Individuals undergoing orthodontic treatment often wonder if they can feel their teeth shifting. Experiencing various sensations is a normal part of the treatment journey, indicating that orthodontic appliances are working to realign teeth.
The Sensations of Tooth Movement
When teeth begin to move with braces, individuals report distinct sensations. Common feelings include general pressure, which can evolve into a dull ache, particularly in actively repositioned teeth. Some describe soreness or tenderness, especially when biting or chewing.
Teeth may also feel slightly loose or sensitive to touch. These sensations are most noticeable after braces are first placed or following an adjustment. While uncomfortable, these mild feelings confirm the braces are effectively guiding teeth into their new positions.
How Braces Move Teeth
Braces reposition teeth through a precise biological process known as bone remodeling. This process begins when brackets and wires apply continuous, gentle pressure to specific teeth. This sustained force compresses the periodontal ligament (PDL) on one side of the tooth, a specialized tissue connecting it to the jawbone. The compression of the PDL reduces blood flow, triggering a cellular response.
On the opposite side, the PDL experiences tension, stimulating the body to produce new bone cells (bone deposition). Simultaneously, on the compressed side, specialized cells called osteoclasts break down existing bone. This coordinated breakdown and rebuilding of bone tissue allow the tooth to gradually move through the jawbone into its intended alignment. The continuous nature of the pressure ensures this remodeling process occurs gradually and safely.
Timeline and Expectations
Sensations of tooth movement typically begin shortly after braces are initially placed, often within a few hours. These feelings are also common following routine adjustment appointments, which usually occur every four to six weeks. During these adjustments, the orthodontist changes wires or makes modifications to increase or redirect the forces on the teeth.
The discomfort usually peaks within the first 24 to 48 hours after an adjustment. These sensations subside significantly within three to five days after an adjustment. It is normal for the intensity of these feelings to vary, and not feeling intense movement all the time does not mean the braces are not working. Consistent, severe pain that does not improve after several days should be reported to the orthodontist.
Managing Discomfort
To manage typical discomfort from tooth movement, several strategies can help alleviate the sensations. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in reducing soreness and aches. Opting for soft foods like soups, smoothies, mashed potatoes, or yogurt can minimize pressure on sensitive teeth during mealtimes.
Applying orthodontic wax over any brackets or wires that irritate the cheeks or lips can also provide relief. A cold compress applied to the outside of the jaw can help reduce inflammation and numb the area, offering temporary comfort. Rinsing the mouth with warm salt water can soothe sore gums and any minor irritations. While some discomfort is expected, persistent severe pain, broken wires, or persistent sores that do not heal warrant contacting the orthodontist.