Discomfort is common after braces are placed or adjusted, as teeth begin to shift. This article provides practical guidance on managing soreness, offering immediate relief and long-term adjustments.
Immediate Comfort Measures
Several immediate actions can provide relief after a braces adjustment. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage the discomfort by reducing inflammation and pain signals. These medications are generally effective when taken as directed, typically providing relief within 30 to 60 minutes.
Orthodontic wax offers a physical barrier against irritating brackets or wires that might be rubbing against the inside of the mouth, causing sores. To apply, simply pinch a small, pea-sized piece of wax, roll it into a ball, and then flatten it over the problematic bracket or wire. This creates a smooth surface, protecting the soft tissues from irritation.
Applying a cold compress or ice pack to the outside of the jaw can also help reduce swelling and numb the painful area. Hold the compress against the affected part of the face for 15 to 20 minutes at a time, with breaks in between applications. This method can be particularly soothing for generalized soreness around the teeth and gums.
Rinsing the mouth with a warm saltwater solution can soothe irritated gums and oral sores. Dissolve about half a teaspoon of salt in eight ounces of warm water and swish the solution gently around the mouth for 30 seconds before spitting it out. This can be repeated several times a day to promote healing and reduce inflammation.
Immediately after adjustments, consuming only soft foods can minimize pressure on sensitive teeth, preventing further discomfort.
Dietary and Oral Care Adjustments
Dietary and oral care adjustments contribute to ongoing comfort and prevent future pain. Certain foods, such as hard candies, nuts, sticky items like caramel, and chewy breads, should be avoided throughout orthodontic treatment. These foods can exert excessive force on the braces, potentially bending wires or dislodging brackets, which can then cause sharp pain or discomfort.
Maintaining a consistent diet of soft, non-abrasive foods is recommended to minimize pressure on the teeth and braces. This approach helps prevent damage to the orthodontic appliances and reduces the likelihood of pain from biting or chewing. Opting for foods like mashed potatoes, yogurt, smoothies, and cooked vegetables can make eating more comfortable.
Meticulous oral hygiene is also paramount in preventing pain and complications. Proper brushing and flossing techniques are essential to remove food particles and plaque that can accumulate around brackets and wires. This accumulation can lead to gum inflammation and tooth decay, both of which exacerbate pain and discomfort.
Utilizing specialized tools, such as interdental brushes or floss threaders, can make cleaning around braces more effective. These tools help access tight spaces and ensure thorough removal of debris, thereby preventing gum soreness and sensitivity. Regular and careful cleaning supports overall oral health and contributes to a more comfortable orthodontic experience.
When Professional Help is Needed
While most braces discomfort can be managed at home, some situations require contacting an orthodontist. Persistent or worsening severe pain that does not respond to home remedies is a clear indicator that professional evaluation is necessary. This kind of pain might suggest an underlying issue that requires clinical attention.
If any part of the braces, such as a wire or bracket, becomes broken or loose, it can cause significant discomfort or even injury to the mouth. A broken wire might poke the cheek or gum, while a loose bracket can rub against the tooth or soft tissue. In such cases, the orthodontist can repair or adjust the appliance to restore comfort and prevent further damage.
Sores inside the mouth that do not heal within a reasonable timeframe, or those showing signs of infection like increased redness, swelling, or pus, also require professional assessment. The orthodontist can provide guidance on treatment or prescribe medication if needed. Any unusual symptoms or concerns about the braces should prompt a call to the orthodontic office. Reaching out to the orthodontist for these types of issues is a normal and expected part of the treatment process.