Braces are an orthodontic treatment designed to align teeth and improve oral health. While effective, experiencing some discomfort is a common part of the process as teeth shift into new positions. Understanding this discomfort can help individuals navigate their orthodontic journey more comfortably.
Understanding Braces Pain
Braces cause discomfort by applying continuous pressure to gradually move teeth into alignment. This pressure leads to soreness as tooth roots shift within the jawbone. The initial adjustment period, especially in the first few days after placement, often brings the greatest discomfort.
During tightening appointments, orthodontists adjust the wires, which can increase this pressure and sensitivity. Brackets and wires can also rub against soft tissues, causing irritation or small sores until the mouth adapts. This general soreness is distinct from acute irritation caused by poking wires or broken components.
Immediate Relief Strategies
When experiencing discomfort from braces, several immediate strategies can provide temporary relief. Over-the-counter pain relievers such as ibuprofen or acetaminophen can reduce soreness and inflammation. Taking these medications proactively, perhaps an hour before an adjustment appointment, can help minimize pain onset. Some dental professionals suggest acetaminophen as a preferred option because it is less likely to interfere with tooth movement compared to NSAIDs.
Applying a cold compress to the outside of the cheek can numb discomfort and reduce swelling. An ice pack or even a bag of frozen vegetables wrapped in a cloth can be used for 15-20 minutes. Consuming cold foods like ice cream or popsicles can similarly help by numbing the mouth and decreasing inflammation.
Rinsing the mouth with a warm salt water solution is another soothing approach. Mix one teaspoon of salt in eight ounces of warm water and swishing it for 30-60 seconds to alleviate soreness, reduce swelling, and promote healing. Additionally, a diet of soft foods is advisable when teeth are sensitive. Foods like mashed potatoes, soups, yogurt, scrambled eggs, and smoothies require minimal chewing, preventing further pressure on sore teeth.
Preventing Discomfort
Proactive measures can reduce future discomfort associated with braces. Orthodontic wax serves as an effective barrier between the braces and sensitive tissues of the mouth. This soft, moldable wax can be pressed onto any bracket or wire causing irritation. The wax creates a smooth surface, preventing friction and allowing sores to heal. It is useful when first getting braces or after adjustments, and while non-toxic if accidentally swallowed, it should be removed before eating or brushing.
Maintaining excellent oral hygiene is important for preventing discomfort. Regular and thorough cleaning around brackets and wires helps remove food particles and plaque, which can lead to irritation or gum inflammation. Using a soft-bristled toothbrush and potentially interdental brushes or a water flosser ensures comprehensive cleaning.
Dietary modifications are important for minimizing discomfort and protecting the braces. Avoiding hard, crunchy, sticky, or chewy foods prevents damage to the wires and brackets, which could lead to poking wires or detached components. Foods like nuts, popcorn, hard candies, chewing gum, and tough meats should be avoided. Instead, opt for softer alternatives such as cooked vegetables, soft fruits, and pasta.
When to Seek Professional Help
While some discomfort with braces is expected, certain situations warrant contacting an orthodontist. Severe, persistent pain that does not improve with home remedies signals a need for professional evaluation. If a wire breaks, becomes loose, or pokes into the cheek, tongue, or gums, it can cause significant irritation and should be addressed by an orthodontist. Any signs of infection, such as swelling, excessive redness, or pus around the gums or teeth, require immediate professional attention. Prompt consultation ensures issues are managed effectively to prevent complications or delays in treatment.