Common Causes of Discomfort
Discomfort after getting braces or following adjustments is a common part of the orthodontic journey. Braces apply gentle forces to gradually shift teeth, and this process can lead to soreness as your mouth adapts. This sensation is typically mild and temporary, indicating treatment progress. Fortunately, various effective strategies exist to manage this discomfort for a more comfortable path to a straighter smile.
Braces work by exerting continuous, gentle pressure on your teeth, which initiates a biological process called bone remodeling. This involves bone breakdown on one side as the tooth moves, and new bone formation on the other to stabilize its position. This movement affects the bone and the periodontal ligaments that hold the teeth, leading to a sensation of soreness or tenderness.
Beyond internal shifts, physical irritation is also common. Brackets and wires can rub against the soft tissues of your cheeks, lips, and tongue. This friction may cause minor abrasions or canker sores, especially initially. Your mouth toughens over time, reducing this irritation.
Discomfort also arises after routine orthodontic adjustments or wire changes. During these appointments, the orthodontist modifies the brace configuration to guide tooth movement, reapplying pressure. This renewed force can cause temporary soreness as your teeth respond to the updated alignment forces, usually subsiding within a few days.
At-Home Pain Relief Methods
Managing discomfort begins with simple at-home remedies. Orthodontic wax provides a physical barrier between your braces and sensitive mouth tissues. Pinch a small piece, roll it into a ball, and press it firmly over any irritating bracket or wire. This creates a smooth surface, preventing rubbing and allowing healing.
Over-the-counter pain relievers effectively alleviate mild to moderate soreness. Medications like ibuprofen or acetaminophen reduce inflammation and pain, particularly during the first 24 to 48 hours after placement or adjustment. Always follow dosage instructions and consult a healthcare professional for underlying medical conditions. Taking these medications at the first sign of discomfort can be more effective than waiting for pain to intensify.
Applying a cold compress to the outside of your jaw can numb the area and reduce swelling. Use an ice pack wrapped in a soft cloth or a cold washcloth, holding it against the area for 10 to 15 minutes. This method provides temporary relief by constricting blood vessels and minimizing inflammatory responses. Drinking ice water or sucking on ice chips can also offer similar internal cooling effects.
Rinsing your mouth with a warm saltwater solution promotes healing and soothes irritated tissues. Dissolve about half a teaspoon of salt in eight ounces of lukewarm water and swish for 30 seconds before spitting. This natural remedy helps cleanse the mouth, reduce inflammation, and benefits minor cuts or sores. Performing this rinse two to three times daily can significantly improve comfort.
Dietary Adjustments for Comfort
Thoughtful food choices can significantly reduce discomfort while wearing braces. Immediately after getting braces or an adjustment, sensitive teeth and gums make soft foods preferable. Opt for items requiring minimal chewing, such as mashed potatoes, yogurt, smoothies, soups, scrambled eggs, and well-cooked vegetables. Cutting food into smaller, bite-sized pieces also minimizes pressure on your teeth and braces.
Avoid certain foods that can exacerbate pain or damage orthodontic appliances. Hard foods like nuts, popcorn, and hard candies can bend wires or dislodge brackets. Sticky foods, including caramels, chewing gum, and taffy, can pull on wires and get stuck, making cleaning difficult and potentially damaging. Chewy foods, such as bagels or hard rolls, can also strain your braces and teeth.
Crunchy items like chips and raw carrots should be consumed with caution or avoided, as they can cause discomfort and potential damage. Being mindful of these dietary restrictions prevents unnecessary pain and avoids emergency visits for repairs. Prioritizing softer foods, especially during periods of increased sensitivity, contributes to a more comfortable braces experience.
When to Contact Your Orthodontist
While some discomfort with braces is normal, certain situations warrant contacting your orthodontist. Persistent severe pain that does not improve with at-home remedies, or pain that worsens, should be reported. This discomfort could indicate an underlying issue needing attention beyond typical adjustment soreness.
Mechanical problems with braces also require professional intervention. A broken bracket or a loose wire can cause significant irritation and hinder treatment progress. If a wire pokes painfully into your cheek or gum and cannot be repositioned or covered with wax, it needs trimming or adjustment by your orthodontist. Attempting to fix major issues yourself can lead to further damage.
Signs of infection or prolonged sores also warrant professional care. If you notice swelling, excessive redness, or pus around your gums or teeth, this could indicate an infection requiring immediate attention. Sores not healing within a few days should also be examined. Additionally, if you experience significant difficulty eating or speaking, or if a tooth feels excessively loose beyond normal mobility, consult your orthodontist.