Key Takeaways
- Causes of Braces Pain: The primary cause is the pressure and tension applied to teeth and gums to align them. Adjustments to braces, where wires and bands are tightened, can cause soreness. Brackets and wires rubbing against soft tissues can lead to irritation, sores, or ulcers. As teeth move, they may cause a dull ache, and the pressure on gums can make them tender and sensitive.
- Braces Pain Relief Strategies: To alleviate braces pain, use over-the-counter oral pain relievers, apply oral anesthetics directly to sore areas, use ice packs or eat cold foods to numb pain, consume soft foods to reduce irritation, apply orthodontic wax to protect soft tissues, rinse with warm salt water to heal sores and reduce gum irritation, maintain excellent oral hygiene, massage your gums to improve blood flow, and chew orthodontic relief wax to adapt faster to braces.
- Avoiding Activities and Foods That Worsen Pain: When experiencing braces pain, avoid hard, sticky, or chewy foods that can damage braces or exacerbate pain. Maintain good oral hygiene, avoid using sharp objects near braces, manage food temperatures to reduce sensitivity, use a protective mouthguard during sports, and avoid chewing non-food items.
- Addressing Potential Issues Promptly: Persistent or severe braces pain could indicate problems like loose brackets or bands, protruding wires, unusual swelling, or bleeding from gums, which require immediate attention from an orthodontist.
What Causes Braces Pain?
Braces pain is primarily caused by the pressure and tension applied to the teeth and gums as the braces work to align and straighten the teeth.
Here are some specific factors that contribute to this discomfort:
- Adjustment of Braces: When dental braces are initially placed and during routine adjustments, the orthodontist tightens the wires and bands, which increases the pressure on the teeth to move them into the correct position. This adjustment period can cause soreness in the teeth and jaw.
- Friction Against Soft Tissues: The brackets and wires of braces can rub against the inside of the mouth, including the lips and cheeks, leading to irritation, sores, or ulcers.
- Movement of Teeth: As the teeth gradually shift into their new positions, the change can cause a dull pain and discomfort, which is most notable after adjustments.
- Pressure on Gums: The constant pressure exerted by the braces can also affect the gums, making them tender and sensitive.
- Elastic Bands: If your treatment involves elastic bands that exert additional force to correct the alignment, they can also contribute to the discomfort.
Braces Components That Can Cause Pain
Braces are composed of several components that work together to move teeth into the correct alignment and improve dental health. Here’s a breakdown of the main parts:
- Brackets: These are small squares bonded directly to the front of each tooth or attached to orthodontic bands. Brackets hold the arch wires that move the teeth. They can be made from stainless steel, ceramic, or plastic.
- Orthodontic Bands: These are metal rings placed around the molars to provide support for brackets, particularly when more significant force is needed. Not all patients will have bands, as they are not required for all types of braces.
- Arch Wires: These are the thin metal wires that are threaded through brackets. They apply pressure to the teeth, guiding them into place. Arch wires can be made from stainless steel, nickel-titanium, or copper-titanium, and they may change as treatment progresses to deliver different strengths of pressure.
- Ligatures: Tiny elastic bands or fine wires, known as ligatures, hold the arch wires to the brackets. Elastic ligatures come in a variety of colors, allowing for some personalization in the appearance of braces.
- Spacers: These are separators that fit between the teeth to create a small space prior to the placement of orthodontic bands.
- Ties: Metal ties are small wires that are twisted around the bracket to hold the arch wire in place. They are generally used instead of elastic ligatures in certain types of braces.
- Hooks and Pins: Hooks are often attached to brackets and used to attach elastic bands. Pins may be used for attaching springs or other accessories.
- Elastic Bands (Rubber Bands): These are used to apply additional pressure to correct the alignment between the upper and lower teeth. These bands are hooked between specific teeth to guide the bite and jaw position.
- Palatal Expander: For some patients with a narrow upper jaw, a palatal expander is used to widen the arch of the upper jaw by placing gentle pressure on the upper molars each time an adjustment is made.
Tips for Braces Pain Relief
Use Over the Counter Oral Pain Relievers
Medications like ibuprofen or acetaminophen are effective in reducing inflammation and alleviating pain. These should be used according to the package directions or a doctor’s advice. They work by blocking pain signals to the brain and reducing inflammation around your teeth and gums, helping ease the discomfort after braces adjustments.
Use Oral Anesthetics
Gels or liquids containing benzocaine or lidocaine can be applied directly to the gums and sore areas in the mouth. These anesthetics temporarily numb the mouth tissues, providing immediate relief from pain caused by braces rubbing against the inside of the mouth or newly tightened wires pressing against teeth.
Apply Ice Packs and Eat Cold Foods
Cold helps numb the sore areas and reduce inflammation. Applying ice packs to the cheeks or eating cold foods like ice cream can provide significant pain relief. The cold temperature helps soothe the nerves around your braces, decreasing the pain sensation.
Choose Soft Foods
Eating soft foods that require minimal chewing can prevent further irritation of sore gums and teeth. Foods like soup, mashed potatoes, and yogurt are easy on your teeth and can be soothing because they don’t require the same pressure and movement that harder foods do.
Read more: What To Eat With Braces The First Week
Apply Orthodontic Wax
Applying special non-toxic, clear wax over the brackets can prevent them from rubbing against the inside of your mouth. This wax forms a smooth barrier that protects your gums and the linings of your cheeks and lips, preventing irritation and sores.
