Braces are a common treatment for aligning teeth and improving oral health. While highly effective, the initial adjustment period can cause discomfort. Many individuals experience irritation or small cuts on the inside of their cheeks as their mouth adapts to the new appliances. This article explores the physical reasons for this irritation and offers practical ways to find relief and manage the adjustment.
Understanding the Irritation
Braces irritate cheeks due to the physical presence of their components. Metal brackets, wires, and ligatures create friction against the soft tissues of the inner cheeks, lips, and tongue. This is common during the first few weeks after placement or following adjustments. The delicate oral mucosa, unaccustomed to constant contact, can develop soreness, abrasions, or small ulcers.
The mouth’s soft, flexible inner cheek tissue is susceptible to rubbing against the harder parts of braces. A protruding or misaligned wire or bracket can directly poke or scrape the cheek, causing discomfort. Accidental biting of the cheeks or lips as teeth shift also contributes to irritation. Rarely, sensitivities to materials like nickel, latex, or adhesives can cause oral irritation.
Finding Immediate Comfort
When braces cause irritation or cuts, immediate steps can provide relief. Orthodontic wax acts as a protective barrier, creating a smooth surface over rough brackets or poking wires. To apply, pinch a small piece, roll it into a ball, and press it firmly over the offending part of the brace. Ensure the area is dry for better adhesion. This reduces friction and allows the irritated tissue to heal.
Warm salt water rinses soothe and promote healing of mouth sores. Mix half to one teaspoon of salt in eight ounces (one cup) of warm water. Swish the solution for 30 to 60 seconds before spitting it out. This cleans the area, reduces inflammation, and minimizes bacteria. Over-the-counter pain relievers, like topical oral gels, can temporarily numb the affected area, offering quick relief.
Strategies for Ongoing Relief
Beyond immediate remedies, several practices contribute to long-term comfort and prevent cheek irritation. Adjusting food choices is important; avoid hard, crunchy, or sticky foods to minimize damage to braces and prevent poking wires. Opting for softer foods during initial adjustment or after wire changes can reduce discomfort. Staying hydrated helps maintain a moist oral environment, reducing friction between braces and soft tissues.
Maintaining thorough oral hygiene is important. Gently brushing with a soft-bristled toothbrush around brackets and wires prevents food particles from accumulating, which can contribute to irritation or infection. Over time, the soft tissues inside the mouth naturally toughen, becoming more resilient to braces. Regular orthodontic adjustments ensure wires are properly trimmed and positioned, minimizing protrusions that cause ongoing irritation.
Knowing When to Contact Your Orthodontist
While minor irritation is common, certain signs indicate a need to contact your orthodontist. Persistent severe pain not subsiding with home remedies or over-the-counter pain relievers warrants professional evaluation. Deep or bleeding cuts inside the mouth, especially if not healing within a few days, should be brought to your orthodontist’s attention.
Signs of infection, such as increasing redness, swelling, pus, or fever around the irritated area, require prompt medical advice. If a wire breaks or protrudes in a way that cannot be managed with orthodontic wax, or if a bracket becomes loose and causes discomfort, contact your orthodontist. Addressing these issues quickly prevents further complications and keeps your orthodontic treatment progressing.