810 W. Wackerly, Midland, MI 48640

After Hours Care

True orthodontic emergencies are very rare, but when they do occur we are available. As a general rule, you should call the office at (989) 631-9860 when you experience significant pain or when you have an appliance problem that you can’t take care of yourself. If at all possible, call first before coming to the office. If you do that, we will try hard to schedule the appointment with enough time to also do your next routine appointment thereby saving you the added trip. Sometimes it is easier to try and fix the problem yourself rather than to make a trip to the office. Again, we are always happy to see you but the solutions listed below might be an option for you. When working with your appliances, it is helpful to know the names of the parts so you are able to identify what part is broken or out of place. After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions in your treatment plan that could cause your treatment to take longer. The following solutions may help you relieve your discomfort:

CLICK HERE to see how to handle some orthodontic situations.

Poking Wire
Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

Loose Bracket or Band
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the band or brace comes out entirely, wrap the bracket with a tissue and bring it with you to your appointment.

Loose Wire
Using tweezers, try to place your wire back into place. If doing this and using wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

Loose Appliance
If your appliance is poking, place wax on the offending part of your appliance.

General Soreness
General soreness – When you first get your braces or Invisalign trays 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 warm salt water. Dissolve one teaspoon of salt in 8oz. of warm water and rinse your mouth vigorously. If the tenderness is severe, take ibuprophen or acetaminophen, or whatever you normally take for a headache or similar pain following manufacturer's instructions. Some patients that have a low tolerance for the discomfort that occurs after appliance adjustments may want to an over-the-counter pain medication like ibuprofen or acetaminophen one hour before appointments, or after appointments according to manufacturer’s directions. This will help a great deal in preventing general discomfort or soreness.

Attachment off – If one of your invisalign attachments comes off, please contact our office immediately to schedule an appointment to have the attachment replaced
Lost tray – Should you lose a tray, skip to the next aligner and wear that aligner for two weeks.
Rough or sharp aligner edge – Many times a rough or sharp aligner edge can be adjusted by patients using an emery board. If you are not able to adjust the irritating aligner edge so that the aligner can be worn comfortably, call the office to schedule an appointment and bring all future aligners to that visit.

Emergency coverage
If you need to contact us on a weekend or on an office closed day, please call our office number at (989) 631-9860 and choose option 4. You may also dial our emergency phone directly at (989)600-9768. You will then be connected with one of our orthodontic assistants. Please note that our emergency call phone is answered only on days the office is closed between the hours of 9:00 am and 4:00 pm. Messages left after these hours will be returned the next day. This service is only available to patients of record. Thank you.