When new braces are fitted, some discomfort is common. This sensation arises from the gentle, continuous pressure applied to the teeth, gradually shifting them into correct positions. The process involves subtle changes in bone and soft tissues, leading to soreness or tenderness. While this adjustment period is normal, several effective strategies can help manage the discomfort.
Managing Initial Discomfort
Initial discomfort from new braces often manifests as a general ache or pressure, primarily due to tooth movement. Over-the-counter pain relievers can help alleviate this sensation. Acetaminophen is frequently recommended because it provides relief without interfering with the bone remodeling process, which is essential for tooth movement. Always follow dosage instructions on the medication’s packaging.
Applying cold therapy also reduces soreness and swelling. An ice pack wrapped in a cloth on the outside of the cheek near the discomforted area provides numbing relief. Consuming cold foods or drinks, such as popsicles or ice water, offers a similar numbing effect inside the mouth, soothing irritated tissues. This cooling sensation helps constrict blood vessels and reduce inflammation.
Adopting a soft food diet for the first few days is beneficial to avoid additional pressure on sensitive teeth and gums. Foods like mashed potatoes, scrambled eggs, yogurt, and smoothies are excellent choices. Cooked vegetables, soft pasta, and tender fish also provide nutrition without requiring extensive chewing. This dietary adjustment minimizes strain on the newly adjusted teeth, promoting comfort as the mouth adapts.
Addressing Oral Irritations
Beyond general discomfort, new braces can cause localized irritations as brackets and wires rub against soft tissues. Orthodontic wax provides a protective barrier against sharp edges. This non-toxic, moldable wax can be applied directly over any irritating bracket or wire, creating a smooth surface that reduces friction and allows tissues to heal. To use, roll a small piece of wax into a ball, flatten it, and press it firmly onto the problematic area.
Warm saltwater rinses offer a natural method for soothing sore spots and promoting healing. Saltwater acts as an antiseptic, cleansing the mouth of bacteria and reducing inflammation. To prepare, dissolve half to one teaspoon of salt in a cup of warm water and swish the solution for 30 seconds before spitting. Repeat several times daily, especially after meals.
Topical oral numbing gels provide temporary relief for specific areas of acute soreness. These gels, often containing benzocaine, apply directly to affected gum or cheek tissue with a cotton swab or clean finger. They work by temporarily desensitizing nerve endings, offering short-term comfort. Maintaining good oral hygiene is important to prevent infection in irritated areas.
Knowing When to Contact Your Orthodontist
While some discomfort is normal when adjusting to new braces, certain symptoms indicate professional attention is needed. Persistent or severe pain that does not subside after a few days or with home remedies warrants a call to your orthodontist. This pain could signal a more serious issue requiring evaluation. Also, any bleeding gums or swelling in the cheek should prompt immediate contact.
Broken or loose wires and brackets can cause significant irritation and impact treatment effectiveness. A broken wire can poke into the cheek or gums, leading to cuts, sores, and potential infection. A loose bracket may no longer apply the necessary pressure, potentially delaying treatment progress. Contact your orthodontist promptly if you notice such damage.
Sores that do not improve or worsen over time, despite at-home care, should also be brought to your orthodontist’s attention. Non-healing sores may indicate an underlying problem or increased infection risk. If you have significant concerns about your braces or the pain level, always reach out to your orthodontist for guidance. They can assess the situation and provide appropriate advice or treatment.