Orthodontist
Dr Pascale MALKA
In Case of Emergency
Orthodontics rarely results in serious emergencies. Here is our advice based on the most common cases.
📧 If the office is closed:
→ Send an email to cabinetorthodontie@free.fr with a description of the problem and a photo if possible.
📞 In case of medical emergency:
→ Contact the Council of the Order of Dental Surgeons at 01 42 61 12 00
→ Or the dental emergencies of Pitié-Salpêtrière: 01 42 16 00 00 or 01 42 17 60 60
A fastener came loose
Let us know as soon as possible. Depending on the discomfort and the date of your next appointment, we will decide together whether it is necessary to move it up.
Irritations of the tongue, cheeks, or lips
Sometimes the thread protrudes slightly at the back, causing irritation.
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Apply orthodontic wax to protect the area.
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In case of a sore: use a mouth gel for canker sores or use mouthwash.
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If the discomfort persists, contact us.
Invisalign aligners
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If discomfort occurs: Gently file the irritated area with a nail file.
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Apply mouth gel if needed.
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If you have a loose cleat or other problem, please contact us immediately.
Loose fixed retainer wire
Do not pull on the wire!
→ Let us know quickly: retention is a crucial step to stabilize the results of your treatment.
Broken or lost removable appliance
If the appliance is broken: email us a photo so we can assess if it’s repairable.
If it’s lost: contact us promptly to schedule a new impression.
Out of elastics
→ Stop by the clinic to pick some up.
→ Or request a mail delivery if you can’t come in person.
Dr Pascale MALKA
Our Advice
Adapting to a new device
Regardless of the type of orthodontic appliance used, an adjustment period is necessary. This generally lasts a few days.
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Mouth discomfort: The tongue, cheeks, and lips are not yet accustomed to the presence of the appliance. Irritation may occur.
➤ Applying orthodontic wax or oral gel can relieve these discomforts. -
Tooth sensitivity: Teeth may be sensitive to pressure or chewing.
➤ It is recommended to favor soft foods and, if necessary, to take a painkiller.
Patience and gentleness are the key words: this phase is temporary.
🍬 Foods to avoid
In the context of fixed treatment (external or internal multi-attachment device), it is essential to avoid:
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sticky foods (caramels, chewing gum, etc.),
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hard foods (candy, bread crusts, etc.).
These foods can loosen the fasteners or deform the wires, thus extending the treatment time.
🪥 Brushing teeth
Oral hygiene should be reinforced during orthodontic treatment.
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It is imperative to brush your teeth after each meal, paying particular attention between the gums and the brackets.
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Insufficient brushing can lead to gingivitis or demineralization of the enamel.
What to brush with?
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A manual toothbrush with soft bristles is sufficient.
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An electric brush is also compatible with an orthodontic appliance.
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In addition: interdental brushes, water flosser, orthodontic dental floss.
💡 Use fluoride toothpaste to strengthen enamel and prevent cavities.
Precautions and Dental Hygiene
Dr Pascale MALKA
Practical Information
First consultation
The first consultation allows us to assess the situation and discuss the different treatment options.
It is non-binding.
→ A complete orthodontic assessment is then carried out.
→ A detailed quote will be given to you for your mutual insurance company before starting any treatment.
Cost & Reimbursement
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The cost depends on several factors: type of device, duration of treatment, complexity of the case.
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Treatments started before the 16th birthday are partially reimbursed by Social Security.
Accessibility
The office complies with PMR standards and is accessible to people with reduced mobility.
