Dear patients and families,

As many of you were aware, I was scheduled to have hip surgery last March but unfortunately, it was cancelled due to COVID-19.

I was operated on August 26 but unfortunately experienced a setback very soon after the procedure resulting in a totally dislocated left hip, not fun!

A second procedure was necessary August 31st . I am limited to non-weight bearing on my left side until later November. This makes working not possible.

We have hired a temporary orthodontist by the name of Dr. Niky Smith. Dr. Smith lives in Lake Oswego and has 18 years’ experience as an orthodontist. I have met with her and she is very pleasant, bright and has a positive outlook on life and orthodontics as do I! She is also trained well at the university of Washington, a great program. I feel fortunate to have found Dr. Smith. We share similar treatment philosophies. She had her own private practice for 12 years in the bay area. She practices now on temporary needs like mine.

I will be back as soon as possible and look forward to it. Also, I’ll be available to consult remotely on any patient.

A temporary bump in the road that will quickly pass.

Sincerely and Best Regards,

Dr. Bickler

1625 East 12th Street
The Dalles, OR 97058

(541) 298-4072
Fax: (541) 298-6912

Emergency Care

Covid19:

Due to Covid-19 our office is temporarily closed. If you have an emergency and are a patient of record please call

Clementina at 541-399-1218 and she can arrange a time for you to be seen.

We are working towards opening our office as soon as we can, while making sure our patients and staff are safe. Thank you.

 

True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem you can't take care of yourself. We'll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that's sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.

After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.


 

General soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chew. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!

 

Headgear

Sometimes discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow (metal piece) is bent, please call our office for assistance. The headgear should hurt less the more it's worn, so be sure you get in the prescribed number of hours.

 

Loose appliance

If your appliance is poking you, place wax on the offending part.

 

Loose bracket

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.

 

Loose wire

Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp place wax on it.

 

Poking wire

Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.

mcdsAmerican Association Of OrthodontistsAmerican Dental Association