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Central Texas Orthodontics

512-292-1910
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What Are Orthodontic Emergencies?

At Central Texas Orthodontics in Austin, TX, we understand that orthodontic emergencies can happen at any time, which is why we offer emergency orthodontic services to the patients in our care. As your trusted orthodontic specialists, we want to educate you on what constitutes an orthodontic emergency, how to handle it, and when to call us for help. 

What Is Orthodontic Treatment?

Orthodontic treatment is a specialized form of dental treatment that focuses on improving the alignment and positioning of teeth and jaws. It involves the use of various devices such as braces, aligners, and other appliances to gently move teeth into their optimal positions. With modern technology and high-quality equipment, the professionals at Central Texas Orthodontics are able and willing to provide you with noninvasive oral care that doesn’t entail endless wires and big retainers. 

Orthodontic treatment typically takes several months to several years, depending on the severity of the malocclusion and the desired results. Regular check-ups with the orthodontist are necessary to monitor progress and make any necessary adjustments to the treatment plan. Overall, orthodontic treatment can help improve the appearance, function, and overall health of the teeth and jaws, leading to a more confident and comfortable smile. 

Our Lead Emergency Orthodontist

At the heart of our care is the professional leadership of our lead orthodontist, Dr. St. Louis. Dr. St. Louis earned his DDS degree at the University of California, and his master’s degree in orthodontics at Ohio State University. With a diverse background and numerous qualifications, you can rest easy knowing your care is in capable and competent hands. 

What Are Orthodontic Emergencies?

Loose Or Broken Brackets

For patients who are in the process of undergoing dental treatment such as braces, the brackets that fit into these various orthopedic devices can come loose or break. When this happens, it can cause discomfort and irritation in the cheeks or gums. If your attempts to solve the issue are unsuccessful, it is always advisable to call and make an appointment with us in order to solve the problem before it gets any worse. 

Poking Wire

Sometimes, the archwire of your braces may shift, causing it to poke into your cheeks or gums. This can be extremely uncomfortable and may cause bleeding. Unlike loos brackets, protruding wires can be easier to fix with the right tools you may have available in your own home. That being said, if the issue persists, or your efforts show no sign of yielding positive results, it is advisable to seek the help of our professional care providers. 

Lost or Broken Retainers

Retainers are essential in maintaining the teeth in their new position after orthodontic treatments such as braces. If the retainer is lost or broken, you can no longer wear it for the advised hours your orthodontist has specifically recommended. This can cause the teeth to shift and move, which can prolong your treatment.

Swollen or Bleeding Gums

Swollen or bleeding gums can be a sign of infection or other underlying issues, such as periodontitis. An emergency orthodontist at our practice is available to evaluate these types of conditions and recommend appropriate treatment. 

Who Is At Risk?

People With Orthopedic Devices 

Orthodontic emergencies can happen to anyone, but some people are more at risk than others. Those with braces or other orthodontic appliances are more likely to experience an orthodontic emergency. This includes children, teens, and adults who have braces, retainers, or other orthodontic devices.

Youth

Children and teens are especially prone to orthodontic emergencies because they are more likely to participate in physical activities and sports. Contact sports, in particular, can increase the risk of a dental injury. It’s important for parents to remind their children to wear mouthguards when playing sports and to be cautious when participating in any activity that could result in a dental injury.

Medical History 

Some adults may have underlying dental issues that increase their risk of orthodontic emergencies, such as tooth decay or gum disease. Those who have a history of tooth decay or gum disease may be more prone to needing emergency orthodontic care. In these cases, it is especially important that those suffering from these conditions make regular and consistent efforts to work with an emergency orthodontist at our practice who can help ensure that they receive the care they require. 

What to Do in an Orthodontic Emergency

Orthodontic emergencies can be incredibly uncomfortable and even be painful. It’s important to know how to handle them until you can receive care from an emergency orthodontist. If you’re experiencing an orthodontic emergency, don’t panic! There are several steps you can take to ease the discomfort and keep your treatment on track. 

How to Combat Loose Brackets 

Use orthodontic wax to cover the bracket until you can see your orthodontist. You can also try to push the bracket back into place gently. If the archwire is poking, you can also try using a pencil eraser in place of orthodontic wax to push the wire back into place. If that doesn’t work, you can also try to clip the wire using a pair of sterilized nail clippers. 

These are quick ways to fix this problem that you can do within the comfort of your own home, but they are not long-term solutions. In order to be sure that you have sufficiently solved these issues we recommended calling and making an appointment with one of our trained professionals to make sure a similar scenario does not reoccur. 

When to Call Your Orthodontist?

Not every orthodontic issue constitutes an emergency. However, there are certain situations when you should call your orthodontist right away. If you’re experiencing severe pain or discomfort that doesn’t go away even after taking pain relievers or rinsing with salt water, this might be an even more pressing sign that you should call and make an appointment with one of our trained professionals.

