Wondering about a broken bracket and what to do next? Start here. Almost everything below can be handled calmly at home first — then call us, not the ER.
Broken or poking bracket / wire
A bracket comes loose or a wire end pokes your cheek. At home: cover the spot with wax; a poking wire can be gently nudged flat with a clean pencil eraser. If a long wire end truly won't stay covered, clean nail clippers can snip it as a last resort.
Call us within a day or two — usually a quick repair, not a crisis.
Lost or broken retainer / aligner
At home: go back to your most recent set that fits — previous aligner or old retainer — and wear it full-time so teeth don't drift while we make a replacement.
Call the same week. Teeth move fastest in the first days after something stops holding them.
Loose band or appliance
An expander, band, or other appliance feels wiggly. At home: leave it in place if it's not causing pain; save any piece that comes out completely and bring it with you.
Call us — we'll tell you whether it needs to be seen soon or can wait for your next visit.
Mouth sores or irritation
Normal in the first weeks and after adjustments. At home: warm salt-water rinses, wax over the rough spot, and a soft-food day or two. Over-the-counter pain relief is fine.
Can usually wait for your next visit — call if a sore isn't healing after two weeks.
Severe pain, swelling, or injury
Significant swelling, fever, a blow to the mouth, or a knocked-loose tooth is different — that's a dental emergency, not a braces problem.
Call us immediately — day of. If there's facial swelling affecting breathing or swallowing, go to the ER first, then call us.
Aligner won't fit after a missed day
At home: don't force a tray that won't seat. Step back to the previous aligner, wear it full-time for 2–3 days, then retry. Aligner "chewies" help it seat fully.
If it still won't fit after a few days, call — never skip ahead to the next tray.