Generally speaking, you should contact our office if you are in excruciating pain or have an uncomfortable appliance issue that you can't fix on your own. We'll be able to arrange a meeting to fix the issue.
You might be surprised to learn that, until you can visit our office, you might be able to temporarily resolve a lot of issues on your own. If you can remove any loose parts, bring them to your next appointment with you in a plastic bag or envelope. Put soft wax over the protruding part of your braces or wires if they are pricking you. Visit our YouTube website for several films that offer helpful advice for connecting elastics and solutions to problems.
Put wax on the component of the appliance that is causing you pain.