Adjusting to new orthodontic appliances can cause mouth irritation or cuts. Many individuals experience some discomfort. Understanding the reasons behind this temporary irritation and knowing how to manage it can contribute to a smoother orthodontic journey.
Understanding Initial Discomfort
Mouth irritation or cuts often occur when braces are first applied due to the newness of the orthodontic appliances. Brackets, wires, and other components introduce unfamiliar surfaces that rub against the delicate soft tissues of the cheeks, lips, and tongue. This friction can lead to raw spots, small cuts, or canker sores.
Sharp edges on brackets or protruding wires are a frequent cause of injury. Even a slight shift in a wire after an adjustment can poke into the sensitive lining of the mouth. The mouth’s soft tissues are unaccustomed to continuous contact with rigid metal. Over time, these tissues naturally toughen and develop calluses, which significantly reduces irritation. This adaptation period lasts from a few days to a few weeks, with discomfort considerably decreasing within the first month.
Immediate Relief and Prevention Strategies
Orthodontic wax is a widely recommended solution for immediate relief from sharp or irritating areas. A small, pea-sized piece of wax can be rolled and pressed onto the problematic bracket or wire after ensuring the area is dry. This creates a smooth, protective barrier between the appliance and soft tissues, allowing sores to heal. The wax is non-toxic, safe to swallow in small amounts, and can be left on overnight.
Rinsing the mouth with a warm saltwater solution can soothe irritation and promote healing. Dissolve one teaspoon of salt in eight ounces of warm water, then swish for about 30 seconds. This helps reduce tenderness and inflammation while keeping the area clean.
Eating soft foods, especially after getting braces or adjustments, can minimize chewing discomfort. Good choices include mashed potatoes, yogurt, smoothies, cooked vegetables, and soft pasta; avoid hard, sticky, or crunchy items to prevent damage and irritation. Maintaining thorough oral hygiene, including gentle brushing, flossing with specialized tools, and using an antimicrobial or fluoride mouthwash, also helps prevent inflammation and infection.
When to Consult Your Orthodontist
While most discomfort from braces is temporary and manageable at home, certain situations warrant professional attention. Persistent severe pain that does not subside with home remedies or significantly interferes with eating or sleeping indicates a need for evaluation.
Any broken or loose components, such as a wire or bracket, should prompt a call to the orthodontist. A broken or protruding wire can cause ongoing injury and delay treatment if not addressed promptly. Signs of infection, such as increasing redness, swelling, or pus around an irritated area, also require immediate professional assessment. Home remedies like orthodontic wax offer temporary relief until the orthodontist provides a definitive solution.