Experiencing some level of pain or discomfort is a common part of orthodontic treatment. As braces gradually shift teeth, the applied pressure can lead to soreness in the teeth, gums, and surrounding soft tissues. While this discomfort is typically temporary, managing it effectively can improve the experience. This guide offers practical approaches to alleviate pain and maintain comfort.
Immediate Pain Relief Strategies
For acute discomfort, several immediate methods can provide relief. Over-the-counter pain relievers, such as acetaminophen (Tylenol), are often recommended. Acetaminophen is preferred because it helps reduce soreness without interfering with tooth movement, unlike some NSAIDs (e.g., ibuprofen) that can slow down adjustment. Consider taking the recommended dose proactively, perhaps an hour before an appointment or immediately after an adjustment, to minimize discomfort.
Applying a cold compress to the outside of the mouth can reduce pain and inflammation. An ice pack or a bag of frozen vegetables, wrapped in a cloth, can be placed gently on the cheek near the sore area for 10-20 minutes. This cooling effect helps numb the area and calm irritated tissues. Topical oral anesthetics, available as gels or creams (e.g., Orajel, Anbesol), can also be applied directly to sore spots on the gums or teeth for quick, temporary relief.
Oral Care and Dietary Adjustments
Maintaining proper oral hygiene and making dietary modifications are important for managing discomfort and preventing further irritation.
Orthodontic wax protects against sharp brackets or wires rubbing against cheeks, lips, or tongue. To apply, clean your hands, break off a pea-sized piece of wax, and roll it to soften. Press the softened wax over the irritating bracket or wire to create a smooth surface. It is safe if accidentally swallowed.
Rinsing the mouth with warm salt water can soothe sore gums and promote healing of minor cuts or sores. This solution acts as a mild antiseptic, helping reduce inflammation and gently remove bacteria. Dissolve about half a teaspoon of salt in eight ounces of warm water and swish for 30 seconds before spitting it out. Repeat several times a day.
Dietary adjustments are key, especially after braces are first placed or tightened. Sticking to soft foods minimizes chewing effort and pressure on sensitive teeth and gums. Recommended options include mashed potatoes, yogurt, smoothies, cooked vegetables, scrambled eggs, and soft pasta. Conversely, avoid hard, sticky, or chewy foods like nuts, popcorn, hard candies, chewing gum, and tough meats, as these can worsen pain or damage braces. Cutting food into smaller, bite-sized pieces can also help.
When to Seek Professional Guidance
While most braces discomfort is manageable at home, certain situations warrant prompt professional attention. Severe or persistent pain that does not respond to home remedies, or pain accompanied by unusual symptoms, should be evaluated for an underlying issue.
Broken or loose brackets and wires are also reasons to contact your orthodontist, as these can cause discomfort by poking or rubbing. If a wire is poking, cover it with orthodontic wax or, if advised, gently push it into a comfortable position with a clean pencil eraser. Swelling, excessive redness, or pus around the gums can signal an infection, requiring immediate professional care to prevent complications. Addressing these issues promptly helps ensure treatment progresses smoothly.