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Emergencies

In case of an emergency please follow the instructions by clicking on the type of brace that you have below. If you need to contact us about the problem or need to be seen:

During office hours

Please call the office at which you are having treatment. Click here for details.

After hours

Please call only in case of an URGENT EMERGENCY (i.e. pain that cannot be treated with a painkiller- not just a broken brace).

NHS patients

Herrtfordshire: 03000 333 224

Berkshire: 03000 243 251

Private patients

Maidenhead: 07868 746 228

St Albans: 07868 746 228

Watford: 07868 746 228

Welwyn Garden City: 07868 746 228

Ceramic Braces

1. A square or band is loose or missing

If a square (bracket) or band (metal ring) is loose remove it if you can. Place wax, BraceEze or soft sugar-free gum over if it irritates the mouth, and clean well around it. Call us during office hours to book an appointment for a repair.

2. The wire is sharp, has come out, or is broken

Place wax, BraceEze, or soft sugar-free gum over any poking sharp end. If this doesn’t help and you can, gently pull a broken wire out. Call to book an appointment for a repair.

3. Getting an ulcer

Place wax, BraceEze, or soft sugar-free gum over any part of the brace that is causing the irritation. If this doesn’t help call for an appointment. In the meantime rinse the area twice daily using an antiseptic mouthwash such as Corsodyl.

4. Painful or loose teeth

It is normal to experience sore teeth during the treatment. It is also normal that the teeth become loose- it’s the only way that they will move. Teeth will usually be tender for about a week after each visit to adjust the brace.

Take a painkiller to help and continue to chew as normal. If you have severe pain and more than a week has gone by- please contact us for an appointment.

5. Pain when wearing elastic rubber bands

Wearing elastics will cause sore teeth when you start wearing them. Once the teeth begin to move, this soreness will go away (after around 3-4 days). Continue to wear the rubber bands during this initial period of soreness and take pain killers if necessary. If you have severe pain and more than a week has gone by- please contact us for an appointment.

6. Missing modules

Modules are the clear elastic ties that are placed around the brackets of your braces. a tooth can move away from the wire if a module is missing. Call us during office hours to book an appointment to replace the missing modules.

7. Gaps are appearing between the teeth

It is normal for gaps to appear between your teeth during the treatment. We will close these gaps before the end of your treatment.

Functional Appliances

1. The appliance is lost

Call us for an appointment. A new impression will be taken and we would fit a replacement within two weeks. A charge will apply.

2. The appliance is broken

Please call for an appointment. If the appliance can be repaired, an impression will be taken with the appliance in the mouth. We would normally fit the repaired appliance within a week. If it cannot be repaired an impression will be taken for a new one and a charge will apply.

3. The appliance does not fit

Call for an appointment. If we cannot make it fit because you haven’t been wearing it as instructed, then it will have to be replaced and a charge will apply.

4. Getting pain

It is normal to experience some pain when first wearing the appliance. The pain will go away after a few days if you continue wearing it and a painkiller will help. Call for an appointment if the pain continues more than a week.

The pain will go away if you stop wearing the appliance for long periods. However, the teeth will not straighten, and the appliance may not fit later.

5. Getting an ulcer

If you experience an irritation from a sharp wire place wax, BraceEze, or soft sugar-free gum. Call for an appointment.

If the ulcer is the result of pressure from the appliance on the gum then stop wearing it and call us for an appointment. Please wear the appliance the day before coming in to see us. An antiseptic mouthrinse twice-daily will help in the meantime.

Invisalign

1. An aligner is broken or lost

Try to wear the next aligner in the series if you have it. Use your aligner-chew to press it into position. If it does not appear to fit then wear the previous aligner in the series.

Book an appointment to see us as soon as possible so that we can check. If we have to replace the missing aligner a charge may apply.

2. An aligner does not fit or is too tight

Try and wear the previous aligner an extra week. Thereafter, try to wear the next aligner again. Book an appointment to see us if the issue persists.

3. Lost aligners

Contact us for an appointment. We will need to order replacements if you have lost a number of aligners. A fee may apply.

4. An attachment has come off a tooth

Attachments are made from tooth-colored material that is glued to the teeth. Please contact us for an appointment to replace the missing attachment. Continue to wear your current aligner in the meantime.

Please remember

  • Book an appointment to see us during office hours.
  • Bring all of your aligners to us at every visit.


Lingual Braces

1. A square is loose or missing

If a square (bracket) is loose remove it if you can. Place wax, BraceEze or soft sugar-free gum over if it irritates the mouth, and clean well around it. Call us during office hours to book an appointment for a repair.

Please keep the bracket and bring it in with you!

2. The wire is sharp, has come out, or is broken

Place wax, BraceEze, or soft sugar-free gum over any poking sharp end. If this doesn’t help and you can, gently pull a broken wire out. Call to book an appointment for a repair.

3. Getting an ulcer

Place wax, BraceEze, or soft sugar-free gum over any part of the brace that is causing the irritation. If this doesn’t help call for us for an appointment. In the meantime, rinse twice-daily using an antiseptic mouthrinse such as Corsodyl.

4. Painful or loose teeth

It is normal to experience sore teeth during the treatment. It is also normal that the teeth become loose- it’s the only way that they will move. Teeth will usually be tender for about a week after each visit to adjust the brace.

