Emergency orthodontic care in Sunnyvale, CA

Something broken or uncomfortable? Call or text us first

For loose brackets, poking wires, lost aligners, or other orthodontic problems, call or text Keller & Wainwright Orthodontics at (408) 739-4224. We’ll help you determine what to do next and whether you need a visit.

What counts as an orthodontic emergency?

An orthodontic emergency usually involves a problem with your braces, aligners, retainer, or another appliance that is causing discomfort or could interfere with treatment.
Waiting area at Keller & Wainwright Orthodontics in Sunnyvale, CA with family seated
Common orthodontic problems include:
  • Loose or broken brackets
  • Poking or broken wires
  • Lost or damaged aligners
  • Broken retainers
  • Loose orthodontic appliances
  • Irritation from braces
  • Unexpected or persistent discomfort
Most of these situations begin with a call or text to your orthodontic office.

When should you call 911 for emergency medical care?

Some problems need medical or dental emergency care rather than an orthodontic repair appointment.

Seek appropriate emergency care for symptoms such as:

  • Difficulty breathing or swallowing
  • Uncontrolled or significant bleeding
  • Severe facial or jaw trauma
  • A suspected broken jaw
  • Significant swelling affecting breathing or swallowing
  • A knocked-out or severely injured tooth
If you are experiencing a potentially life-threatening emergency, seek emergency medical care.
Reception area at Keller & Wainwright Orthodontics in Sunnyvale, CA with chairs and desk

Common orthodontic problems and what to do

Each orthodontic problem has a different next step.

Loose or broken bracket

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A bracket may loosen after eating something hard or sticky, biting down unexpectedly, or experiencing an impact to the mouth.

If the bracket is still attached to the wire:

  • Leave it in place
  • Avoid pulling or playing with it
  • Avoid hard, sticky, and crunchy foods
  • Use orthodontic wax if it is irritating your cheek
  • Call or text (408) 739-4224

We can tell you whether the bracket should be repaired before your next scheduled appointment.

Learn more about metal braces.

Poking wire

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A wire that shifts or extends beyond the last bracket can irritate the inside of your cheek.

You can temporarily:

  • Place orthodontic wax over the irritating end
  • Eat softer foods if chewing is uncomfortable
  • Avoid repeatedly pulling or bending the wire

Then contact us so we can determine whether an adjustment is needed.

Broken wire

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If an orthodontic wire breaks, contact our office. Avoid pulling on the wire or attempting a complicated repair yourself. Orthodontic wax may help cover an irritating end temporarily while you wait for instructions.

Lost Invisalign aligner

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If you lose an aligner, do not automatically move to the next tray. The right next step depends on where you are in your treatment sequence and how long you have worn the missing aligner.

Call or text us at (408) 739-4224. Dr. Wainwright and the team can tell you how to proceed based on your treatment plan.

Learn more about Invisalign.

Cracked or damaged aligner

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Keep the damaged aligner and contact our office. If the tray has become sharp, significantly distorted, or broken into separate pieces, stop using it until you receive instructions.

Lost or broken retainer

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A lost or damaged retainer is not usually a medical emergency, but it is worth addressing promptly. Teeth can shift without consistent retainer wear. Contact us if your retainer is lost, broken, sharp, or no longer fits correctly.

Learn more about retainers.

Loose orthodontic appliance

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If an expander or another orthodontic appliance becomes loose or moves unexpectedly, contact our office. Avoid making additional adjustments until you receive instructions.

Is soreness after braces or Invisalign normal?

Some tenderness is common after braces are first placed, after an adjustment, or when you start a new aligner. Your teeth may feel sensitive while they adapt to orthodontic pressure.
Smiling young girl with braces at Keller & Wainwright Orthodontics in Sunnyvale, CA
Temporary comfort measures may include:
  • Eating softer foods
  • Rinsing with warm salt water if your cheeks or gums are irritated
  • Using orthodontic wax on areas rubbing against braces
  • Following the pain-management instructions provided by your healthcare team

Contact us if pain is severe, continues to worsen, lasts longer than expected, or is accompanied by swelling or another unusual symptom.

What should I do before my orthodontic repair visit?

First, contact Keller & Wainwright Orthodontics so we know what happened.
Depending on the problem, you can:
  • Cover a poking wire or irritating bracket with orthodontic wax
  • Rinse with warm salt water for minor mouth irritation
  • Choose softer foods if chewing is uncomfortable
  • Avoid hard, sticky, and crunchy foods if something is loose
  • Save broken brackets or appliance pieces
  • Keep damaged aligners or retainers
  • Bring broken pieces with you if we ask you to come in
Avoid making major adjustments to your braces or appliances yourself unless our team has specifically instructed you to do so.
Close-up of dental checkup at Keller & Wainwright Orthodontics in Sunnyvale, CA

Why Sunnyvale patients contact Keller & Wainwright Orthodontics

Orthodontic problems are easier to address when your provider understands the treatment plan behind your braces or aligners.
Female doctor with stethoscope consulting via laptop at Keller & Wainwright Orthodontics in Sunnyvale, CA

Care led by your orthodontist

Dr. Gabrielle Wainwright personally oversees orthodontic treatment at Keller & Wainwright Orthodontics.

