Braces can introduce new sensations during orthodontic treatment. A common question concerns the potential for discomfort. While some soreness may occur, it is generally manageable and temporary as teeth gradually shift into alignment.
What to Expect Initially
When braces are first attached, a new sensation of pressure begins as the teeth start their movement within the jawbone. This initial pressure can lead to soreness in the teeth and gums, often described as a dull ache, particularly noticeable when biting or chewing. This discomfort arises as the periodontal ligaments, which connect teeth to bone, undergo changes to allow for tooth movement.
The mouth also needs to adapt to new dental hardware like brackets and wires. These components can rub against the soft tissues of the cheeks, lips, and tongue, causing minor irritation or small sores. Patients often find relief as their mouth adjusts to the appliances.
This initial discomfort typically lasts a few days, usually subsiding within a week as teeth adjust and soft tissues toughen. The mouth’s natural adaptation helps alleviate these early sensations. Many report a reduction in discomfort after three to seven days.
Ongoing Discomfort and Adjustments
Throughout orthodontic treatment, periodic adjustments are necessary for tooth alignment. During these appointments, the orthodontist typically changes or tightens the archwires, applying new forces to guide teeth into their desired positions. This renewed pressure often results in soreness as teeth respond to the forces.
Discomfort following adjustments is usually less intense and shorter than the initial placement period. Patients might experience a similar dull ache, typically lasting one to three days. This sensation indicates teeth are actively responding to applied forces, promoting desired structural changes.
Between appointments, minor issues can arise, such as a loose wire or a detached bracket. A poking wire can irritate the inside of the cheek or gum, causing a sore spot. Addressing these mechanical issues promptly helps prevent prolonged irritation and ensures treatment progresses.
Tips for Pain Relief
Over-the-counter pain relievers can provide relief. Medications like ibuprofen reduce inflammation around the teeth, while acetaminophen diminishes pain perception. Always follow dosage instructions.
Orthodontic wax serves as a barrier to protect soft tissues from abrasive brackets and wires. A small piece can be rolled into a ball and pressed over any part causing irritation, creating a smooth surface. This prevents friction and allows irritated areas to heal.
Eating soft foods minimizes pressure on sensitive teeth, especially helpful immediately after braces are placed or adjusted. Opt for foods like mashed potatoes, smoothies, yogurt, or soft cooked vegetables. Avoiding hard, crunchy, or sticky foods also helps prevent damage to the braces.
Applying a cold compress to the jaw can reduce swelling and numb the area, providing temporary relief. Rinsing with warm salt water can soothe irritated gums and promote healing of small sores. This solution also helps cleanse the mouth and reduce inflammation.
When to Consult Your Orthodontist
Contact your orthodontist if you experience severe, persistent pain unresponsive to home remedies like pain relievers or soft foods. Unrelieved pain could indicate an underlying issue requiring evaluation.
Contact your orthodontist for mechanical problems with your braces. This includes a broken wire poking your cheek or gum, a loose bracket, or any appliance part feeling out of place. Prompt repair helps prevent further irritation or treatment delays.
Persistent mouth sores that do not heal after several days, or unusual swelling or redness in the gums, should be brought to your orthodontist’s attention. These symptoms could indicate an infection or other complication requiring professional assessment.