Office Closure Covid-19 Frequently Asked Questions

Dear Patients and Family,

Due to these unprecedented and rapidly changing circumstances, we know you might have some questions about the covid-19 pandemic and how it may affect your orthodontic care. Our team has put together this FAQ to help you gain some amount of clarity in this part of your life. We are here to support you and will continue to find new ways to provide you with world-class orthodontic care.

How long will our office be closed?

 Our office is currently scheduled to reopen on April 6th May 4th. We are frequently assessing the situation and will be very transparent with next steps if that changes. Our team will be available to assist patients by phone and email from 9am-5pm Monday – Friday. To help keep our outgoing lines open for our team to handle patient concerns, we ask that you email our team at for the fastest response.

Why does the orthodontic office need to close?

Due to nature of the COVID-19 pandemic and the sweeping recommendations of numerous health and government officials, we must close our doors to all elective procedures for the safety of our community. Elective procedures are defined as any procedure that does not involve treating a medical or dental emergency.

How should I proceed if I am wearing braces or an appliance?

Please make sure you keep good oral hygiene by brushing and flossing three times a day. Also remember, DO NOT eat forbidden foods to avoid any breakage. If wearing any elastic continue to do so as directed. Your braces will continue to straighten your teeth all day and night. Proper elastic wear will continue to correct your bite. We will be able to advance your treatment once we reopen.

How should I proceed if I am wearing Invisalign aligners?

 Please make sure to keep wearing your active aligners as instructed to continue progressing your treatment. 

 If you no longer have aligners to continue to your next week, it is perfectly fine to reduce your last aligner wear to a retainer phase of 8-10 hours per day to ensure that your teeth stay in position and make your aligner last longer. Keep your aligners clean and avoid all drinks other than water while wearing them. When our office reopens, we will make a new digital scan for new aligners. Always remember to wash your hands before placing and removing your aligners or elastics.

What should I do if I am scheduled to start treatment soon?

We are excited for all our patients to take this big step, and look forward to seeing your new smile when it is finished. We are hopeful that this schedule alteration will be short. When this situation has stabilized, we are going be ready for you!

What about getting my braces off?

 Although dental care is very safe for patients and providers with standard universal precautions and hospital level sterilization protocols, the removal of orthodontic bonding materials produces aerosols that can possibly contain biological material. A deferral of removing braces is a good practice at a time like this. Always brush and floss thoroughly to maintain your dental health as we await the passing of this situation. We will resume removal of braces when we are advised that it is safe to do so.

I have a routine monitoring appointment upcoming (retainer check, growth monitoring, recall examination, or new patient consultation).

These appointments are very important, but by their nature become elective at a time like this. We will maintain all appointment records within our computer system, and will reschedule them appropriately when the community situation returns to normal.

We are told to wash our hands frequently; how should we handle wearing aligners, retainers, elastics, etc?

It is important to continue wearing your aligners and your rubber bands to maintain your treatment progress, or your treatment result if currently wearing retainers. Follow recommendations by washing your hands thoroughly with soap and water before and after removing or placing your aligners, retainers, or elastics. These items can also be washed or cleaned in a diluted soap and water solution. An old toothbrush is ideal for this purpose. After cleaning the appliance, rinse thoroughly in cold water to minimize the soapy taste, just like when doing the dishes.

I lost or broke my retainer or aligner. What should I do?

 It is always important to wear your retainers after your treatment is complete. Call the office or write us an email, someone will be contact you to see how we can proceed.

I have a poking wire or other irritation that is bothering me. What do I do?

Call us! We will instruct you on the best resolution to the problem. We will try to help you with an easy fix at home. In the event of a true emergency situation involving pain, this could involve a quick trip to the office for a fix in a private setting where you would be the only patient in the office.

To stay updated on how our office is responding, follow us on for updates. 


Thank you for your understanding, and we are truly grateful that you have chosen to support our small business. We wish you all good health, and we can’t wait to see you again in person real soon!

Dr. Miller and Team


Office Updates COVID-19

Dear Keene/Brattleboro/Rindge Orthodontic Patient Family,

We want to share what we are doing in response to the Coronavirus COVID-19 outbreak. The health and safety of our patients, team members, and community is of utmost importance to us. Please be assured we are closely monitoring developments and implementing several safety precautions.
For the time being, we will remain open and take care of our patients. As always, we follow OSHA guidelines for infection control. In addition, we use an outside company to monitor our sterilization methods. Our office will be following the CDC’s recommendations as we learn more about this virus. We have increased our disinfection protocol, and the frequency of our cleaning schedule.
For your safety our our team’s safety we will be implementing the following at your visit:
1) Our reception area will be closed. We will have a team member greet the patient at the front door. Alternatively, families wait in their car and call our office upon arrival.
2) We will ask for your cooperation in reducing parents and family members coming to appointments. If possible, please send in the patient by themselves. For small children or children with special needs we will allow one parent to accompany their child.
3)We will be asking if you or anyone in your family has been sick or traveled internationally when you arrive at our office. If you answer affirmatively or are visibly sick, we will ask you to reschedule
4)We will be removing the check in computer – please check in with our receptionist. Likewise we will be removing all magazines, communal items, and refreshments like cookies or ice cream.
5)Please wash your hands or use hand sanitizer when arriving at our office.
6)Our Smile Shuttle will not be running at this time.
7)We will be doing phone or facetime updates on your child’s treatment so you are still informed on their treatment. We will also call you to schedule your child’s next appointment.
8)We will call you to reschedule non-essential orthodontic appointments at this time: Retainer Checks, Growth Guidance follow ups, etc., to reduce the total amount of foot traffic in our office at this time. We will reschedule these appointments to a later date.
9)Certain other types of appointments that increase risk of virus transmission will be modified or rescheduled.
10)Team members will refrain from handshaking. We will still give plenty of smiles.
We have also communicated to our team that they should remain at home if they are experiencing a cough or fever. We may experience some short staffed days in the future, and appreciate your patience during this time.
We appreciate your assistance with these guidelines. As always, we want to provide you with a world class experience, the best possible orthodontic treatment, and a safe and enjoyable visit. Please feel free to contact us if you have any questions or concerns.
Dr. Miller and Team

Sign Up Here for our Mouthguard Night – 4/8

Register below for our Spring Mouthguard Night. During this event stop in anytime between 3:30pm and 5:30pm and you will be fitted for a custom mouthguard. The mouthguard will be ready within a week after your fitting. You can choose from an assortment of colors.

***Custom fitted mouthguards cannot be worn with braces, if you are currently in treatment and need a mouthguard please stop into our office at anytime to pick one up.

March Madness Bracket Contest

Join us for some March Madness FUN! We will be holding a March Madness bracket contest for our patients and referring dental offices.

Sign up below and you will get an email from us to chose your bracket through CBS Sports when it opens. March Madness starts on March 17th and goes until April 6th!

Prizes for the winners!