Covid-19


March 23, 2020

Dear Valued Patients/Parents and Responsible Parties:

The health and wellness of our patients, team members, families and community are of utmost importance to us.  In order to help prevent the spread of the Coronavirus and under the strong recommendation from our regulatory body (Royal College of Dental Surgeons of Ontario), our office is closed. The announcement by the RCDSO to immediately stop all non-essential and elective dental procedures was made on March 15, 2020.

Only emergency dental care can be provided at this point and emergency dental care is defined by the presence of pain. Hence all regular orthodontic visits such as consultations, placing and removing braces, activations and Invisalign adjustments are cancelled up to and including April 2nd.  We will be in contact to reschedule when it is safe for us to resume operations.  At this point, situation is not conducive for us to resume operations and we are closely monitoring the news and government announcements as you all are.

Though this is an inconvenience for all involved, delaying orthodontic visits for a few weeks is unlikely to cause any significant harm, as long as you are brushing your teeth regularly, keeping ideal oral hygiene standards and following the instructions below to help minimize any potential problems:

  • Maintain excellent oral hygiene, including brushing after meals and flossing daily
  • Consider purchasing a fluoride rinse from your local pharmacy
  • Avoid excessive consumption of sweetened beverages or foods (candies)
  • For patients in fixed braces, avoid hard foods
  • If you have an expander or other device that requires you to activate it- STOP turning the expander or appliance until we resume normally scheduled visits
  • Reduce elastic wear to night time only
  • Follow the instructions already provided at your last visit, such as the pattern of wear of elastics (though moving to night-time only)
  • If you have run out of elastics please wait until your next appointment and we will start you on elastics again.
  • For those who have finished their treatment and are wearing retainers, follow the instructions that were provided at your last visit regarding the wear-time of your retainers
  • For patients with clear aligners, please change your aligners monthly instead of weekly. 
  • If you are out of aligners wear your last aligner every night until you can see us again.

If you have an orthodontic emergency that cannot be managed at home, please leave a message on our voicemail (including your name and phone number) and we will return your call as soon as possible.  Please see below and visit our website at www.braces.ca for at home care of some common orthodontic treatment issues: 

  1. If a wire is poking, please boil a nail cutter for 10 minutes and ask a family member to cut the wire.
  2. If a bracket is broken and it does not hurt please leave it as is.
  3. If a bracket is broken and it is causing pain please cut the wire in front and behind the lose bracket and take the wire out.  Please use a nail cutter that has been boiled for 10 minutes
  4. If your braces are off and the fixed retainer is broken, and your braces were removed less than six months ago, please wear you removable retainer full time.   If you have been out of braces for more than six months, please wear your removable retainers every night until we resume normally scheduled visits and can repair the break.
  5. If your braces are on and your fixed retainer is broken you can leave the retainer as it is and we will fix it at your next appointment.

Please understand that we have been asked by our regulatory authority to only treat true emergencies such as severe pain, severe infection or trauma that does not respond to over the counter medication and wax. We apologize for any inconvenience but true emergencies do not include broken brackets, poking wires, broken retainers or Invisalign problems.

Ultimately, in the face of this global pandemic, it is each and everyone’s responsibility to help stop the spread of the COVID-19 virus.  Thank you for your understanding, patience and cooperation during this trying and unprecedented time. We promise that we will do our best to get your treatment back on track as soon as we are able to operate safely (as advised by the government and regulating authorities).

Sincerely,

The Smiles in Motion Team