Braces are appliances that apply continuous forces to gradually shift teeth into new positions. This biological remodeling process involves pressure on the teeth, which often results in a deep, aching discomfort or tenderness, particularly after the device is placed or adjusted. Additionally, the orthodontic hardware introduces external friction, where brackets and wires rub against the sensitive lining of the lips, cheeks, and tongue, causing localized irritation. Managing both the systemic pressure pain and the local tissue irritation is the primary focus for maintaining comfort throughout treatment.
Techniques for Immediate Pain and Pressure Relief
The deep ache experienced after an adjustment results from the biological response to the force applied to the teeth. Over-the-counter pain relievers offer one of the most effective ways to manage this systemic discomfort. Many orthodontists suggest using acetaminophen, as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may potentially interfere with tooth movement. Taking the recommended dose shortly before or immediately after an adjustment appointment can help preempt the peak tenderness, which typically occurs 12 to 24 hours later.
External temperature control offers a non-pharmacological way to soothe a sore mouth. Applying a cold compress or ice pack directly to the outside of the jaw can help reduce inflammation and temporarily numb the area. Similarly, internal cold relief, such as sucking on sugar-free popsicles or sipping ice water, provides immediate, localized soothing to the irritated gums and tissues. This cold application reduces localized swelling and dulls nerve sensations temporarily.
Protecting Soft Tissues from Friction and Irritation
The metal components of braces can scrape and irritate the delicate soft tissues of the mouth, leading to painful sores or ulcers. Orthodontic wax is a simple, physical barrier used to create a smooth surface over the abrasive areas of the hardware. To apply it effectively, roll a pea-sized piece of wax between the fingers to soften it, then dry the specific bracket or wire with a tissue before pressing the wax firmly over the irritating spot. The wax should completely cover the sharp edge, creating a temporary cushion that allows the irritated tissues to heal.
If a wire breaks or shifts, creating a sharp protrusion, immediately cover the point with wax or a small piece of clean cotton or sterile gauze. This temporary solution protects the cheek or tongue until an emergency appointment can be made for the orthodontist to trim the wire. For existing mouth sores, warm saline rinses can promote healing by gently cleansing the area and reducing inflammation. A simple solution involves mixing about half a teaspoon of salt into one cup of warm water and swishing it around the mouth for about 30 seconds multiple times a day.
Navigating Meals and Dietary Changes
The tenderness in the teeth following an adjustment means consuming foods that require minimal chewing pressure is advisable for the first few days. Focusing on soft or liquid options, such as smoothies, mashed potatoes, yogurts, soft-cooked pasta, or scrambled eggs, prevents the need to bite down forcefully on sore teeth. These textures ensure adequate nutrition without causing unnecessary pain or stress.
When eating solid food, cutting it into small, bite-sized pieces before placement in the mouth is highly recommended. This technique minimizes the use of the sensitive front teeth, allowing for slower, more careful chewing with the back teeth. To prevent damage to the appliance, strictly avoid foods that are hard, sticky, or crunchy, such as nuts, caramel, popcorn, and ice.