Call our office if you break or loosen any of your appliances. Please do not come directly to the office. By calling us, you will allow us to create a time to see you. Even if you have a regular appointment scheduled, call to notify us if you need an appliance repaired.

Loose Brackets or Bands

Typically this is not an emergency, but may need to be rebonded. You may have a situation that requires cutting a wire or sliding a bracket off a wire at night or over the weekend. If you need to cut a wire in case of emergency, you may use fingernail clippers that have been washed and sterilized in alcohol. Please call our office the next business day, so that we may schedule an appointment for you.

Wire Irritations

As teeth move, the wire can become long. Sometimes discomfort can be caused by a wire and wax may be needed to cover it. If the wire is painful, you can cut it with nail clippers or scissors that have been washed and sterilized in alcohol. If you cannot resolve the wire irritation, call our office for an appointment.

Loose Appliances

Sometimes an appliance can come loose or come out completely. If it comes loose on one side, you can try to rock it back and forth to release it from the other side. If for some reason you cannot get it out and it is causing pain, please call us. We will also need you to call the next business day to make an appointment to have it replaced.

Discomfort With Orthodontic Treatment

During the first week after your braces are in place and routine adjustments are complete, you will likely feel some pain, soreness or discomfort. You may take acetaminophen or other non-aspirin pain relievers while you adjust to your new braces. A warm wash cloth or heating pad may reduce the soreness in your jaws.


In case of emergency, Dr. Knierim can always be reached. Our Office numbers are (865) 522-7572 or (865) 947-8700 for weekday, daytime emergencies. Dr. Knierim’s cell number is (865) 368-2744. If the voicemail answers, you will be prompted how to contact Dr. Knierim. In situations when Dr. Knierim is out of town, she will always make arrangements for a staff member or a local orthodontist to handle any emergency.