Getting braces does not typically involve general anesthesia. The application process is generally not painful enough to require it. Instead, orthodontists use methods to ensure comfort while you are fully awake.
Understanding Braces Application
The process of applying braces involves several steps, none of which are surgical or require incisions. First, the orthodontist thoroughly cleans and dries your teeth to ensure a strong bond. Next, a conditioning agent is applied to the tooth surface, preparing it for the adhesive. Following this, a bonding agent is placed on the teeth.
The brackets, which are small metal or ceramic squares, are then carefully positioned and adhered to each tooth using a special dental cement. A curing light, typically a high-intensity LED light, is used to harden this adhesive and secure the brackets in place. Finally, a metal archwire is threaded through the slots in the brackets, and small elastic ties or “modules” are used to hold the wire in place, or the brackets themselves may have “sliding doors” to secure the wire.
Pain and Discomfort Management Options
General anesthesia is not used for braces application, as the procedure is not surgical or severely painful. While you may experience pressure, the application process itself is painless. To maximize patient comfort, orthodontists often use topical numbing gels on the gums before placing bands around molars.
For patients who might experience heightened sensitivity or anxiety, options like nitrous oxide, commonly known as laughing gas, can be administered. Nitrous oxide induces a relaxed state. Oral sedatives may also be prescribed for some anxious individuals to help them feel calmer during the procedure. Most patients report feeling pressure rather than sharp pain during the bonding of brackets and threading of wires.
Managing Anxiety During the Procedure
Beyond physical comfort, managing anxiety is also a focus during orthodontic appointments. Open communication with the orthodontist and staff is encouraged, allowing patients to voice fears or discomfort. Relaxation techniques such as deep breathing exercises can help maintain a calm state of mind.
Distraction methods can also be beneficial. Patients can listen to music or audiobooks through headphones to divert their attention. Conscious sedation options, like nitrous oxide, can also help reduce anxiety and promote a sense of ease. Visualizing positive outcomes can also contribute to a more relaxed experience.
What to Expect After Braces Application
After the braces are applied, initial soreness or tenderness in the teeth and gums is common. This discomfort begins a few hours after the appointment and may last for several days, peaking on the second or third day. This sensation is a normal response as your teeth adjust to the new pressure exerted by the braces.
To manage this initial discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen are recommended. Eating soft foods, like soups, mashed potatoes, or smoothies, for the first few days can also help minimize pressure on sensitive teeth. Minor irritation to cheeks or lips may also occur as you adapt to the brackets and wires, which can be alleviated with orthodontic wax.