Experiencing tooth sensitivity is common, but it can be an unwelcome and unnerving surprise if tooth sensitivity comes on suddenly when you have braces.
Tooth sensitivity during orthodontic treatment can occur for several reasons. Understanding why this happens is the first step toward effective treatment.
Why Do Teeth Become Sensitive with Braces?
When you have braces, your teeth are under gentle, but continual, pressure. This pressure is what moves them into proper alignment over time. As teeth move, the soft tissue that holds them in place will stretch, and the surrounding bone remodel with the changes in position. This process can temporarily make the nerves inside your teeth more sensitive.
Additionally, braces create many new surfaces where plaque can accumulate. If you aren’t as thorough with your oral hygiene as you used to be, this can lead to gum inflammation or enamel wear, both of which can contribute to sensitivity.
Sensitivity from Orthodontic Adjustments
One of the most common times to experience sensitivity is right after an orthodontic adjustment. During these appointments, your orthodontist tightens the wires on your braces to continue the tooth movement process. After these appointments, the increase in pressure can make your teeth feel sore and sensitive for a few days.
This type of sensitivity is a normal and temporary part of treatment. It is actually a sign that your braces are working! The discomfort typically affects several teeth at once and usually subsides within a few days as your mouth adapts.
Sensitivity from Dental Issues
Not all sensitivity is related to tooth movement. Sometimes, it can be a sign of an underlying dental problem that is unrelated to your orthodontic treatment. It is important to be able to recognize the difference.
- Gum Recession: If gums pull away from the teeth, the sensitive root surfaces can become exposed. Aggressive brushing or pre-existing gum inflammation can cause this.
- Tooth Decay: Braces can make cleaning more difficult, increasing the risk of cavities. A cavity can cause sharp pain, typically in a single tooth.
- Enamel Erosion: The acids from sugary or acidic foods and drinks can wear away tooth enamel. This erosion can expose the sensitive dentin layer underneath.
How to Tell the Difference
Distinguishing between orthodontic sensitivity and a dental issue can help you know when to contact our office.
Orthodontic sensitivity is generally:
- A dull, achy feeling that affects multiple teeth.
- Most noticeable for a few days following an adjustment.
- Helped by over-the-counter pain relievers.
Sensitivity from a dental problem is often:
- A sharp pain in a single tooth.
- Triggered by heat, cold, or sweet foods.
- Persistent and does not fade a few days after an adjustment.
If you experience sharp or lasting pain in one particular tooth, it is time to make an appointment with your orthodontist or dentist.
Tips for Managing Tooth Sensitivity
While some sensitivity is expected, there are several effective ways to manage discomfort and keep your treatment on track.
Maintain Oral Hygiene
The best way to prevent sensitivity from dental issues is to keep your teeth and gums clean, which can be a challenge with braces. Brush thoroughly after every meal, using a soft-bristled toothbrush. Pay close attention to cleaning around each bracket and along the gumline. Daily flossing is also necessary to remove plaque from between the teeth.
Use Toothpaste for Sensitive Teeth
Toothpastes formulated for sensitive teeth contain additional ingredients that work by either blocking the pathways to the nerves inside the tooth or by creating a protective barrier over sensitive areas, or both.
Choose Your Foods Wisely
If you are prone to sensitivity after an adjustment, stick to soft foods for the first couple of days. Soups, yogurts, mashed potatoes, and smoothies are good options. Avoid very hot or very cold foods and drinks if extreme temperatures trigger sensitivity.
Over-the-Counter Pain Relievers
For the general soreness that follows an adjustment, an over-the-counter pain reliever like ibuprofen or acetaminophen can be helpful. As always, use these medications only as directed and when needed.
When to See Your Orthodontist
If you are experiencing persistent or severe sensitivity, please do not hesitate to contact our office. We are here to help minimize your discomfort and determine if additional dental care might be needed to address an underlying issue.
