Orthodontic Emergency Care
Even with the best care, unexpected issues can happen during orthodontic treatment. Whether it’s a loose bracket, a poking wire, or an injury to the mouth, our team at Lafayette Orthodontics is here to help you manage the situation quickly and safely.
Orthodontic emergencies generally fall into two categories:
Appliance-related issues
Injuries to the mouth, teeth, or gums
What to Do If Something Breaks or Feels Off
Sometimes, braces or other orthodontic devices may become bent, loose, or irritating. If you experience any of the following—loose bands or brackets, broken wires, or ill-fitting appliances—please call our office during business hours to schedule an appointment. If it’s after hours, you can leave a message, and we will return your call on the next business day to arrange a time for your visit. For everyone’s convenience, we’re unable to accommodate walk-ins for repairs.
Until you are able to be scheduled, here’s how you can ease discomfort at home:
Wax is your best friend: Apply orthodontic wax (provided in your starter kit) over sharp or irritating areas. If you’re out, similar wax can be found at most pharmacies—check the dental or ear care sections.
Adjust gently: You can try to nudge a poking wire back into place using a pencil eraser or a cotton swab.
Monitor the issue: If there’s no pain, most appliance issues can safely wait until your scheduled visit. Still, contact us promptly so we can reserve time for a proper repair.
If it’s after hours and you notice something is off but it’s not painful, feel free to leave us a voicemail—we’ll follow up as soon as the office reopens to schedule your visit.
When to Call Right Away
If your braces or appliances are causing severe pain or disrupting your ability to eat, sleep, or function, call us immediately. If this occurs after hours or on a weekend, follow the voicemail prompts on our main line at (925) 283-1921. Your call will be forwarded to Dr. Seth Osterman, a clinical team member, or a covering doctor.
If you’re routed to voicemail, please leave your full name, the patient’s name, and a contact number so we can return your call as soon as possible.
Need guidance right now?
Watch our Orthodontic Emergency Care video on YouTube for tips on handling issues at home.
Injuries to the Mouth or Teeth
If a direct injury—such as a fall, impact, or sports-related accident—affects your mouth or teeth, start by applying ice to reduce swelling. Then, contact your general dentist right away. They’ll likely need to take X-rays and assess the damage.
In cases of:
Knocked-out or displaced teeth
Chipped or fractured teeth
Always see your dentist first. Your general dentist is equipped with the proper materials and anesthesia for these situations. Once you’ve received the necessary dental care, we’ll work with you to adjust or replace any orthodontic appliances affected by the injury.
After-Hours Emergencies
If you experience a true orthodontic emergency outside of office hours and you’re in significant discomfort:
Call our office at (925) 283-1921
Follow the prompts for emergency support
If routed to voicemail, leave your name, the patient’s name, and your phone number
Your call will be forwarded to someone on call for our office, and they’ll get back to you as soon as possible.
Not Sure It’s an Emergency?
If you’re ever unsure whether a situation requires immediate care, we encourage you to call our office for guidance. We’re always happy to help you protect your smile and keep treatment on track.