Tightening braces applies a controlled application of pressure designed to shift teeth into their new positions. This necessary adjustment causes temporary discomfort, commonly felt as soreness or a dull ache as the periodontal ligaments respond to the increased force. This expected pain typically peaks within the first 24 to 48 hours following the appointment, gradually subsiding over the next few days. Understanding the nature of this discomfort allows for a targeted approach to pain relief, focusing on both systemic and localized remedies.
Systemic Relief Through Medication
Over-the-counter medication offers a body-wide approach to managing the pressure and tenderness that follows an adjustment. Taking an analgesic medication proactively, about an hour before the scheduled appointment, can significantly blunt the onset of pain before it fully sets in. Acetaminophen is often the preferred choice for managing orthodontic pain because it provides effective relief without potentially interfering with the biological process of tooth movement. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, work by reducing inflammation. However, the anti-inflammatory action of NSAIDs can sometimes inhibit the cellular activity required for teeth to move, potentially slowing the overall treatment timeline. Many orthodontists advise using acetaminophen first to ensure the most efficient tooth movement.
Localized Numbing and Thermal Techniques
Topical oral anesthetics, such as gels containing benzocaine, can be applied to specific areas of the gums or teeth that feel particularly sore. To use these products effectively, first dry the painful spot with a clean cotton swab or tissue, then apply a small, pea-sized amount of the gel directly onto the irritated area. This numbs the nerve endings for a short period, which is especially helpful before mealtimes. Thermal techniques are also highly effective for immediate, localized comfort. Applying a cold compress or an ice pack wrapped in a cloth to the outside of the cheek can reduce inflammation and numb the area right after the tightening appointment.
Managing Physical Irritation and Dietary Adjustments
Physical Irritation Management
The brackets and wires of the braces can cause irritation by rubbing against the sensitive tissues of the cheeks, lips, and tongue. To create a smooth barrier over rough edges, orthodontic wax is used. Pinch off a small, pea-sized piece and roll it between clean fingers to warm and soften it. The area on the brace causing irritation should be dried thoroughly before the wax is pressed onto the bracket or wire to protect the mouth tissues from friction.
Dietary Adjustments and Soothing Rinses
During the first few days of soreness, modifying your diet is the most practical way to reduce additional discomfort. Teeth will be highly sensitive to biting and chewing, making soft, non-chewy foods necessary to avoid straining the jaw and teeth. Excellent choices include yogurt, smoothies, mashed potatoes, well-cooked pasta, soft scrambled eggs, and pureed soups. Foods to strictly avoid are hard items like nuts, ice, or hard candy, sticky foods such as caramel or taffy, and anything that requires forceful biting. Rinsing the mouth several times a day with a solution of warm water and a half-teaspoon of salt helps to soothe any minor sores or cuts caused by the braces and promotes healing of the irritated soft tissues.