COVID-19 and patients undergoing orthodontic treatment
"Given the gravity of the Covid-19 health care crisis and national emergency, CDA implores dental practices to suspend all dental care with the exception of emergency cases that present as life threatening."
In accordance to the Santa Clara County "Shelter-in-place" order and the guidelines from the California Dental Association, we are suspending all in-person, non emergency orthodontic care in our offices, until May 3rd. or further notice.
Please review the following guideline for some of your clinical questions. This guide is intended to help you or your child to continue the orthodontic treatment in this unprecedented event.
If the wire is long and pocking, you may 1) try to cover it with orthodontic wax, 2) bend it toward to the tooth, away from the injured gum or cheek, 3) try to clip it with a nail clipper.
Orthodontic wax can be found in your start care kit or it is also sold in any major pharmacy If there is an injury, swelling or bleeding, please contact our office.
If you have a loose bracket, which is staying on the wire, please try to reposition the bracket on the tooth and immobilize it by covering it with wax, and wait until our next appointment after the pandemic.
If you lost a hook or a bracket, which was being used for elastic wear, please stop wearing elastics on both sides. Do not wear elastics on one side only.
If you are wearing elastic bands as part of your treatment, continue wearing them as before, but reduce the number hours to 12 hours a day, to avoid overcorrection.
Continue wearing your aligners as before.
If you have no more aligners, you may take close-up photos of your teeth, front, right and left side, while wearing you last aligners, with mouth half-way open and email them to us at [email protected] (You may use two teaspoons, placed against your cheeks to retract your lips for a more clear picture, as needed). I will evaluate your photos and will contact you to set up a time for you to pick up more aligners, so you can continue with your treatment, without any interruption. Aligner bags will be ready at the front for you to pick up without any interaction with our staff.
In cases, that you are on the very last aligner of your treatment, then we can place an order for replacement/duplicate aligners, as needed. Or you can wear your very last aligners part time (12 hours a day), so they would last longer.
If you lost an aligner, move on to the immediate next aligner and wear it few days longer.
If you lost the button for elastics, stop wearing your elastics until your next appointment, after the pandemic.
If you lost an attachment, keep wearing your aligners as prescribed before.
Separators between the teeth
Use a pair of clean tweezers and remove the blue separators by grabbing it from the portion above the tooth.
You may also use floss to floss out the blue separators
Complete the turns prescribed at your most recent appointment and stop turning, until your next appointment after the pandemic
Avoid hard and sticky food and brush well; make sure to clean around the expander to avoid any painful gum swelling. If it’s causing severe pain, please contact our office.
If the expander has completely came off, keep it in a safe place and wait until our next appointment after the pandemic.
Continue to wear your retainers as recommended at your most recent visit.
If your retainer is lost or broken, please contact our office and wait for your next appointment after the pandemic.
If you do experience any other orthodontic emergencies, that need attention, it would be helpful to take some photos with your questions and email it to [email protected], so I can give you further guidance. we can also schedule a video call as needed.
Stay healthy and strong, we will get through this challenging time, together!
Dr. Mozafari and your team @ Signature Orthodontics