After Hours Care.
We're still available.
H E L P I S H E R E
True orthodontic emergencies are rare. When they occur we are available to you.
As a general rule, call our office when you experience severe pain or have a painful appliance problem you can't take care of yourself.
Don't worry. We'll be able to schedule an appointment to resolve the problem.
We reserve time in our schedule each day to handle potential emergencies. You might be surprised to learn that you may be able to temporarily solve many problems yourself. For your convenience and the convenience of scheduled patients, it is not possible to handle all emergencies on a walk in basis. In the meantime, here are some helpful hints to remedy some of the problems you may encounter until our office can see you.

If there is a loose bracket, band, wire or appliance that you can remove, put it in a plastic bag 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 inside 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 disrupt your treatment.
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 place Comfort Brace™ or wax on the braces to lessen this. We'll show you how!
Following a direct injury to your mouth or teeth, whether undergoing orthodontic care or not, immediately ice the injured area and you should contact your regular dentist as soon as possible. An x-ray of the involved tooth or teeth will be needed to determine the extent of injury. If a tooth has been displaced, knocked out, or fractured, it's best to contact your family dentist first, since we may not have the necessary materials or anesthesia required to treat these injuries. After you've seen your general dentist and if the appliances are dislodged or displaced, we'll need to replace or adjust the appliances as soon as possible depending upon your comfort level.
Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It's 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 tie. If you can't put the wire into a comfortable position, and covering the end with wax doesn't help - use a small fingernail clipper to clip the wire behind the last tooth to which it's securely fastened. If the end of the wire is still sharp place wax on it.
Using a pencil eraser or cotton swab, push the poking wire down or place wax on it so that it's no longer poking.
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.
If your appliance is poking you, place wax on the offending part.
Hooks bend and brake at times when in use with elastics or bands. Kobayashi Hooks are used to provide an attachment for elastics and can be replaced at your next orthodontic treatment.
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.
Great smile. Great lifestyle. Great benefits for you.
Your Health
With crooked teeth increased dental plaque buildup is common. Bacterial proliferation between teeth increases potential for gum disease and can lead to heart problems. Straight teeth eases hygiene and can improve your health.
Your Success
Your smile is one of the first things people notice when meeting you. A smile is a big part of making a first impression. A smiling face tells people that you’re positive, outgoing and worth getting to know.
Your Relationships
Emotions are contagious. When you smile your brain releases endorphins and serotonin which improves mood and relieves stress. Smiling makes you feel better inside and appear more attractive to others.

"Smile951 has been my family orthodontist for six plus years. Both my boys have beautiful teeth thanks to Dr. Pesh and his team. I have referred many of my friends & family to Smile951 and honestly I wouldn't go anywhere else. Dr. Pesh and his team are always courteous and professional to my boys and I. Seeing as many patients as he does he still makes us feel like we are his only one each time he sits down with us. Thank you for being our family orthodontist."

"My daughter had an amazing experience the entire 2 years with her braces. All the staff was extremely friendly & knowledgeable! Our office visits became appointments my daughter looked forward to and never dreaded! She has a gorgeous smile now that adds to her beauty and is ecstatic with the results!!"

