Orthodontic rubber bands, also known as elastics, are a common component of brace treatment, designed to guide teeth and jaws into proper alignment. While these small bands are highly effective, many individuals experience a degree of discomfort when they are first introduced. This soreness is a normal and expected part of the process as the mouth begins to adapt to the new forces.
Understanding Orthodontic Rubber Bands
Orthodontic rubber bands, or elastics, are small loops made from medical-grade materials. They connect to tiny hooks on brace brackets, applying specific forces to move teeth and correct bite issues like overbites, underbites, and crossbites. This consistent pressure guides teeth into their desired positions for a harmonious bite.
Why Discomfort Occurs
The discomfort experienced from orthodontic rubber bands stems from the continuous pressure they exert on the teeth, jaw, and surrounding structures. This applied force initiates a biological process where the teeth are gradually moved through the bone. As the teeth shift, the ligaments and bone around them undergo remodeling, which can result in soreness, tenderness, and a feeling of tightness. Sometimes, the bands or brace components might also rub against the inside of the cheeks or lips, causing additional irritation.
How Long Discomfort Typically Lasts
Initial discomfort from orthodontic rubber bands typically lasts a few days after they are first applied or adjusted, often subsiding within 2 to 4 days. While some may experience discomfort for up to a week, it usually lessens as the mouth adjusts to the new pressure. Mild, transient discomfort can recur briefly each time new, stronger bands are introduced or following an orthodontist’s adjustment, as the teeth react to renewed force. Persistent or severe pain that does not improve after this initial adjustment period is not typical and should be addressed.
Managing Discomfort
Several strategies can help alleviate the discomfort associated with orthodontic rubber bands:
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can reduce pain and inflammation.
Applying orthodontic wax to brace components that rub against cheeks or gums creates a protective barrier.
Opting for soft foods, like soups or mashed potatoes, makes eating more comfortable during soreness.
Rinsing with warm salt water may soothe sore spots or canker sores.
Consistent wear of the rubber bands as prescribed is important, as stopping and starting prolongs adjustment.
When to Seek Professional Advice
While some discomfort is a normal part of orthodontic treatment with rubber bands, there are specific situations when it is important to contact your orthodontist. If the pain is severe, persistent beyond the typical adjustment period (e.g., more than a week), or worsens over time, professional advice should be sought. Additionally, contact your orthodontist if you notice any broken or ill-fitting bands, suspect an allergic reaction to the elastic material, or experience any other unusual symptoms that cause concern. Your orthodontist can assess the situation and make any necessary adjustments to ensure your comfort and the effectiveness of your treatment.