UPDATE: We’ve relocated our Silver Spring office across the street onto Randolph Road.

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Orthodontic Emergency Care

While orthodontic treatment is generally smooth and predictable, occasional issues can arise. We’re here to support you through any unexpected discomfort or appliance-related concerns. 

Please call: (301) 236-0600

Orthodontic emergencies usually fall into two main categories: issues with appliances and direct injuries to the mouth or teeth. Here’s what to do if either happens to you or your child.

Appliance-Related Orthodontic Emergencies

Sometimes, braces or other orthodontic appliances may become loose, bent, or broken during treatment. If this happens, don’t panic, many problems can be managed temporarily at home until we can see you.

Common appliance issues and at-home tips:

  • Irritating tie wires: Use orthodontic wax to cover the sharp end or gently tuck the wire under the archwire using a pencil eraser or a clean cotton swab.

  • Loose bands or brackets: These can usually remain in place until your appointment. Call our office when you notice a loose band or bracket, and we’ll schedule a time to reattach or adjust the appliance if needed.

  • Poking or broken archwires: Try bending the wire in with a pencil eraser or carefully trimming it with clean nail clippers. Call our office if the issue continues or if you’re unsure.

Injuries to the Mouth or Teeth

If you or your child experiences a direct injury to the mouth or teeth, whether or not you’re currently in orthodontic treatment, follow these steps:

  • Apply ice to the injured area immediately to reduce swelling.

  • Contact your general dentist as soon as possible. An X-ray may be needed to assess the extent of the injury.

  • If a tooth has been displaced, fractured, or knocked out, your dentist should be your first point of contact. These injuries may require materials that our office does not provide.

Once the injury has been stabilized, call our office. If your orthodontic appliances have been dislodged or damaged, we’ll schedule a time to repair or replace them as needed, based on your comfort level and clinical needs.

After-Hours Orthodontic Emergencies

If a problem arises after regular hours and is causing significant pain or discomfort, please call our office at (301) 236-0600. Our voicemail system will provide instructions on whom to contact and how to get further assistance.

Your comfort and safety are our priority. If you’re unsure whether your situation qualifies as an emergency, don’t hesitate to reach out—we’re always here to help.