If you’re undergoing orthodontic treatment with braces or clear aligners, some degree of tooth discomfort is expected. After all, these treatments are designed to move your teeth into better alignment using tension and pressure, and that can lead to soreness.
But how much pain is normal – and when should you be concerned? Let’s break down what to expect in terms of orthodontic tooth pain and when it’s time to check in with your orthodontist.
Why Braces and Aligners Cause Discomfort
When having orthodontic treatment, it is helpful to understand why your treatment can cause tooth pain in the first place. Whether you have traditional metal braces or clear aligners like SureSmile, the mechanism of action is similar: the appliance applies continuous, gentle pressure to gradually shift your teeth into the desired position.
This pressure can cause two main types of discomfort. First, it can cause soreness in the teeth and gums. As your teeth start to move, the periodontal ligament that holds each tooth in its socket is stretched. This can lead to a dull, aching sensation in the affected teeth and surrounding gums.
Second, irritation from the hardware is also a possibility. Braces, in particular, can cause irritation to the soft tissues of the mouth. The brackets and wires can rub against the inside of your cheeks, lips, and tongue, leading to temporary soreness or even small ulcers. Similarly, aligners can rub against soft tissue and cause irritation.
What’s Normal Tooth Pain?
Some level of discomfort is normal and expected during orthodontic treatment. Here’s what’s typically considered par for the course.
- Mild to moderate soreness or aching in the teeth and gums, especially after getting your braces tightened or switching to a new set of aligners. This discomfort usually peaks within the first few days and then subsides.
- Slight sensitivity to biting pressure, particularly on the teeth that are actively being moved. Soft foods can help alleviate this sensitivity.
- Minor irritation on the lips, cheeks, or tongue from new braces or aligner trays. Dental wax can help cushion any rough spots on your braces, and your mouth will usually “toughen up” within a week or two.
These normal discomforts can usually be managed with over-the-counter pain relievers like ibuprofen or acetaminophen, ice packs applied to the outside of the cheek, and a temporary switch to softer foods.
When to Be Concerned
While some orthodontic pain is normal, there are certain red flags that warrant a call to your dentist or orthodontist.
- Severe, persistent pain that doesn’t respond to over-the-counter medication and interferes with your daily activities. This could be a sign of a more serious issue, like an infection or a tooth fracture.
- Sudden, sharp pain when biting down on a specific tooth. This could indicate a cracked tooth or a cavity that needs attention.
- Significant swelling, bleeding, or discharge around a particular tooth. These symptoms could point to an abscess or other infection.
- A loose or broken bracket or wire that’s poking into your cheek or gums. While this isn’t necessarily an emergency, it should be addressed soon to prevent further irritation and keep your treatment on track.
- Any other unusual symptoms or changes in your teeth or bite that concern you. When in doubt, it’s always best to err on the side of caution and check in with your provider.
Your Partner in Orthodontic Care
Remember, we are here to help you manage any discomfort or concerns you have. If you’re experiencing pain during treatment that doesn’t seem normal or just have questions about what to expect, don’t hesitate to give us a call. We’ll work with you to ensure your orthodontic treatment is as comfortable and successful as possible.