Warm Salt Water Rinses
Swishing with warm salt water a few times a day helps heal mouth sores and soothes sore gums. The salt has natural antiseptic properties, which can help reduce inflammation and ward off infection in any small cuts or nicks inside your mouth from the braces.
Practice Proper Oral Hygiene
Maintaining good oral hygiene is crucial, especially with braces. Brush gently around each bracket using a soft-bristled toothbrush and fluoride toothpaste. Use tools like floss threaders and interdental brushes to remove food particles and plaque from under wires and between teeth, which can also reduce pain from irritation.
Massage Your Gums
Massaging the gums can help to reduce pain through improved blood flow to the gums. Using a clean finger, gently rub the gums in a circular motion. This can be soothing and help reduce the swelling and discomfort associated with adjustment periods.
Chew on Orthodontic Relief Wax
Specially designed for orthodontic use, chewing on silicone or wax helps in adapting your mouth to the feel of braces faster. This can also stimulate blood flow in your gums, which helps reduce pain.
Avoid Hard, Sticky, or Chewy Foods
Avoiding these foods is crucial, as they can pull on or even break the components of your braces, leading to pain and potential emergency visits to the orthodontist. Foods like caramel, nuts, and hard candies should be avoided because they can exert undue stress on the braces.
Things to Avoid When Experiencing Braces Pain
When experiencing braces pain, it’s important to actively avoid certain activities and foods that can worsen discomfort or potentially damage your braces. Here’s what you should do:
- Avoid Chewing Hard Foods: Stay away from nuts, hard candies, and ice. These can increase pain by putting extra pressure on your teeth and gums and can also risk damaging the brackets or bending the wires of your braces.
- Skip Sticky or Chewy Foods: Foods like caramel, taffy, and gum can stick to braces and pull on them when you chew, which can cause pain and even dislodge brackets.
- Maintain Oral Hygiene: Keeping up with brushing and flossing is essential, as neglecting oral hygiene can lead to food particles and plaque buildup around brackets. This exacerbates gum irritation and can lead to infections that increase pain.
- Avoid Using Toothpicks or Sharp Objects: Do not use toothpicks or any sharp objects to remove food stuck in braces. These can poke and irritate your gums or damage the braces. Instead, use a soft interdental brush or orthodontic flossers.
- Avoid Very Hot or Cold Foods: If braces adjustments have made your teeth sensitive, consuming very hot or cold foods can trigger sensitivity and pain. Choose foods at moderate temperatures to minimize discomfort.
- Wear a Mouthguard for Contact Sports: Always protect yourself by wearing a mouthguard designed for braces when playing contact sports. This prevents injuries that can cause additional pain and potentially damage your braces.
- Stop Chewing on Non-Food Items: Break the habit of chewing on pens, pencils, or fingernails. These habits can stress your braces unnecessarily, increase pain, and lead to broken brackets or bent wires.
- Keep Orthodontic Appointments: Never skip scheduled adjustments. Attending all your appointments allows your orthodontist to make necessary adjustments to minimize pain and ensure your treatment progresses as planned.
- Address Persistent Pain Promptly: If you suffer from ongoing or severe pain, do not ignore it. This could indicate issues such as loose brackets or protruding wires that require immediate attention from your orthodontist.
When Braces Pain Indicates a Potential Issue
When braces pain indicates a potential issue, you need to take immediate action.
Here’s what you should do:
- Check for Loose Brackets or Bands: Inspect your braces for any loose brackets or bands. These components can cause discomfort and need prompt adjustment by your orthodontist.
- Identify Protruding Wires: Feel for any wires sticking out that may poke or irritate your mouth. Clip the protruding wire with sterilized clippers, if necessary, and cover the end with orthodontic wax until you can visit your orthodontist.
- Monitor Unusual Swelling or Bleeding: Watch for signs of unusual swelling or bleeding in your gums, as these could indicate gum infections or injuries caused by the braces treatment. Consult your orthodontist if these symptoms persist.
- Assess the Level and Duration of Pain: Evaluate if the pain from your braces is severe or lasts longer than a few days after an adjustment. Persistent or intense pain is not typical and should be checked by an orthodontist. Take over-the-counter pain medication and call your dentist.
- Seek Professional Advice for Infections: If you suspect an infection due to persistent pain, redness, or swelling around the braces, contact your orthodontist immediately for evaluation and treatment.
How to get rid of braces pain fast?
To quickly alleviate braces pain, apply an ice pack externally to numb the area and reduce inflammation. Use over-the-counter pain relievers like ibuprofen or acetaminophen as directed. Rinse your mouth with warm salt water to soothe sore gums. Cover irritating brackets with orthodontic wax. If the pain persists or worsens, contact your orthodontist to check for any adjustments needed or potential issues with the braces.
How long do your teeth hurt after getting braces?
After getting braces, your teeth typically hurt for about a week as they start to adjust to the pressure of the braces. The discomfort may vary in intensity during this period, often peaking within the first few days and gradually decreasing thereafter. If the pain persists beyond a week or becomes more severe, it’s important to consult your orthodontist.
Does ice help with braces pain?
Yes, ice helps with braces pain. Applying a cold compress or eating cold foods can numb the area, reducing both pain and inflammation effectively.
Why my braces hurts so badly?
Your braces might hurt badly because they are applying pressure to move your teeth into alignment, which can cause discomfort, especially after adjustments. The brackets and wires can also irritate the inside of your mouth, leading to soreness. If the pain is severe or persists, consult your orthodontist to ensure there are no underlying issues.