Braces pain is a common, temporary side effect experienced by many individuals undergoing orthodontic treatment. This discomfort typically arises immediately after the appliance is placed or following routine adjustments as teeth shift into new positions. The pressure applied initiates a biological process that causes soreness in the jaw and surrounding tissues. Understanding the specific nature of the discomfort allows for targeted relief strategies.
Addressing Deep Tooth and Jaw Soreness
The deep, generalized ache in the teeth and jaw is a direct result of the mechanical forces applied by the wires and brackets, which stimulate the bone remodeling process. To manage this internal discomfort, over-the-counter pain relievers offer a straightforward solution. Acetaminophen is often recommended as a first-line defense because it alleviates pain by blocking signals to the brain without acting as a strong anti-inflammatory agent.
Some orthodontists suggest acetaminophen over non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. NSAIDs can potentially interfere with the inflammation response necessary for the movement of teeth. Since orthodontic discomfort is primarily pressure-related, acetaminophen provides sufficient relief without the risk of slowing down the bone remodeling required for successful treatment. Applying cold therapy, such as an ice pack wrapped in a cloth to the outside of the cheek, can also help numb the area and reduce any immediate tissue swelling.
Protecting Soft Tissues from Hardware Irritation
Beyond the internal aches, the brackets and wires can cause localized irritation by rubbing against the delicate soft tissues of the cheeks, lips, and tongue. This friction can lead to small, painful sores that require a physical barrier for protection. Orthodontic wax or silicone is designed to be pressed directly onto the sharp edges or protruding parts of the hardware to create a smooth surface.
To apply the wax, roll a small, pea-sized amount between your fingers until it softens, and then press it firmly onto the dry bracket or wire causing the irritation. This simple barrier prevents direct contact between the metal and the cheek lining, allowing the irritated tissue to heal. If a wire is poking severely, you may gently tuck it back into place using the clean, soft end of a cotton swab or the eraser on a pencil. This should only be attempted if the wire is slightly displaced and can be easily moved without force.
Immediate Soothing Rinses and Dietary Adjustments
Certain non-medication methods can aid in soothing existing sores and preventing new irritation, focusing on the mouth’s healing environment. Rinsing the mouth with a warm salt water solution is a time-tested remedy for soothing painful mouth sores and promoting gum health. The rinse is typically prepared by dissolving about half a teaspoon of table salt into one cup of warm water.
The saline solution helps reduce swelling by drawing excess fluid out of the inflamed tissues and temporarily increases the mouth’s pH, which creates an environment less favorable for bacteria. Gently swishing this mixture for about 30 seconds multiple times a day can accelerate the natural healing process of the oral lining. Alongside rinses, modifying your diet is important, particularly by choosing soft foods like mashed potatoes, yogurt, or smoothies in the first few days after an adjustment. Avoiding hard, sticky, or chewy foods prevents further trauma and minimizes the risk of damaging the delicate hardware.
Recognizing Pain That Requires Professional Attention
While most braces discomfort can be managed at home, certain types of pain or hardware issues necessitate immediate contact with the orthodontist. A broken bracket, a loose band, or a wire that has become detached and is severely poking the cheek are all mechanical problems that require professional repair. Attempting to fix major hardware damage at home can lead to further complications or injury.
Additionally, persistent, intense pain that does not subside after several days following an adjustment should be reported immediately. The appearance of signs of infection, such as fever or pus, also requires urgent attention. These indicators suggest that the discomfort is beyond the normal scope of orthodontic treatment and needs clinical evaluation to ensure the health and safety of the mouth.