Comfort Visits

Please CALL or TEXT our office during normal business hours before your next scheduled appointment, if you have any of the following conditions:

• Broken appliances
• Loose appliances, braces or bonds
• Broken or loose wires
• Broken or loose retainers
• Anything else that may seem out of the ordinary

Most patients will experience some discomfort the first week braces or other appliances (including Invisalign) are placed on teeth or after an adjustment appointment. Aspirin, non-aspirin or ibuprofen can be used to treat discomfort.

Hours and Urgent Calls

Dr. Koufos is pleased to have his OPEN sign “turned on” providing you with more business hours in the Tri-Town area. 

Because Dr. Koufos lives in the community where he practices, he is able to provide you with an immediate response time for all urgent and non-urgent matters, such as a wire poke. 

For urgent matters, simply call our office and follow the instructions on the messaging system.

Your treatment fees are generally “all-inclusive” of ortho treatment care from start to finish. Typically, most of our patient urgent calls will not require any “add-on” fees when seen by our orthodontist. We do encourage you to contact your family dentist for emergencies in your mouth that are not “ortho” related. However, please know that we are always a phone call away!

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 repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.


General soreness

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 normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil), and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

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!


Loose appliance

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


Loose bracket

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.


Loose wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. 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.


Poking wire

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


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