Loose Bracket

If a bracket becomes loose and is not causing discomfort, you can leave it alone and contact the office to schedule a repair.

If it comes off completely, it can be discarded.

Poking Wire

If a wire is irritating your cheek, first place orthodontic wax over the area.

If the wire is still bothersome, you can try gently pushing it back into place using the eraser end of a pencil.

If you are unable to reposition it and cannot come into the office promptly, you may carefully trim the wire using clean cuticle cutters, clipping it flush to the nearest securely attached bracket. After trimming, place wax over the area if needed for comfort.

Please contact the office so we can properly adjust the appliance.

Loose Expander

If an expander becomes loose or feels unstable, please contact the office as soon as possible. Expanders should not be adjusted at home and will need to be evaluated and secured in the office.

Clear Aligner Issues

If you lose or damage an aligner, move forward to the next aligner in your series.

Wear the next aligner for the full number of days that were remaining on the previous aligner, plus its normal wear time.

Please contact the office so we can confirm the best plan moving forward.

If an aligner feels significantly off or uncomfortable, call for guidance before proceeding.

When to Call Immediately

Contact us promptly if you experience:

• Significant swelling
• Trauma to the teeth or jaw
• Severe or worsening pain
• A broken appliance causing injury

If you are ever unsure, it is always appropriate to reach out.