Loose or broken bracket
The bracket has come unbonded from the tooth, often after biting something too hard. If it's still attached to the wire, leave it alone - don't pull it off. Cover any sharp edge with orthodontic wax. Call Stellar and we'll book a repair visit within a few business days.
If the bracket has come completely off, save it in a small container (a contact lens case works) and bring it to the repair appointment.
Poking or displaced wire
The wire has shifted and is now poking the inside of the cheek or lip. First defense: orthodontic wax (provided at your braces placement). Roll a small ball of wax and press it over the end of the wire to form a soft buffer.
If the wax won't hold or the wire is severely displaced, call Stellar. A temporary at-home fix: a clean pencil eraser can gently push the wire away from the cheek - do not bend the wire with metal tools.
Lost or broken retainer
Call Stellar as soon as you realize it's gone. Wearing retainers consistently is what keeps your smile from relapsing. A long gap can let teeth start shifting back toward their pre-treatment positions.
We can usually fit you in for new retainer impressions within a few days. Replacement retainers are typically a private-pay flat rate. Lost retainer for a Medicaid patient still in active retention? Call us - we walk through the options.
Lost Invisalign aligner
Not an emergency. Call Stellar - depending on where you are in the tray sequence, we'll either advance you to the next tray early or order a replacement. Invisalign Teen patients have replacement aligners included in the package, so the lost-tray cost is built into your treatment plan.
In the meantime, wear your previous tray (the one before the lost one) to keep your teeth in their current position until you can resume.
Severe soreness after an adjustment
Some soreness for 2 to 3 days after a wire change or adjustment is normal - especially in the first few months of treatment. Over-the-counter pain relief, soft foods, and saltwater rinses handle most of it.
Soreness lasting longer than a week, or pain that's severe and localized to a single tooth, warrants a call. We can examine the area at the closest Stellar office.
Knocked-out or chipped tooth
Knocked-out permanent tooth is a true emergency. If possible, place the tooth back in the socket and go to the nearest emergency room or your general dentist immediately. If you can't reposition it, transport the tooth in milk or saliva.
Once you're stable, call Stellar to coordinate any orthodontic adjustments needed around the injury.