If you have a broken jaw or severe trauma to the face or mouth, an object lodged in your mouth that you can’t remove, or a loose or broken appliance that you can’t fix yourself, make sure to call right away to get the care you need. These types of scenarios cannot be combatted at home and require the skills and expertise we offer at our orthodontic practice. 

About the Orthopedic Emergency Experience

The orthopedic emergency experience can be stressful, but it is important to remain calm and follow the instructions of the orthopedic emergency specialist. The specialist will evaluate the situation and determine the best course of action to take. In most cases, the orthopedic emergency specialist can resolve the issue quickly and effectively, with little recovery time required afterward. 

Overall, orthodontic emergencies can feel overwhelming, but with the right preparation and care, patients can safely and comfortably navigate these situations with the help of their emergency orthodontist.

Caring for the Teeth During Recovery

After an orthopedic emergency, it is important to take care of your teeth to ensure they continue to move into their proper positions. Patients should continue to follow all post-treatment instructions, including wearing any retainers or appliances as directed. Patients should also continue to practice good oral hygiene, including brushing and flossing regularly. 

Caring for the teeth during recovery is crucial to ensure proper healing and prevent future infection. Patients may be advised to avoid hard, crunchy, or sticky foods that could damage the braces or cause discomfort. They should also continue to maintain good oral hygiene habits, such as brushing and flossing regularly, to prevent the buildup of bacteria and plaque. All advice is given on a person-by-person basis, aimed at the individual’s specific needs. 

Seeing Final Results

The length of time it takes to see the final results of orthodontic emergency treatment varies depending on the individual patient and their specific case. However, most patients will see significant improvement very soon after their treatment. It is important to continue to follow all post-treatment instructions and see an orthodontist regularly to ensure the best possible results.

Gain Access to Emergency Care 

At Central Texas Orthodontics, we understand that orthodontic emergencies can be uncomfortable and even painful. However, we also know that they can be handled with ease and without much disruption to your daily life. If you’re experiencing an orthodontic emergency, follow the steps outlined in this post and schedule a consultation with us at Central Texas Orthodontics Austin TX, today. We’re here to help you maintain a healthy, beautiful smile!

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Average Rating: 5

21 Reviews

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Excellent service and treatment!

by Lisa

Dec10,2025

We have been seeing Dr. St. Loius at Central Texas Orthodontics for a couple kids now over several years. Everytime we walk in for an appointment, we are greeted warmly and promptly taken back. The office is easy to get to and always runs on time, we have never had to wait to be seen, which is remarkable for a medical/dental office! The payment options were also fair and easy to understand. And the follow up, even after those braces come off, has been stellar! Retainers get lost or chewed up sometimes (ugg!), but a quick text into the office and we were able to drop off the original molds and have new ones made very quickly. Everyone who works at this office truly cares, and you can tell they all enjoy where they work, which is really wonderful to see. I cannot speak highly enough of this office, the staff, the care, and ESPECIALLY the after care and protecting our investment.

Category: orthodontist * Individual results may vary.

Austin’s Best Orthodontics!

by Robin Petmecky

Aug14,2025

Dr. St. Louis and his staff are exceptional! Their professional, friendly and caring manner stand out every time I have an appointment. They are always very positive during my visits and make me feel like I’m part of their family. I never have to wait to be seen and I’m usually out in a minimal amount of time. I had my last orthodontic visit recently and they invited me to stop in anytime, just to say hello. I highly recommend Central Texas Orthodontics to anyone needing their services. They are truly the BEST!

Category: orthodontist * Individual results may vary.

FANTASTIC GROUP!

by Melissa Moore Yacono

Apr23,2025

I love this office and the lovely, happy, warm staff!! Every one of the staff is kind and friendly! The vibe of the office is uplifting, relaxing, and Austin-y. Love it. The plants make it pleasant. Everything is so clean! What a refreshing visit and thank you so much for the stellar customer service.

Category: orthodontist * Individual results may vary.

Simply the Best!

by Christine Laux

Mar27,2025

Dr. B. and his team are fantastic: Everyone just truly cares! They are knowledgeable and super helpful, always happy to consult. I recommend CTO not only for children and teens, but for adults as well! My two teenage daughters got their braces and I got my Invisalign. Dr. B. took his time to go over all our treatment plans and make adjustments. The communication is seamless and very responsive. All team members are wonderful - my special shoutout goes to Beatrice and Christen though: Those two lovely ladies go above and beyond with everything they do! Thanks to y’alls fabulous care our teeth are all straight now!

Category: orthodontist * Individual results may vary.

Awesome Experience

by Norma Constancio

Feb12,2025

Dr. St. Louis and his staff were wonderful! From their friendly staff, nice office environment and Dr. St. Louis always willing to answer my questions. I would 100% recommend Central Texas Orthodontics to anyone.

Category: orthodontist * Individual results may vary.

Amazing staff

by Ms. Locke

Dec 6,2023

I recently finished my treatment and was looking for the backup retainers. After doing my research I decided to make an appointment with Central Texas Orthodontics. I got it scheduled the same day and had my retainers ready in two weeks! Dr. St. Louis and the staff went above and beyond to make me feel welcomed and cared for. I highly recommend this office to anyone who needs a new set of retainers!

