and Emergencies

What to do in Case of an Emergency

Call our office as soon as possible if you break or lose any of your appliances. Please do not come directly to the office - rather call us immediately. This will allow us to create a time to see you even if you have a regular appointment scheduled.


Taking Action

There are very few true orthodontic emergencies; most problems can be remedied at home. However, if you have a situation that you cannot resolve on your own, and is causing you pain and inability to eat or speak, please call us as soon as possible, so we can fit you in for a repair appointment. In the meantime, the information below can help resolve minor problems you may encounter during your orthodontic treatment.

  • Discomfort With Orthodontic Treatment

    During the first week after your braces are in place and routine adjustments are complete, you will likely feel some pain, soreness or discomfort when biting down. If your medical history allows it, you may take acetaminophen or other non-aspirin pain relievers while you adjust to your new braces. Chewing gently on sugarless gum a few minutes a day can help to promote blood circulation in the area and reduce the pain.

  • Wire Irritation

    If your braces cause irritation, try moving the wire away from the irritated area with a cotton swab or eraser. If the wire will not move, try covering the end of it with a small pieces of cotton, a small amount of wax or sugarless gum. If the wire is painful, you can cut it with nail clippers or scissors that have been washed and sterilized in alcohol.

  • Loose Bracket

    If the main wire or a bracket comes loose… First call our office to see if the bracket needs to be re-fitted. If you have a situation where you must cut the wire or slide a bracket off the wire, you may use fingernail clippers that have been washed and sterilized in alcohol. Please call our office on the next business day to schedule a repair appointment.

  • Lost Separator

    If a separator comes out; call our office to see if it needs to be replaced. Some patients may lose a separator during treatment; this is common and can be addressed relatively easily.

  • Lost Retainer

    In the event that you've lost your retainer, call our office immediately so that an appointment can be scheduled to fit a replacement retainer. If this is not addressed quickly; your teeth could relapse.

  • Broken Retainer

    If your retainer breaks, try to continue to wear it at night until you can be fitted for a new one. This will ensure that your smile stays as beautiful as the day your braces were removed.

  • Broken Bonded Retainer

    If your bonded retainer feels different or breaks, please call our office and schedule a retainer check. If you have a "clear retainer," please wear it over the bonded retainer until you can have it repaired at our office.

  • Lost Invisalign® Aligner

    If you have lost a set of your aligners, try on the next set and wear as instructed plus the additional days you may have missed from the previous set. If you do not have any more aligners, please wear your previous set until you can visit our office for the next set.

  • Missing Color From a Bracket

    Sometimes, a colored o-tie can come off of a bracket. Do not worry! We use top-of-the-line, self-litigating brackets to ensure your teeth will not move incorrectly. You do not need to schedule an emergency appointment to have the color replaced.

Emergency Line

For emergencies outside of normal business hours, call our office at +1.210.690.0662 and choose option 2 to reach our emergency line.


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