Patient Care Instructions

We are excited for you to start your orthodontic journey with us! We know our team reviewed a lot of information at your delivery appointment. Below are instructions for a successful treatment, keeping your appliances and teeth healthy and clean. Should you have any questions during your treatment, please don't hesitate to contact our office by phone, text, or email. We are here to help you every step of the way!


Click on the Links to watch helpful videos:

Meet our Treatment Coordinators

        Braces, Appliances & Retainers


Braces Care video 

Invisalign Care Video

RPE (Expander) Instructions & Care:

Video, PDF

Top 10 Tips for Using Invisalign

My Invisalign App Video

Rubber Bands (Elastics) Instructions (PDF)

Virtual Care Photos Instructions video

Retainer Instructions & Care video 

Start Your Virtual Retainer Appointment Here

Invisalign Patient Referrals video

Ortho Bucks video

Whitening Instructions

Emergency Care

True orthodontic emergencies are rare, but we are available when they occur. 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 issue.

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 have the issue repaired. Allowing your appliance to remain damaged for an extended period of time may disrupt your treatment plan.


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 typically take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) slow tooth movement; using them frequently while wearing braces is not advisable.

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!


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 wear it for the prescribed number of hours.


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


If your bracket or band is still attached to the wire, leave it in place and put wax on it 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.


Try to put your wire back into place using a pair of tweezers or needle-nosed pliers. 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.


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