Covid-19 – Updated 26.03.20

We fully understand your concerns about COVID- 19 and want to assure you that we are closely monitoring the situation and following the guidelines issued by Public Health England, the NHS, Government and other relevant bodies – BDA/BOS

The most important health issue currently is to prevent the spread of COVID-19

Most orthodontic appliances can be left in situ for some months without detriment to the you (the patient) provided you continue with the usual after care instructions (see below)

At present, the best advice is to avoid all but the most essential mouth procedures to limit spread of the disease.

We fully understand your concerns about COVID- 19 and want to assure you that we are closely monitoring the situation and following the guidelines issued by Public Health England, the Government and other relevant bodies – BDA/BOS

The practice is open

The practice is open and we can by email. We have set up a dedicated email address for treatment concerns – info@orthodonticsatswsmiles.com – we respond to this throughout the day.

We can resolve many queries over the telephone and by email and have set up a digital consultation facility also.

In many situations you may be able to help yourself without visiting the practice.

Please have a look at the advice below.

Home Advice

Loose wire/wire digging in

 If a thin wire, it may be possible for you or a family member to use tweezers to replace the wire in to the tube/band.

It may be that a thin wire is the correct size but has rotated round the teeth so that it is short on one side and long on the other. Try using tweezers, a pencil with a rubber on the end or a teaspoon and push the wire back round to prevent the long end digging in.

If the wire is sharp or digging in  you can cover it with Orthodontic wax (if you do not have any the practice may be able to send you some/ or you can buy online) – other options also are - the wax covering from hard cheese (baby-bell, cheddar), Blue tack or even chewing gum may help

Broken bonded retainer

Push the wire back down towards the tooth as much as possible. (Fingers or tweezers)  Cover with best medium available (Ortho wax, Cheese wax, Blu tack, chewing gum) 

If it has come off completely - use removable retainers if you have any

Lost retainer

 Contact the practice– it may be that we can access your final moulds and make a new retainer which can be posted out to you  If it is not possible to get a replacement retainer you could consider ordering online a ‘boil in the bag’ (heat mouldable) gumshield to use and wear at night to reduce the risk of relapse (unwanted tooth movement).  It should be noted that these appliances aren’t specifically designed to hold teeth in position so the manufacturer cannot be held responsible for any relapse. 

Invisalign Aligners

If your current aligner is in good order keep wearing it as instructed.

In some cases, we are sending out the next sets of aligners so you can continue your treatment. Please call the practice to discuss your options

If your current aligner is broken or ill fitting, step back to your previous aligner

If neither option is open to you, ring the practice for advice  

Bracket off

This is not urgent unless it is causing trauma to the soft tissues.

It may be the possible to leave the bracket if it is not causing any problems at present. 

Removable appliances

 Check for comfort and retention

If you are unsure about how much to continue to wear the appliance please call us to discuss.

If fractured or ill- fitting do not wear the appliance

Lost module

Try and make the wire where the module has been lost secure with dental wax, cheese wax or blu tack and chewing gum 

Fractured or frayed power chain

Accept situation– most power chains will denature in 4-6 weeks and become passive

Exposed end of wire tie – long ligature or short ligature.

Re-tuck sharp end under wire/bracket using teaspoon or tweezers 

 Cover for comfort using Ortho wax, Cheese wax, Blu tack, chewing gum

When to call the practice

You are very welcome to contact us by phone or email care@orthokind.com if you have ANY concerns or need support in following out any of the procedures in Home Advice

However, it is important to remember that visits to the practice are for emergency treatment - if you are in pain or in danger of inhaling a loose part. Visits are only by appointment.

Guidelines if visiting the practice

  • Only the patient and a chaperone (if required) is allowed in
  • Keep your hands clean and wash regularly
  • Always carry tissues with you to catch coughs and sneezes
  • Try to avoid close or direct contact

Please do not visit the practice is you are:-

  • Self-isolating – as per the Government Guidelines (https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance)
  • Have any symptoms: cough, fever or shortness of breath – even if they are mild
  • Fall in to a vulnerable category as defines by the UK Government ( link – https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

Please look at https://www.nhs.uk/conditions/coronavirus-covid-19/

Care Instructions

Generally leaving an orthodontic appliance in for several months is not detrimental provided you continue with the usual care instructions

  • Brush 3 times a day (and every time you eat) with your standard toothbrush and an adult fluoride toothpaste. Followed by interproximal brushes.
  • After brushing spit – do not rinse with water.
  • Rinse with a fluoride mouth rinse once per day
  • Keep to a low sugar diet.
  • Avoid snacking especially snacking on sugars and drinks with added sugar – especially fizzy drinks. Water is the best drink for your teeth
  • Avoid hard, crunchy and/ or sticky food stuffs that could break the brace wire or fracture the bracket
Remember be careful not to break your brace

Follow dietary advice Cut up some food in to small pieces before eating Avoid chewing pen lids and biting your nails Try not to fiddle with your brace

We are here to help so please do call or email with any of your concerns

The Team at Orthokind wish you and your family well during these challenging times and look forward to seeing you all in the future.

Frequently asked questions:-

When will I have my next appointment?

Obviously as advice changes so does this. Current plans will be for you to have your next appointment 10-12 weeks after it was originally scheduled. We will contact you closer to the date to confirm this. The important thing is to ensure you maintain your high oral hygiene standards.

Should I keep wearing my elastics?

Only wear them at night – this well reduce ‘activity’ and also hand to mouth contact

I am an Invisalign patient – what happens about my next set of aligners?

We are sending out aligners to patients to continue their care. Please can you contact the practice to advise them of the correct address to send them to.

If you have concerns that they are not fitting properly please advise us of this.

I am a new patient to the practice and my appointment has been cancelled – what happens next?

It will be rescheduled – but it may be more than 10-12 weeks. We will contact you to do this when

Other sources of information:

British Orthodontic Society – https://www.bos.org.uk/

Gov.UK – https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

NHS 111 https://www.nhs.uk/using-the-nhs/nhs-services/urgent-and-emergency-care/nhs-111/