Does Putting On Braces Hurt? The Process and What to Expect

Dental braces are orthodontic devices used to align and straighten teeth and correct bite irregularities. They improve dental health and the overall appearance of a smile. Many wonder about the discomfort associated with the application process.

What to Expect During Application

The process of having braces applied is generally not painful, but it does involve several steps. First, the orthodontist cleans and dries the teeth to ensure a proper bond. A bonding material is then applied to the tooth surface, followed by the placement of individual brackets onto each tooth. A blue light is used to cure and harden the adhesive, attaching the brackets.

Next, the archwire, which connects all the brackets, is threaded through them. Small elastic bands, called ligatures, secure the archwire in place. While holding the mouth open for an extended period can cause some discomfort or jaw stiffness, the procedure itself does not typically cause sharp pain. The entire process is quick, often taking less than an hour.

The First Few Days After Braces Are On

While the application of braces is not painful, discomfort usually begins a few hours to a day after they are placed. This initial soreness stems from the pressure braces apply to the teeth, which initiates their movement. This pressure stimulates the periodontal ligament, leading to inflammation and tenderness. Patients describe this sensation as a dull ache or throbbing.

Eating or chewing can exacerbate the soreness, as the teeth and gums are sensitive to pressure. Additionally, the new hardware can rub against the inner cheeks, lips, and tongue, causing irritation or small sores. This adaptation period allows the mouth to toughen up. Discomfort typically lasts for the first three to seven days after application.

Strategies for Pain Relief

Managing initial discomfort after getting braces involves several approaches. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce inflammation and alleviate soreness. Taking these medications about an hour before an adjustment appointment can also help preempt discomfort.

Eating soft foods, like mashed potatoes, soups, yogurt, and smoothies, can also ease discomfort during meals. Applying orthodontic wax to brackets or wires creates a smooth barrier, preventing rubbing against the cheeks and lips. Rinsing the mouth with warm salt water can soothe sore gums and help heal any irritated areas or sores. Additionally, applying a cold compress to the outside of the cheeks can numb the area and reduce inflammation.