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Coronavirus (COVID-19)
Updates and Information

In accordance with the mandates regarding COVID-19, we have temporarily closed our practice and will have no staff in the office.   

* If you are in pain or experiencing an emergency, please CLICK HERE TO CONTACT US or use the form on the bottom of this page!!

  • No one is available in the office to take your call at this time and all messages left in the office will be considered a non-urgent nature.
  • If your appointment was scheduled during the closure, the office will be calling you soon to reschedule.

Virtual Appointments

If you are an existing patient with treatment concerns that you would like evaluated, questions that are on your mind, or if you have ANY issue you would like to discuss, our practice is now utilizing  VIRTUAL APPOINTMENTS to accommodate our patients' needs at this time.

Click here for more information on Virtual Appointments

If you are not currently a patient and were scheduled for a New Patient Consultation, you can still begin your personal, customized orthodontic evaluation using our VIRTUAL CONSULTATION page without stepping a foot in the office!

Click here for more information on Virtual Consultations

Patient Care Instructions During COVID-19 Closure

Braces Patients:   Orthodontic wires are made of a special alloy which is “active” over a long period of time. Your teeth will continue to move, even without supervision. It is not uncommon for patients to remain in the same wire for months at a time.  Do not worry about “losing time” in your treatment at this point.

Invisalign Patients:  Continue wearing your aligners as instructed. If you are on your last aligner and have an appointment in this 2-week time frame, continue wearing that last aligner until you are seen again.

Expander Patients:  If you are actively turning an expander, complete the number of turns as directed at your last visit, then stop turning. Make a note of the date of the last turn.  If you are scheduled to have your appliance removed soon, don’t worry!  A little extra time in an expander just helps the bone that has grown in to become “settled” in its new position.  No harm will come from extra time in an expander, quite the opposite! Continue to practice good hygiene and use your rinses.

Wearing Elastics:  Continue wearing your rubber bands as directed at your last visit.  We can mail you additional packs if you are running low.  If your bite looks or feels ‘overcorrected’, switch to wearing at bedtime only and please call the office for additional guidance.  Remember to perform thorough hand washing before changing your elastics!

Retainer Appointments:  If you had an appointment for a retention check, continue to wear your retainers as directed at your last appointment. You don’t want your teeth to shift!  Remember that they can be soaked in clear mouthwash (colored will stain them) to kill any germs.

Good Hygiene:  Continue to practice hygiene as instructed, brushing after meals and before bed.  Be sure to get the "danger zone" around the brackets by brushing at an angle and don't forget to floss!  Remember that that white marks around brackets are caused by poor hygiene.  Plaque build up will cause decalcification of the enamel.  Brushing is still extremely important!

Virtual Consultations:  Our website supports new patient consultations that can be done online and we encourage you to still take advantage of these.

What To Do When...   A Guide to Orthodontic Problems

Below are some simple ways to solve most "emergency" appointments right at home using tools around the house.

A Wire is Out:

A Wire is Poking:

Your health is important to us! Please do not hesitate to contact us if these videos do not solve your emergency concern!

Contact Us

Dr Spokane and Dr Karski are so professional yet fun.  The staff is always so nice and gets to know every patient. I highly recommend this practice for any Invisalign or braces needs.