Experiencing pain, especially when biting down, is common for those with braces. While some discomfort is normal, understanding its causes can provide reassurance and help manage expectations. This article explores why braces cause pain when biting and offers practical relief strategies.
Understanding Expected Discomfort
Braces work by applying gentle, continuous pressure to gradually shift teeth. This controlled movement affects surrounding bone and soft tissues, leading to soreness and sensitivity. The process involves bone remodeling, where bone breaks down on one side of the tooth to allow movement, and new bone builds up on the opposite side.
Each tooth is anchored by tiny ligaments connecting it to the jawbone. As braces exert force and teeth move, these ligaments stretch and compress, causing tightness and discomfort. This soreness is often more noticeable immediately after braces are first applied or following routine adjustments, typically subsiding within a few days.
Specific Reasons Biting Down Hurts
Biting down with braces can intensify discomfort due to tooth movement forces and orthodontic appliances. The constant pressure from braces makes teeth and their roots sensitive, and biting directly applies additional force to these already tender areas. This sensitivity is particularly pronounced as teeth begin to shift.
Newly adjusted teeth are especially sensitive to biting pressure as they start moving within the bone. As teeth reposition, the bite can temporarily feel uneven, causing certain teeth to contact differently during chewing and creating discomfort. Orthodontic appliances themselves can also contribute to pain; biting down can push soft tissues against wires or brackets, or impact a loose or broken component.
Eating hard, crunchy, or sticky foods often exacerbates pain. These items demand significant biting force, placing excessive stress on vulnerable teeth and the brace system. Avoiding such foods helps prevent unnecessary pressure and potential damage.
Effective Home Relief Strategies
Managing discomfort from braces at home involves several practical approaches. Eating a soft food diet is highly recommended, as it minimizes force on sensitive teeth and avoids challenging the braces. Foods like mashed potatoes, soups, yogurt, and smoothies are good choices.
Over-the-counter pain relievers, such as acetaminophen, can help manage soreness. Acetaminophen is preferable to ibuprofen because nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen might slow down tooth movement by affecting bone remodeling. Follow dosage instructions carefully.
Orthodontic wax provides a barrier, covering irritating brackets or wires that may rub against the cheeks, lips, or gums. To apply, pinch a small piece, roll it into a ball, and press it gently over the problematic area.
Applying cold compresses or ice packs to the outside of the jaw can help reduce swelling and numb pain. Hold an ice pack against the cheek for 10-15 minutes at a time.
Warm saltwater rinses can soothe irritated gums and mouth sores. Swish warm salt water for about 30 seconds before spitting it out. This helps cleanse the area and reduce inflammation.
When to Contact Your Orthodontist
While some discomfort with braces is normal, certain signs indicate professional attention is necessary. Severe or persistent pain that doesn’t subside with home remedies or significantly worsens should prompt a call. Pain lasting more than a week without improvement after initial placement or an adjustment also warrants a check.
Any broken or loose appliances, such as wires, brackets, or bands, require prompt contact with your orthodontist. A broken wire can poke into the cheek or gums, causing irritation or cuts. Signs of infection, including swelling, redness, pus, or fever, indicate a serious issue needing immediate evaluation. If pain occurs suddenly or without a recent adjustment, contact your orthodontist for an assessment.