When a bracket, wire, aligner, or appliance needs attention, the goal is to restore comfort while protecting your overall treatment progress.

Learn more about Dr. Gabrielle Wainwright.

3D dental scan on iTero element at Keller & Wainwright Orthodontics in Sunnyvale, CA

Orthodontics is our specialty

Keller & Wainwright Orthodontics focuses exclusively on orthodontic care.

That includes braces, Invisalign, retainers, bite correction, and help with unexpected orthodontic problems.

Explore our orthodontic services in Sunnyvale.

3D CBCT Imaging

Help for braces and clear aligners

Our team helps patients manage orthodontic issues such as loose brackets, irritating wires, damaged appliances, and lost aligners.

When an office visit is needed, we can determine the appropriate next step based on the problem and your treatment plan.

Keller & Wainwright Orthodontics Dr. Wainwright with smilling patient

More than 60 years of orthodontic care in Sunnyvale

Keller & Wainwright Orthodontics has cared for Sunnyvale families for more than 60 years. Today, Dr. Wainwright continues that tradition with individualized, specialist-led orthodontic care.

Frequently asked questions about orthodontic emergencies in Sunnyvale

What should I do first in an orthodontic emergency?

Call or text Keller & Wainwright Orthodontics at (408) 739-4224. Describe what happened, what feels loose or broken, and whether you are experiencing pain. The team can help determine what you should do next and whether an office visit is needed.

Is a broken bracket an emergency?

Usually, a broken or loose bracket is an orthodontic repair issue rather than a medical emergency.
Contact us when it happens. We can determine whether it should be repaired promptly or whether it can wait until another scheduled visit.

What should I do if a bracket comes off completely?

Save the bracket if possible and contact our office. Do not try to glue or reattach it yourself. Let us know whether the bracket came completely off the wire and whether anything else feels loose or broken.

How do I stop a braces wire from poking my cheek?

Place orthodontic wax over the irritating area as a temporary comfort measure. Then contact our office so we can determine whether the wire needs to be adjusted.

Can I cut a poking braces wire myself?

Contact our office before cutting or significantly altering an orthodontic wire. The safest next step depends on where the wire is located and what has happened to your braces. Orthodontic wax can often provide temporary relief while you wait for guidance.

What should I do if I lose my Invisalign aligner?

Contact us before automatically moving to another tray. The appropriate next step depends on where you are in your aligner sequence and how long you have worn the missing tray. Keep your previous aligners unless Dr. Wainwright tells you they are no longer needed. Learn more about Invisalign in Sunnyvale.

What should I do if my Invisalign aligner cracks?

Keep the damaged aligner and contact our office. Whether you should continue wearing it depends on how badly it is damaged and where you are in treatment.

What should I do if I lose my retainer?

Contact the office promptly. Your teeth can shift when your retainer is not worn, so replacing a lost retainer quickly can help protect your orthodontic results. Learn more about retainers.

Is soreness after an orthodontic adjustment normal?

Some tenderness after a braces adjustment or new aligner is common. Contact us if the discomfort becomes severe, continues to worsen, lasts longer than expected, or is accompanied by swelling or another unusual symptom.

When should I go to the ER instead of the orthodontist?

Seek emergency medical care for potentially serious conditions such as difficulty breathing or swallowing, significant facial or jaw trauma, uncontrolled bleeding, or another potentially life-threatening injury.

Problems involving loose brackets, poking wires, lost aligners, or damaged orthodontic appliances usually begin with a call to your orthodontic office.

Can I come in without calling first?

Call or text before coming to the office whenever possible. This allows the team to understand what happened and determine the type of appointment you may need.

Do you offer same-day orthodontic emergency appointments?

Appointment availability depends on the problem and the office schedule. Keller & Wainwright Orthodontics offers guidance and timely visits when orthodontic issues need attention. Call or text (408) 739-4224 so the team can determine the appropriate next step.

Can you help if I am not currently a Keller & Wainwright patient?

Call or text the office and explain what you need. The team can determine whether Keller & Wainwright Orthodontics can help with your situation or direct you toward the appropriate type of care. Patients who need replacement or new retainers can also explore our retainer services.

Something broken? Contact us now

You do not have to figure out by yourself whether a loose bracket, poking wire, lost aligner, or damaged appliance needs an office visit. Tell us what happened and let our team help you determine the next step.

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Serving Sunnyvale and surrounding communities with board-certified orthodontic care.

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