Take a painkiller to help and continue to chew as normal. If you have severe pain and more than a week has gone by- please contact us for an appointment

5. Pain when wearing elastic rubber bands

Wearing elastics will cause sore teeth when you start wearing them. Once the teeth begin to move, this soreness will go away (after around 3-4 days). Continue to wear the rubber bands during this initial period of soreness and take pain killers if necessary. If you have severe pain and more than a week has gone by- please contact us for an appointment.

6. Missing modules

Modules are the silver ties that are placed around the brackets of your braces. a tooth can move away from the wire if a module is missing. Call us during office hours to book an appointment to replace the missing modules.

7. Gaps are appearing between the teeth

It is normal for gaps to appear between your teeth during the treatment. We will close these gaps before the end of your treatment.

Metal Braces

1. A square or band is loose or missing

If a square (bracket)  or band (metal ring) is loose remove it if you can. Place wax, BraceEze or soft sugar-free gum over if it irritates the mouth, and clean well around it. Call us during office hours to book an appointment for a repair.

2. The wire is sharp, has come out, or is broken

Place wax, BraceEze, or soft sugar-free gum over any poking sharp end.  If this doesn’t help and you can, gently pull a broken wire out. Call to book an appointment for a repair.

3. Getting an ulcer

Place wax, BraceEze, or soft sugar-free gum over any part of the brace that is causing the irritation. If this doesn’t help call for us for an appointment. In the meantime, rinse twice-daily using an antiseptic mouthrinse such as Corsodyl.

4. Painful or loose teeth

It is normal to experience sore teeth during the treatment. It is also normal that the teeth become loose- it’s the only way that they will move. Teeth will usually be tender for about a week after each visit to adjust the brace.

Take a painkiller to help and continue to chew as normal. If you have severe pain and more than a week has gone by- please contact us for an appointment.

5. Pain when wearing elastic rubber bands

Wearing elastics will cause sore teeth when you start wearing them. Once the teeth begin to move, this soreness will go away (after around 3-4 days). Continue to wear the rubber bands during this initial period of soreness and take pain killers if necessary. If you have severe pain and more than a week has gone by- please contact us for an appointment.

6. Missing modules

Modules are the silver or coloured elastic ties that are placed around the brackets of your braces. a tooth can move away from the wire if a module is missing. Call us during office hours to book an appointment to replace the missing modules.

7. Gaps are appearing between the teeth

It is normal for gaps to appear between your teeth during the treatment. We will close these gaps before the end of your treatment.


Micro Implants

1. An implant appears to be loose

Avoid moving the implant with your finger or tongue. Call us for an appointment.

2. The gum is swollen around the implant

Clean gently and carefully around the implant. Rinse your mouth twice-daily with an antiseptic mouthrinse such as Corsodyl. Call us for an appointment.

3. Getting an ulcer on the cheek or lip

Place wax, BraceEze, or soft sugar-free gum over the implant. Rinse your mouth twice-daily with an antiseptic mouthrinse such as Corsodyl. Call us for an appointment.

4. The implant has fallen out

Rinse your mouth twice-daily with an antiseptic mouthrinse such as Corsodyl and call us for an appointment.


Mouthguards

The Mouthguard is loose, does not fit well, or causes ulcers

Come in with your mouthguard and we will try to adjust it.

Do not

Try to place it in boiling water.
Try to adjust it yourself.
Only a well fitting mouthguard provides adequate protection.


Other Types

1. The appliance is broken or loose

Remove it if you can. Call us to book an appointment for a repair or replacement.

2. A part of the appliance is sharp

Place wax, BraceEze, or soft sugar-free gum over any poking sharp part. Call to book an appointment.

3. Getting an ulcer

Place wax, BraceEze, or soft sugar-free gum over any part that is causing the irritation. If this doesn’t help call for us for an appointment. In the meantime, rinse twice-daily using an antiseptic mouthrinse such as Corsodyl.

4. Painful or loose teeth

It is normal to experience sore teeth during the treatment. It is also normal that the teeth become loose- it’s the only way that they will move.

Take a painkiller to help and continue to chew as normal. If you have severe pain and more than a week has gone by- please contact us for an appointment.

5. Injury from a Headgear

We consider any injury to the face an urgent emergency that requires immediate attention and possibly antibiotics. If the injury is to an eye please make your way to A&E immediately.


Pendulum Appliance

1. A part is loose or broken

Call us to book an appointment for a repair or replacement. A charge may apply.

2. A part is sharp

Place wax, BraceEze, or soft sugar-free gum over any poking sharp end. Call to book an appointment.

3. Getting an ulcer in the roof of the mouth

Call us for an appointment. In the meantime, rinse twice-daily using an antiseptic mouthrinse such as Corsodyl.

4. Painful or loose teeth

It is normal to experience sore teeth during the treatment. It is also normal that the teeth become loose- it’s the only way that they will move. Teeth will usually be tender for about a week after each visit to adjust the appliance.

Take a painkiller to help and continue to chew as normal. If you have severe pain and more than a week has gone by- please contact us for an appointment.


Retainers

1. A removable retainer is lost

Call for an appointment. A new impression will be taken and we will fit a replacement within a week. A charge will apply.

2. A removable retainer is broken

Please call for an appointment. An impression will be taken with the retainer in the mouth, if the retainer can be repaired, . We will fit the repaired appliance within a week. An impression will be taken for a new one if it cannot be repaired and a charge will apply.

3. The removable retainer does not fit

Call for an appointment. If we cannot make it fit because you haven’t been wearing it as instructed, then it will have to be replaced and a charge will apply.

4. A fixed retainer is broken

Call for an appointment to have the retainer replaced or repaired . A charge may apply. Continue wearing your removable retainer in the meantime.