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Engage Orthodontics Instructions for Patients

We miss our patients! But, to help keep everyone safe, we’ve got some new guidelines in place for visits. Take a moment to read through our changes to how we do things below and of course, if you have any questions you can always call, text or email any of our locations.


  • Continue to wear and change your aligners as prescribed.
  • Once finished with all your aligners, wear your last set 12 hours per day until you see us next.
  • If your last aligner cracks, but it is comfortable and you are still able to wear it, continue wearing when sleeping at night.
  • If you lose an aligner, please call/email our office so that we can walk you through options based on your progress.
  • Continue elastics as prescribed. If you run out, let us know and we can mail you more !
  • Continue to brush your teeth. Keep your aligners clean using toothbrush/toothpaste and if you like, soaking in water and denture cleaner to keep fresh.


  • Continue elastics as prescribed. If you run out, let us know and we can mail you more!
  • If you have a poky wire, see if you can trim it using cuticle scissors or a nail clipper. Use wax for temporary relief.
  • If you have a bracket that breaks, it is OK! We will fix it at your next appointment.
  • Avoid sticky and chewy foods.
  • Brush your teeth, use floss threaders, and keep your mouth clean!

Carriere Appliance

  • Continue elastics as prescribed. If you run out, let us know and we can mail you more.
  • We will be in touch about scheduling a Virtual Appointment to advise you of the next steps.
  • Please call us if your Carriere appliance comes loose.
  • Brush your teeth every day!


  • Continue to do your turns as prescribed.
  • Once you have completed your turns, it is ok to STOP. We will be checking in with you as either a virtual appointment or rescheduling you when we re-open. We will start turns again at that time if needed.
  • Brush your teeth and your expander every day (Don’t forget to brush all surfaces of the bands on your molars)!


  • Keep wearing them as prescribed.
  • If you lose or break your retainer, let us know – with scanning and 3D printing technology, we may have already given you a model or we can print a new model for your last retainer and mail it to you!
  • If you have any questions, please call so that we can advise you of the next steps.

HIPPA Information

During this time, healthcare systems must adapt to allow increased communication via virtual platforms. This causes us to utilize means we may not normally use in order to transmit healthcare information that pertains to your treatment. However, we want to remind you that when we send you an email, or you send us an email, the information sent is not encrypted. Like anything transmitted over the internet, that means a third party may be able to access the information and read it.

  • HIPAA stands for the Health Insurance Portability and Accountability Act
  • HIPAA was passed by the U.S. government in 1996 in order to establish privacy and security protections for health information
  • Information stored on our computers is encrypted.
  • Most popular email services (ex: Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email.
  • Email is a very popular and convenient way to communicate for a lot of people, so in their latest modification to the HIPAA act, the federal government provided guidance on email and HIPAA.
  • The guidelines state that if a patient has been made aware of the risks of unencrypted email, and that same patient provides consent to receive health information via email, then a health entity may send the patient personal medical information via unencrypted email.
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