Emergency Instructions

From time to time during orthodontic treatment your orthodontic appliances can become loose or broken. It is most likely not an emergency & can wait until our next business day to be fixed. In the meantime, you can find temporary solutions to common braces issues & we have listed the most common below for your review. This form has been adapted from the American Association of Orthodontists: Handling Orthodontic Emergencies form.

Soreness From Braces

It is normal to have a little discomfort for a day or two after your braces are put on or after your adjustment appointments. We recommend eating soft foods for a couple of days & taking Advil as needed until the soreness has subside.

Mouth Sores From Braces

With traditional braces you may experience a few mouth sores from time to time. These sores are usually on the inside of the cheeks, or on the lips. We recommend applying wax to the bracket area where the sore is located & to apply a topical anesthetic like Orabase or Ora-Gel directly to the sore itself.

Loosing or Breaking an “O-Tie” or Ligature

Tiny rubber bands known as “o-ties” or small, fine wires, known as ligatures, hold the wire to the bracket. If a o-tie should come off, you may be able to put it back in place using a pair of tweezers, and simply wrap the o-tie back around your bracket. If a wire ligature comes loose, simply remove it with sterile tweezers. If the wire ligature is stick- ing out but is not loose, it may be bent back down with a Q-tip or pencil eraser to eliminate the irritation. If your o-tie breaks completely don’t worry, just give us a call and we will get you in as soon as possible to replace the o-tie.

Loose or Broken Bracket

If a bracket becomes loose or broken it will stay attached to your wire and will just slide around from side to side. You can help hold the bracket in place with wax if it is causing you any discomfort. If your bracket becomes unattached to your wire we ask that you attempt to save your bracket and bring it in to your next appointment. Please do not throw it away. Give us a call and we will get you in as soon as possible where Dr. Krieger can bond your bracket back on.

Loose Wire

The arch wire of your braces fits in the little “hallway” of each of your bracket. In the back of your mouth your wire will fit inside the little tube of your very back bracket. Your wire can pop out from time to time from the very back bracket that has the tube. If it does you can simply take a pair of tweezers, grip your wire and slide the wire back in to the slot of your very back bracket. If you are unable to do this & your wire is causing you discomfort you can take a pair of nail clippers and clip your wire shorter where it is no longer causing you discomfort. Just be careful not to get too close to your next bracket as you may break this bracket unintentionally when attempting to clip to your wire with nail clippers.

Pokey Wire

Your arch wire can slide from side to side in your mouth. From time to time your wire can slide all the way to one side of your mouth.This can cause the wire to feel as though it is too long and poking you. If this happens all you need to do is take a pair of tweezers, grip your wire and slide the wire back the other side of your mouth where the wire is not poking you.

Loose Expander

If your expander becomes loose, call us as soon as possible, and DO NOT TURN OR ACTIVATE IT until you have your expander re-bonded by our office. In the mean time you can simply push the expander back on to your tooth until you are able to come in to our office.

Lost Spacer

If a spacer pops out before you are suppose to see us for your next appointment, please contact our office to let us know. We will get you in 2-3 days before your next appointment to replace the spacer to ensure we have enough space to work with at your next appointment. If you do not notify us that you have lost a spacer before your next appointment, we may be unable to place your band(s) or appliance(s) in that day due to the lack of space and will have to reschedule you for another week from that day.

Swallowing Appliances

Swallowing your braces or appliances is extremely rare during orthodontic treatment, but can happen. If you do swallow one of your braces or appliance please contact us immediately to let us know. Fortunately, the braces and rubber bands used during your treatment are so small that the patient is usually able to pass them without any difficulty.

Invisalign Missing Attachment

If a attachment becomes broken it will just detach from your tooth. Give us a call and we will get you in as soon as possible where Dr. Krieger can bond your attachment back on. It is important that you do NOT continue to change your trays until we rebond your attachment. We ask that you simply wear your current tray full time until you come in for your appointment.

Invisalign Missing or Broken Tray

If you break or misplace one of your Invisalign aligner trays, we can sometimes continue treatment without having to replace the tray you broke or lost. Please give us a call and we will instruct you on the next steps to take.


Please contact our office at 972-899-1465 or info@kriegerorthodontics.com should you need any kind of orthodontic repair & we will get you in as soon as possible. Please note emergency appointments are unable to be performed before or after school as it is unfair to our regularly scheduled patients to have their appointments affected by an “add-in” emergency. However, if this is an emergency & you have experienced serious trauma or are in extreme discomfort that can not wait, than text us at 954-980-7877 and our dental assistant on duty will return your message as soon as possible. Thank you & we hope you are enjoying your new life with braces!