Emergency care

It is important for our patients to recognize minor orthodontic problems and understand how to solve them until it is convenient to return to our office.

Direct injuries to the mouth or teeth

Following a direct injury to the mouth or teeth, whether undergoing orthodontic care or not, you should be seen by your family dentist as soon as possible. Usually, an x-ray of the involved tooth or teeth is needed to determine the extent of the injury. If a tooth has been fractured or broken, it is best to contact your family dentist first, since we may not have the necessary materials needed to treat these injuries. If orthodontic appliances are dislodged or displaced, we will need to replace or adjust them as soon as possible.

Please call or text our office immediately after seeing your family dentist. If you are unable to reach your family dentist or an alternate emergency facility, call or text our office and we will assist you in locating someone to care for the injury.

Braces: General soreness

When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in your local pharmacy.

If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!

Common problems

Having issues with your braces or orthodontic appliance? See our solutions below. Learn the different ways you can wear your elastics here.


Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. Wear rubber bands as instructed and remember that the rubber bands work far more efficiently if they’re worn as prescribed.

  • Anterior Box

  • Buccal Box

  • Short Buccal Box

  • Class Two

  • Short Class Two: A

  • Short Class Two: B

  • Double Class Two

  • Class Three

  • Double Class Three

  • Triangle

  • Upside/Down Triangle

  • Double Triangle

  • Up/Down

  • Midline

  • N

  • Xbite Anterior Box

  • Xbite Anterior Teeth

  • Xbite With Button on the Lower

  • Xbite with button on the Upper

  • Criss Cross