Getting braces marks a significant step towards a straighter smile, and while the journey is rewarding, it often involves periods of discomfort. This soreness is common, especially after initial placement or adjustments. Fortunately, various effective methods exist to help manage this pain, ensuring a more comfortable experience as your teeth shift into alignment.
Medications for Pain Relief
Over-the-counter pain relievers alleviate discomfort from braces. Acetaminophen (Tylenol) is a preferred choice. It targets pain receptors without significantly affecting bone remodeling, the biological process of tooth movement. This means acetaminophen provides relief without slowing down tooth movement.
In contrast, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), such as ibuprofen (Advil) and naproxen (Aleve), also reduce pain and inflammation. However, NSAIDs can interfere with the bone remodeling process necessary for tooth movement, potentially prolonging treatment time. Consult your orthodontist before using NSAIDs for braces pain to understand their impact on your treatment plan.
Topical and Physical Comfort
Beyond oral medications, several non-ingested methods provide localized relief. Orthodontic wax is a common solution used to prevent irritation caused by brackets and wires rubbing against the soft tissues of the mouth. To apply, a small, pea-sized piece of wax is softened by rolling it between the fingers, then gently pressed onto the irritating part of the brace, creating a smooth barrier. This protective layer reduces friction and allows sore spots to heal.
Applying a cold compress or ice pack to the outside of the mouth also helps reduce soreness and swelling. The cold temperature numbs the affected area and decreases inflammation caused by the pressure of braces. A wrapped ice pack or bag of frozen vegetables can be held against the cheek for several minutes, repeatable throughout the day. Topical oral anesthetics, such as benzocaine gels, can also be applied directly to sore spots on the gums or inside the cheeks. These gels temporarily numb the area, offering quick, localized relief.
Diet and Oral Hygiene Solutions
Dietary adjustments play a significant role in managing braces pain, particularly after initial placement or adjustments. Sticking to a soft food diet minimizes chewing discomfort and protects the braces from damage. Suitable foods include mashed potatoes, scrambled eggs, yogurt, smoothies, and cooked cereals like oatmeal. Cold soft foods, such as ice cream or popsicles, also provide a soothing, numbing effect on sore gums and teeth.
Maintaining good oral hygiene, including warm saltwater rinses, alleviates discomfort and promotes healing. To prepare, dissolve about one teaspoon of salt in eight ounces of lukewarm water. Swish this solution around your mouth for 30 to 60 seconds before spitting it out. This rinse helps soothe irritated gums, reduces swelling, and cleanses minor sores or cuts from the braces, contributing to overall oral health and comfort.
When to Consult Your Orthodontist
While many discomforts associated with braces can be managed at home, professional intervention from your orthodontist is sometimes necessary. Contact your orthodontist if you experience persistent or severe pain that does not improve with home remedies.
Seek immediate attention for broken wires, loose brackets, or any other damage to the braces. Such issues can cause irritation, poke soft tissues, and disrupt treatment progress. Severe mouth sores, signs of infection (like swelling or pus), or any other unexpected concerns also warrant a call to your orthodontist.