wire causing discomfort. Simply roll a small piece of wax into a ball and press it over the wire. Your goal is to create a smooth surface and prevent further irritation.
- Temporary Fix: If you don’t have wax available, gently push the wire back with a clean cotton swab or the eraser end of a pencil.
- When to Visit Us: If the wire continues to cause discomfort or becomes painful, call our office. We’ll help you schedule a quick appointment to trim the wire and make you comfortable again.
Broken Brackets: What to Do When a Bracket Breaks
A broken bracket can occur if you accidentally eat hard or sticky foods or if the bracket gets bumped. A broken bracket is not a dental emergency, but it does need attention to keep your treatment on track.
- Solution: If the bracket is still attached to the wire and isn’t causing discomfort, leave it in place and call our office to schedule a repair. If it’s hanging or loose, use orthodontic wax to secure the bracket and prevent it from moving around.
- When to Visit Us: Let us know if a bracket breaks so we can fix it at your next appointment. Even though it’s not urgent, broken brackets can delay treatment if left unaddressed.
Discomfort When Starting Treatment: Getting Used to Braces and Invisalign
It’s normal to experience discomfort when you start treatment, whether getting braces or Invisalign. This discomfort is a sign that your teeth are beginning to move, but it usually subsides after a few days.
- For Braces: You may feel tightness or soreness in your teeth and gums after starting with braces or after an adjustment. Over-the-counter pain relievers like Tylenol and ibuprofen can help ease the discomfort. Sticking to softer foods like yogurt, mashed potatoes, and smoothies during this period can also make eating more comfortable.
- For Invisalign: Some patients experience mild discomfort when they switch to a new set of aligners. You can alleviate this by wearing the new aligners for shorter periods, allowing your mouth time to adjust. If the discomfort persists, over-the-counter pain relief can help.
- When to Visit Us: Contact us if the discomfort lasts over a few days or becomes severe. We can assess the issue and make any necessary adjustments.
Read our dedicated Invisalign and Clear Aligners FAQs page here.
Losing an Aligner: What to Do Next
Misplacing or losing an Invisalign aligner is not uncommon. While it can be concerning, it’s important not to panic—there are steps you can take to keep your treatment on track.
- Solution: If you lose your aligner, wear the previous set to keep your teeth from shifting backward. Then, contact our office right away to discuss options. We will replace the lost aligner or instruct you to move on to the next set.
- When to Visit Us: Let us know if an aligner is lost as soon as possible so we can help you decide the best course of action without disrupting your treatment progress.
Broken Invisalign Attachments: What to Do When an Attachment Breaks
Invisalign attachments are small, tooth-colored bumps that help the aligners apply the right amount of pressure to specific teeth. Sometimes, an attachment may break or come loose.
- Solution: If an attachment breaks, don’t worry—it’s usually a simple fix. Continue wearing your aligners as instructed, and call our office to schedule an appointment for reattachment.
- When to Visit Us: You’ll need to come in to have the attachment replaced. Without it, the aligner may be unable to move your teeth effectively, delaying your progress.
Losing a Retainer: Why It’s Important to Act Quickly
After orthodontic treatment, retainers are critical for keeping your teeth in their new positions. Losing a retainer can cause your teeth to shift back, especially if left unaddressed for too long.
- Solution: If you lose your retainer, contact us as soon as possible to arrange a replacement. In the meantime, avoid eating hard or sticky foods that could stress your teeth without the retainer’s support.
- When to Visit Us: Getting a replacement retainer as quickly as possible is vital to prevent unwanted tooth movement. Don’t wait—acting fast will ensure your smile stays aligned perfectly.
Managing General Orthodontic Discomfort
You may experience occasional discomfort from braces or Invisalign throughout your treatment. Here are some general tips for managing orthodontic discomfort:
- Use Orthodontic Wax: You can apply dental wax to brackets or wires irritating the inside of your mouth.
- Stick to Softer Foods: After adjustments or switching to new aligners, softer foods can make eating more comfortable.
- Over-the-counter Pain Relief: Medications like Tylenol and ibuprofen can help ease soreness.
- Saltwater Rinses: Rinsing your mouth with warm saltwater can soothe irritation and help heal any sores or cuts.
Why Choose Phillips Family Orthodontics for Your Orthodontic Treatment?
At Phillips Family Orthodontics, we pride ourselves on offering comprehensive orthodontic care with a personal touch. Here’s why our patients trust us to handle their orthodontic needs:
- Expertise and Experience: Dr. Joseph Phillips has treated thousands of patients with braces and Invisalign, offering a deep understanding of the challenges that can arise during treatment.
