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19847 Century Blvd, Lobby B, Ste 215, Germantown, MD 20874

Germantown Orthodontist : Germantown Orthodontics : Germantown Invisalign : Germantown Braces : Germantown Pediatric Dentist : Germantown Pediatric Dentistry : Germantown Kids Dentist : Germantown Childrens Dentist : Dr Echandy : Dr Robles

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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 of 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 is best to contact your 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.

Please call our office immediately after seeing your family dentist. If you are unable to reach your family dentist, call our office and we will assist you in locating someone to care for the injury.

Emergencies related to orthodontic appliances

Broken or disturbed appliances are likely to occur from time to time during your orthodontic care. If there is any disturbance such as loose bands, broken or poking wires, call our office as soon as possible so we can evaluate the urgency of the problem and schedule you to be seen accordingly. If you need assistance outside business hours, please call our office and our answering machine will give you the emergency phone number.

In the interim, the following are helpful hints to remedy some of the problems you may encounter until you can be seen in our office:

If a wire is irritating your mouth, cover it with orthodontic wax. If you do not have wax at hand, the grocery stores/pharmacies usually carry this in the toothbrush section. A good alternative to wax would be silicone wax, which is usually sold as ‘ ear plugs’. You can pinch a small ball and place this where it is sharp.
A loose band or bracket can generally be left in place until seen in our office. Call the office as soon as you notice a loose band or bracket so we can adjust your appointment. Failure to notify our office regarding a loose or broken appliance may make it necessary to reschedule your repair.
A removable appliance that is not fitting well is not to be worn until it can be properly adjusted in our office. Call the office as soon as possible to schedule an appointment to have the removable appliance adjusted.
A broken archwire, or one that is irritating your gum or cheek tissue, needs to be seen as soon as possible for replacement or adjustment.

After office hours

While orthodontic emergencies are rare, we maintain emergency coverage and our patients receive prompt attention to their needs and concerns even at night and on weekends. Please call Alex Sanchez (301) 760-0283.


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Patient Testimonials

Want to know what our patients are saying about us?


I don’t have to hide my smile anymore!
I love my smile more and more everyday! Thank you Dr. Robles!

- Jennifer


19847 Century Blvd, Lobby B, Ste 215
Germantown, MD 20874