Category: orthodontist * Individual results may vary.

Great doctor and staff

by Sherry lewis

Nov15,2023

Great doctor and staff. I’ve had 2 sets of braces and misc work. Very professional, clean, and nice people. Kudos to Dr St. Louis for giving me a perfect smile. My TMJ doctor commended me on my perfect teeth alignment ! highly recommend.

Category: orthodontist * Individual results may vary.

Wonderful

by Amanda Manti

Jun 6,2020

We had a wonderful experience with two of our children getting their teeth straightened at this office. Love the staff-friendly and fun. And Dr. B did a fantastic job. After delays due to Covid, he personally went well out of his way to see my daughter and it was so appreciated! Thank you!

Category: orthodontist * Individual results may vary.

Awesome Staff

by Phillip

May28,2020

The staff here is always so pleasant. They communicate well with their patients and are always easy to consult. I've had nothing but positive experiences here at Central Texas Orthodontist. I enjoy getting to see everyone when I visit.

Category: orthodontist * Individual results may vary.

Amazing Service

by Erika Loya

Feb24,2020

This is an awesome team. Always greeted with a smile and lots of positive energy. Jessica is very knowledgeable, skilled and makes you feel completely at ease thru out the entire process every visit. I look forward to my visits.

Category: orthodontist * Individual results may vary.

The best!!

by Hernandezfam

Feb12,2020

I love the whole team here! They’re super friendly and always go the extra mile to provide the best care!

Category: orthodontist * Individual results may vary.

The best!

by Rich Payne

Jan29,2020

Love these guys!! Best ortho in town

Category: orthodontist * Individual results may vary.

Love this place

by Ms. Lemons

Dec19,2019

I really love this office and the people who work there. They really do care about their patients needs and will break everything down for you to understand.

Category: orthodontist * Individual results may vary.

CTO

by Vivian Gray

Dec 4,2019

CTO is the best!!!

Category: orthodontist * Individual results may vary.

Thanks

by KDILLING

Oct31,2019

Great Team

Category: orthodontist * Individual results may vary.

Amazing orthodontist!

by Mary Crecelius

Oct15,2019

We initially went to a different doctor, who sent us to an unnecessary specialist. After a second opinion from Dr. St. Louis, we aren't even ready for braces yet! That is an example of an ethical doctor. I'm pleased that my ten year old will begin her braces with Dr. St. Louis, but not until the time is ready. He sincerely takes you in as if you are the only patient of the day. His staff is polite, articulate, and the office is spotless. I highly recommend this orthodontist to anyone in need. I trust him with my children.

Category: orthodontist * Individual results may vary.

Customer Service @ the Next Level

by Tierra Thomas

Oct 9,2019

Today was my first time visiting this office after they were able to come in after speaking with me the day prior. Note, most offices do not have next day availability for non-emergent care. First, Beatrice! She made me feel welcomed, important and she was willing to take the time with me from the moment I walked into the door! Beatrice doesn’t only belong in the customer service/patient setting, but she specializes in caring for patients and it shows outwardly and genuinely! Second, the Man with the Plan, Dr. Lewis. He is considerate, professional, and demonstrates patience and concern for his patients as well. He answered my questions, and not once did he make me feel like “he had better things to do” or “he had more patients to see”. His tone and cadence sets the tone in this office, and everyone of the staff enjoy being at work! They love what they do, and offices like this one are hard to find! They are an office that should be modeled by many! I’ll be back, and I’ll definitely refer them to those seeking unique, honest, professional, and personalized care! Great job to the entire office -keep it up! Sincerely, Your new number one fan!

Category: orthodontist * Individual results may vary.

Best in Austin!

by Kelly Buskirk

Sep17,2019

CTO has the nicest staff and one of the most well run businesses in Austin. We have had a great experience all around, awesome people, straightforward pricing and great results!

Category: orthodontist * Individual results may vary.

Best ever

by Brandon Hertel

Sep16,2019

Best orthopedic office in Austin.

Category: orthodontist * Individual results may vary.

Awesome Orthodontics Office

by Mary lLou Brown

Jun20,2019

Dr. St. Louis and staff are phenomenal. They always go above and beyond to ensure that you are happy and do their best to ensure in answering all questions. I have been a patient 2 1/2 years and would not think of going elsewhere. Availability for scheduling is very accommodating for work and school schedules. Sweetest office staff ever and one I will continue to refer friends and family. Thank you all for your patience ....

Category: orthodontist * Individual results may vary.

Best Othrodontist office in town

by Rich Payne

May23,2019

Central Texas Orthodontics is fabulous! The staff is soo soo nice and Dr Brian is great. Christen handles the scheduling and does so flawlessly. Love these guys!

Category: orthodontist * Individual results may vary.

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Central Texas Orthodontics
3413 W. Slaughter Ln,
Austin, TX 78748
Phone: 512-292-1910

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