Emergency Protocol

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True orthodontic emergencies rarely occur, but when they do, we are there for you. Though we hope that everything goes smoothly throughout, and after, your orthodontic treatment, sometimes they do not. Most problems that arise can easily be addressed at home or during normal office hours. However, some issues are more urgent and the emergency phone number (646-645-5446) should be called. Please read below to see what to do.

PAINFUL SWELLING OF THE FACE OR GUMS - Call the emergency #.

LOOSE OR POKING WIRE - Try placing wax on the offending end of the wire or to try and adhere a loose wire to a bracket or band until we can get you into the office. If this does not work, you can use a cuticle cutter to cut the part of the wire that is poking you.

TOOTH DISCOMFORT - After the initial placement of the brackets, as well as after regular adjustments, the teeth will get sore. This discomfort usually only lasts 2-5 days and is mainly when pressure is applied to the teeth such as when eating. Taking medication that you would normally take for a headache such as Acetaminophen (Tylenol), Ibuprofen (Advil) or Naproxen (Aleve) can take the "edge off" until the discomfort goes away. If the general discomfort last longer than one week, please call the office.

LOOSE FIXED RETAINER WIRE - If you have a wire behind your front teeth that is acting as your retainer, and a section of the wire becomes loose from the tooth, DO NOT pull the whole wire out. Instead, try using wax or chewed sugarless gum to stick on top of the offending wire until we can get you into the office to repair it. If this does not work and the wire is severely cutting into your tongue, call the emergency #.

LOOSE BRACKET OR BAND - If a bracket or band on the back molar becomes loose, just leave it alone and call the office during normal business hours and we will set up an appointment to recement. If you are wearing an elastic to this tooth, stop wearing the elastic.

LOST INVISALIGN TRAY OR BUTTON - If you lose your current tray, go back and start wearing the previous tray full time and call the office and we will order you a new tray that was lost. If you had already worn the lost tray for more than 8 days, you can instead go on to the next tray # (if I gave it to you). Just call the office and let us know. If you lose a "button" which is the small piece of bonding placed on the teeth, call us during normal office hours and we will tell you what to do depending on which tray you are on.

REMOVABLE RETAINER DIGGING INTO GUMS - If this happens, stop wearing the retainer and call the office. If we are not in, leave a message and we will return your call and get you in to alleviate the problem.

BROKEN OR LOST RUBBER BAND - If one of the small colored alastics comes off one of the braces, or if you have a power chain (small alastics all connected stretched across the brackets) that breaks, just call the office. It is not a real emergency and most times you do not have to come in until your next normal scheduled appointment.

SPACER FALLS OUT - If you are to get bands placed around the back molars and the small blue circular spacer falls out, let us know. Most of the time it is because there is adequate space created and the lack of tension causes them to fall out. It is not an emergency if you lose a spacer. Just call the office and we will let you know if it needs to be replaced.

HERBST APPLIANCE - If you have a Herbst appliance and you lose the small hollow metal circle that is placed on the lower rod, it is not an emergency. Call the office and we will get you in at some point and replace it. If one of the metal crowns or tubes splits or cracks, then dial the emergency #.

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