Braces 101
Emergency Care
Most braces issues can be handled at home until your next appointment. Here's exactly what to do — and when to call us.
Our Line
800-989-6674
For true orthodontic emergencies, call us at any time. For non-urgent issues, call during business hours and we'll get you in as soon as possible.
Loose or broken bracket
Call within 1–2 days+
Loose or broken bracket
Call within 1–2 daysAt Home
Apply dental wax to cover the bracket and prevent irritation. If the bracket has come completely off the tooth, save it in a small bag and bring it to your appointment.
When to Call Us
Call us within 1–2 business days to schedule a repair. If you're close to your next adjustment, we may combine appointments.
Poking or loose wire
Call within 1–2 days+
Poking or loose wire
Call within 1–2 daysAt Home
Try using the eraser end of a pencil to gently push the wire back into the tube. If the wire is long enough, you can carefully trim it with clean nail clippers. Cover with wax to prevent irritation.
When to Call Us
Call us so we can trim or reposition the wire properly at your earliest convenience.
Wire popped out of the back tube
Call soon+
Wire popped out of the back tube
Call soonAt Home
Use clean tweezers or a cotton swab to try sliding the wire back into the tube at the back molar. If you can't reinsert it, cover the end with wax.
When to Call Us
Call us to have it repositioned — this is a quick fix at the office.
Lost elastic tie (colored ring)
Not urgent+
Lost elastic tie (colored ring)
Not urgentAt Home
The small colored O-ring that holds the wire in the bracket. Missing one or two won't affect treatment significantly in the short term.
When to Call Us
Mention it at your next scheduled adjustment. No need for an emergency visit.
Mouth sores and ulcers
Home care first+
Mouth sores and ulcers
Home care firstAt Home
Rinse with warm salt water (1 tsp salt in 8 oz water) several times a day. Apply dental wax over the irritating bracket. OTC oral anesthetic gel (like Orajel) numbs the area temporarily.
When to Call Us
If sores are severe, spreading, or not healing after a week, give us a call.
Soreness after adjustment
Normal — no call needed+
Soreness after adjustment
Normal — no call neededAt Home
Soreness for 1–4 days after tightening is completely normal and expected. Eat soft foods, use OTC ibuprofen or acetaminophen as directed, and rinse with warm salt water.
When to Call Us
No need to call unless the pain is severe or lasts more than 5 days.
Swallowed a bracket or piece
Call immediately+
Swallowed a bracket or piece
Call immediatelyAt Home
Stay calm — small orthodontic pieces that are swallowed typically pass without harm. Do not induce vomiting.
When to Call Us
Call us right away. If you have any difficulty breathing, go to the ER immediately.
Trauma or injury to the mouth
Seek care immediately+
Trauma or injury to the mouth
Seek care immediatelyAt Home
If a tooth is knocked loose, displaced, or knocked out — or you have significant pain, swelling, or bleeding — this is a dental emergency.
When to Call Us
Call us at 800-989-6674 or go to your nearest urgent care or ER. For a knocked-out permanent tooth, keep it moist (in milk or saliva) and get to a dentist within 30 minutes.
Your Emergency Kit
Keep these items handy throughout your treatment:
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