Do Metal Braces Hurt? What to Expect and Pain Relief

Metal braces are a common orthodontic treatment chosen by many individuals seeking to align their teeth and improve their dental health. A frequent concern for those considering or undergoing this treatment revolves around the potential for discomfort. Understanding what sensations to expect at different stages of the treatment can help manage these concerns.

Immediate Discomfort

When metal braces are first applied, the process of bonding the brackets and threading the wires typically does not involve pain. However, discomfort often begins a few hours after initial placement. This sensation arises from the new pressure exerted on the teeth as the orthodontic wires initiate tooth movement. The teeth and surrounding bone structures are unaccustomed to these continuous forces.

Common feelings during this initial phase include a general soreness or a dull ache across the teeth and jaws. The new presence of brackets and wires inside the mouth can also cause irritation to soft tissues, such as the inner cheeks, lips, and tongue. This irritation often results from rubbing against the unfamiliar metal components. This immediate discomfort usually lasts for a few days, typically subsiding within one week as the mouth adjusts to the new appliances.

Discomfort After Adjustments

Throughout orthodontic treatment, periodic adjustments are necessary to continue tooth alignment. These adjustments involve the orthodontist tightening existing wires, replacing them, or modifying the brace system. Each adjustment reapplies new forces to the teeth, prompting continued movement. This application of pressure often leads to a temporary return of discomfort.

The sensations experienced after adjustments can differ from the initial discomfort, often presenting as a dull ache or increased sensitivity, particularly when biting or chewing. This discomfort is a direct result of the renewed pressure guiding the teeth into their desired positions. The intensity and duration of this soreness can vary among individuals, but it generally diminishes within a few days following each appointment.

Strategies for Pain Relief

Managing discomfort from metal braces, whether initial soreness or periodic aches after adjustments, involves several practical approaches. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective in reducing general soreness and inflammation. These medications can be taken as directed to help alleviate discomfort during the initial adjustment periods.

  • Apply orthodontic wax: Mold a small piece of wax over any sharp or irritating parts of the braces, creating a smooth barrier against soft tissues.
  • Rinse with warm salt water: This can soothe sore spots, reduce inflammation, and promote healing of minor abrasions inside the cheeks or lips.
  • Eat soft foods: Especially after initial placement or adjustments, this minimizes pressure on sensitive teeth and gums. Examples include mashed potatoes, yogurt, and smoothies.
  • Apply a cold compress: To the outside of the jaw, this can help reduce discomfort and minor swelling.