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      • Types Of Appliances
      • Appliance Instructions
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Emergency Care

Home » Orthodontics » Emergency Care
  • Cassinelli, Shanker & Associates Orthodontics
  • June 27, 2021

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that’s sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

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 to your treatment plan.

General Soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chew. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!

Headgear

Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it’s worn, so be sure you get in the prescribed number of hours.

Loose Appliance

If your appliance is poking you, place wax on the offending part.

Loose Bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.

Loose Wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with 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 the end of the wire is still sharp place wax on it.

Poking Wire

Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.

Patient testimonials

Watch the Success Stories

We’re not just putting on braces or clear aligners. We’re adding value to people’s lives. Check out some of these life-changing stories below.

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patient REviews

Our 5-Star Patient Experience

We recognize that all our patients are unique and deserve to receive orthodontic care that reflects their individual needs. We are committed to working with you and your family to create a comfortable, stress-free, and rewarding orthodontic experience every time you visit.

Grace C.
Everyone in the office has been professional and Bev at the front desk is exceptional. I sat with my son during treatment thinking about how she is above and beyond wonderful. I am grateful for her attention to detail, consideration of my circumstances, communication across the team of personnel to make sure I had what I wanted and all of it infused with kindness.
Response from the owner:Your comments are so sweet. We are so glad that you've had a wonderful experience. We strive to provide excellent service and care to each of our patients!
Shanti H.
Just started the orthodontic procedure. The experience is excellent and the cost is reasonable
Response from the owner:Thank you. We are happy to be able to help you get the smile you want 😀
Sarah H.
This orthodontic team has been absolutely wonderful! Highly recommend for your orthodontic needs!
Response from the owner:Thank you, Sarah! We're thrilled to hear that you had a wonderful experience with our team. Your recommendation means a lot to us!
Triplets2010
All 3 of my children have gone here for a couple of years and they are amazing! Great customer service, top notch orthodontic care!
Response from the owner:Thank you for the 5-star review! We are so happy to hear you had a great experience with our staff and doctors. We love creating beautiful smiles!
Ashley P.
Very clean office. The staff was prepared for our visit, like having a new patient name board and plenty to do in the waiting room for littles. Staff was friendly and facility was very neat. We enjoyed our visit and didn't feel pressured to buy any treatment options.
Response from the owner:So glad you enjoyed your visit, and thank you for the wonderful review.
Jamie I.
Our daughter and son were patients several years ago. And now another daughter is a new patient with the office. We have had a great experience. Friendly and professional staff. Great communicators. Reasonably priced! Clean and warm environment. Highly recommend!
Response from the owner:Thank you for your review. It is our pleasure to provide excellent care for your family. We are so glad you chose our office again.
Valerie A.
My experience for my consultation was an experience that I’ve never had before. From the moment I arrived for my visit, until I was done, the staff was great and made me feel very comfortable. Thank you so much for such a wonderful experience!
Response from the owner:So happy to hear this. Thanks for the great review.
David B.
Friendly, knowledgeable, and professional. Office was immaculate. Great experience!
Response from the owner:Thanks. Appreciate the compliments!
Tasha F.
I wish I could give more than five stars! I truly enjoyed being a patient at Cassinelli, Shanker & Associates. Being able to go through this process with both of my sons made it even more special. The staff knew us by name and made us feel welcome at every appointment. I couldn’t recommend a better place to get braces 😁
Response from the owner:Thank you so much for the great review! It has been our pleasure treating your family. We have the best doctors and staff and love what we do!
Slice S.
Adult Invisalign, a 16 month process, I’m so glad I did it! Organized, we’ll communicated process and my providers were all amazing!
Response from the owner:Thank you so much for the 5-star review! We love what we do. It has been our pleasure having you as our patient!
Christin M.
They are such a phenomenal practice with caring and attentive staff! The orthodontists are knowledgeable and kind! We have had such a positive experience working with them!
Response from the owner:Thank you for the 5-star review! We have 4 of the best orthodontists and an amazing team. We are so happy to hear you agree!
Elisa C.
My experience I had with this office was excellent. They went over and beyond to make sure my child was comfortable was OK nothing was hurting her. I will always recommend you take your child to this dentist office for any dental work done on your children.
Response from the owner:Thank you so much for your kind words and 5-star review! We pride ourselves in offering the highest quality in patient care and customer satisfaction. It has been our please treating your daughter.
melissa D.
Super nice staff! I was in and out of there with all my questions answered. I get my Invisalign put in in two weeks and I am very excited.
Response from the owner:Thank you so much! We are so happy to join you on your journey to a new beautiful smile!
Crystal D.
We have been extremely happy with the level of care our daughter has received. Everyone in the office is friendly and knowledgeable. Our time in the office was quick and efficient. They estimated the length of her treatment plan to be 18 months and she finished a full six months early. We highly recommend Cassinelli and Shanker to anyone entering the orthodontics phase.
Response from the owner:Thank you for your feedback and excellent review! We love hearing you had a great experience. Your daughter was a star patient and it has been our pleasure treating her.
Kiersten G.
Friendly staff, easy experience. Went in for my 8 year old who is not losing baby teeth and has no room for any that can come in. Dr. set out a clear plan for the near future and things that may be farther out.
Response from the owner:Thank you for your 5-star review! We value patient relationships and are confident we have the best orthodontists in the city!
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West Chester Township

Blue Ash

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