Emergency Care

General Soreness

You may experience some discomfort after your appliances are placed. Non-aspirin pain relievers, such as Advil or Tylenol, will generally help during these first few days, assuming no patient allergies.

Loosening of Teeth

Do not be alarmed if your teeth feel loose. Teeth must loosen first so that they can be moved. Your teeth will become rigidly fixed in their new positions after treatment is completed.


If you take part in athletics, it is important that you consult us for special precautions. Mouthguards are indicated in almost all circumstances. We can provide you with a mouthguard to use during orthodontic treatment upon request.

Loose or Broken Appliances

If a wire, brace or appliance becomes loose, don’t become alarmed. If a wire is poking, use a pencil eraser and carefully push the wire under the brace to get it out of the way. If your lips or cheeks are irritated, place wax on the area to reduce the annoyance. If a wire comes out of a band, replace the wire by putting it through the hole in the back band using tweezers. Wires can also be clipped with wire or nail clippers. In any circumstance, call the office! We may need you to schedule an emergency appointment or lengthen your next appointment.

Emergency Appointments

As a general rule, an emergency appointment is made when there is a loose band, brace, or appliance, severe pain, a broken wire or something sticking out that you can’t take care of yourself. If something doesn’t seem right or you have questions you should not hesitate to call. Most situations can be handled over the phone. If you have a true emergency when the office is closed, you may call Dr. Gill at 812-858-1922. Please remember this is for emergency situations only.

Loose Brackets or Bands

If a bracket comes loose, call our office as soon as possible for advice. Sometimes it is important to re-attach the bracket right away, but most of the time it is okay to wait until your next appointment. Please call our office so we can evaluate the problem and determine if there is enough time in your next appointment to rebond the bracket or if you need to be seen immediately.

Wire irritations

If a wire on your braces is causing an irritation, try pushing it away from the area being irritated by using the eraser end of a pencil or a cotton swab. If the wire cannot be tucked away, cover the end with a small piece of wax or sugarless gum. You may also cut the wire with scissors or nail clippers. Call our office for an appointment if you cannot solve the problem.

Discomfort Associated with Treatment

Most orthodontic patients experience some discomfort the first week after the braces are placed and after routine adjustments. You can use non-aspirin pain reliever or ibuprofen to ease this discomfort and eat soft foods. If braces are causing soreness in your jaw joints, try using a moist heat compress or a warm wash cloth to apply gentle pressure to alleviate the ache. This discomfort should subside in a few days.