Orthodontic Emergency Information

Most orthodontic concerns can wait until the office re-opens. However, in case of an emergency you can always reach us after hours. The list of suggestions below may help you with any problems you may be having. If you are still in need of after hours assistance, please call our office and you will be instructed on how to reach Dr. Poser or the on-call orthodontic clinician.


  • (262) 255-6255 - Germantown Office
  • (414) 476-2244 - Wauwatosa Office

Sore Spot on Cheek

When you first receive your braces or your orthodontic appliance, sore spots may develop on your cheeks. To protect your cheeks, place wax on the offending bracket, wire or appliance. Rinsing with warm salt water several times a day is very soothing to your gum and cheek tissues. The cheeks will toughen up after a short while. If you have used all of the wax we provided to you, orthodontic wax can be purchased at a drug store and we will be happy to supply you with more on our next working day.


You may take an over-the-counter pain reliever such as Tylenol (acetaminophen) as you would for a headache or similar discomfort. Soreness can be expected for 3 – 5 days after an adjustment. Good tooth brushing, warm salt water rinses several times a day and very carefully chewing on a bite of wafer or pieces of sugarless chewing gum will help alleviate the discomfort and help your mouth feel “back to normal” much more quickly.

Loose Bracket

If a bracket becomes loose after normal business hours please call us on the next business day. A broken bracket is not an orthodontic emergency. A broken or loose bracket should be fixed in a timely manner. Please do not wait until your next appointment to inform us of a loose bracket. We may not be able to correct the problem that day because of scheduling. It may be necessary to schedule a second appointment which would require an extra trip to the office.

Loose Appliance

If your expander or herbst appliance becomes loose, please contact our office immediately

Loose Retainer Wire

If your bonded retainer wire becomes loose, please contact our office immediately.

Loose or Poking Wire

During the first few months of orthodontic treatment with braces, the very light flexible wires that are used may occasionally be displaced.

If a wire causes irritation, push the wire away from the area using the eraser end of a pencil or a Q-tip. If the wire cannot be tucked away, cover the end of the wire with a small piece of wax or a cotton ball until you can see us for an appointment.

If the main wire has come out of the tube on the back tooth, attempt to reinsert the wire with a pair of needle-nose pliers or tweezers. As a last resort, if you cannot come into our office, the wire can be cut with a small wire cutter or fingernail clipper close to the back of the last brace (bracket).

Direct Injuries to the Mouth or Teeth:

Following a direct injury to your mouth or teeth, whether undergoing orthodontic care or not, you should be seen by your regular dentist as soon as possible. Usually a radiograph or the involved tooth, or teeth, is needed to ascertain the extent of injury. If a tooth has been knocked out, severely displaced or fractured, it may be best to contact your family dentist first, since we may not have the necessary materials needed to treat these injuries. If the orthodontic appliances are dislodged or displaced, we will need to replace or adjust them as soon as possible.