- Cutting-Edge Technology: We use the latest orthodontic technology, including 3D imaging and Invisalign innovations, to deliver precise and effective treatment.
- Compassionate Care: Our team will ensure you feel comfortable and supported throughout your orthodontic journey. Whether you’re dealing with a common problem or have a question about your treatment, we’re here to help.
Convenient Appointments: We offer flexible scheduling to fit your busy life, making it easy to get the care you need when you need it.
We're Here for You Every Step of the Way
Do you have a question about your orthodontic treatment? Whether it’s managing discomfort, fixing a broken bracket, or replacing a lost aligner, Phillips Family Orthodontics is here to help! Contact us today to schedule an appointment or get the support you need to keep your treatment on track.
We're Here for You Every Step of the Way
Do you have a question about your orthodontic treatment? Whether it’s managing discomfort, fixing a broken bracket, or replacing a lost aligner, Phillips Family Orthodontics is here to help! Contact us today to schedule an appointment or get the support you need to keep your treatment on track.
Jo MollenhauerApril 3, 2025Trustindex verifies that the original source of the review is Google. My family was given a few referral options and after a lot of research it was very clear that Phillips was the way to go. We were a bit anxious before our first consultation, not knowing what to expect exactly, and our son (8) was also nervous. The staff addressed our son directly which made him feel included and more comfortable. Every single step of imaging was explained and he actually enjoyed the process. Putting a plan together felt informational and we learned a lot. Dr. Phillips even gave my son the floor to ask all his own questions that were important to him. Glenda helped us figure out the finances and answered a ton of questions as well, and my family is actually excited for this process now! Armando FloresMarch 29, 2025Trustindex verifies that the original source of the review is Google. Phillips Family Orthodontics has been amazing for my both of my daughters’ orthodontic care! From the moment we walked in, the entire team made us feel welcome and comfortable. The staff is friendly, professional, and always takes the time to explain each step of the process. Dr. Phillips is fantastic—knowledgeable, patient, and truly cares about his patients’ smiles. My daughters have had a great experience, and we’re so happy with the care they receive. I highly recommend Phillips Family Orthodontics to anyone looking for top-notch orthodontic treatment! Julie OntonMarch 11, 2025Trustindex verifies that the original source of the review is Google. Friendly, fun environment. My son loved making a goofy face for the last image. Nice touch! Vicky LiaoFebruary 21, 2025Trustindex verifies that the original source of the review is Google. We had a great experience at Dr. Phillips' office with my son’s expander. The staff is friendly, professional, and made the process easy to understand. So far, everything is going smoothly, and we’re very pleased with the results. Highly recommend their office to anyone looking for quality care and excellent service! Chandrika B ChandrashekarFebruary 19, 2025Trustindex verifies that the original source of the review is Google. Dr Phillips and his team are professional and amazing! Our kid got her braces here, they made sure the process was comfortable and quick. Tony and Kiana were efficient and gentle. Azza AyoutyJanuary 30, 2025Trustindex verifies that the original source of the review is Google. Dr. Phillips & team you are truly the best. Thank your Dr Phillips for your amazing services. The precise first scan, the amazing follow up, the wonderful perfect teeth, and the final retainer were all part of your amazing services. Thank you to your wonderful team who always greeted me with a smile, are highly skilled, and truly care for the patients. I highly recommend Phillips Family Orthodontics to anyone looking for a great orthodontist. Thank you for the smile :) A ChongJanuary 28, 2025Trustindex verifies that the original source of the review is Google. Excellent service and caring staffVerified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

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Wednesday 8:30 am – 5:30 pm
Thursday 8:30 am – 5:30 pm
Friday – By Appointment
ENCINITAS
PHONE
(760) 943-7770
ENCINITAS OFFICE
761 Garden View Court #101
Encinitas, CA 92024
OFFICE HOURS
Monday 8:30 am – 5:30 pm
Tuesday 8:30 am – 5:30 pm
Wednesday 8:30 am – 5:30 pm
Thursday 8:30 am – 5:30 pm
Friday – By Appointment
MIRA MESA
PHONE
(858) 578-1822
MIRA MESA OFFICE
10737 Camino Ruiz #210
San Diego, CA 92126
OFFICE HOURS
Monday 8:30 am – 5:30 pm
Tuesday 8:30 am – 5:30 pm
Wednesday 8:30 am – 5:30 pm
Thursday 8:30 am – 5:30 pm
Friday – By Appointment