Orthodontic treatment, while transformative, can often be accompanied by discomfort. This discomfort, often referred to as orthodontic pain, is a common concern among patients. Understanding the causes, types, and management strategies for orthodontic pain can significantly improve the overall treatment experience. In this comprehensive guide, we will delve into the various aspects of orthodontic pain, providing insights into its causes, management techniques, and the role of specific orthodontic treatments in minimizing discomfort.
Why Teeth Get Sore with Braces
The primary reason teeth become sore with braces is due to the pressure exerted by the orthodontic appliances. Braces work by applying gentle pressure to teeth, gradually shifting them into their desired alignment. This pressure can cause discomfort, particularly during the initial stages of treatment. Additionally, the pressure causes desired movement which has the side effect of stretching and compressing the ligaments and tissues surrounding the teeth. This can lead to mild inflammation and discomfort. Additionally, the friction between the braces and the surrounding oral tissues can contribute to soreness.
Key Factors Behind Braces-Related Discomfort:
1. Pressure on Teeth: Braces exert pressure on your teeth to move them into proper alignment. This pressure can result in soreness, particularly when the braces are first placed or adjusted during follow-up appointments.
2. Inflammation of Ligaments: The movement of teeth disrupts the periodontal ligament, a network of fibers that holds your teeth in place. The inflammation of these ligaments triggers pain.
3. Oral Irritation: Wires, brackets, or aligners can rub against the inside of your mouth, causing temporary irritation or sores on your cheeks, lips, or tongue.
Pain with braces is most commonly felt during the first few days after the initial installation or after a routine adjustment. However, discomfort tends to subside as the teeth gradually adapt to the pressure.
Types of Orthodontic Treatment and Pain Levels
Traditional Braces
Traditional metal or ceramic braces involve brackets that are glued to the teeth and connected by wires. These wires apply consistent pressure to guide the teeth into alignment. The pain with traditional braces tends to be most pronounced right after the braces are first placed and after periodic tightening or adjustments. The irritation caused by metal components rubbing against the soft tissues inside the mouth can also contribute to discomfort. However, advancements in orthodontic technology, such as the use of thermal activated nickel-titanium archwires, have reduced the level of discomfort associated with traditional braces.
Invisalign or Angel Aligners
Clear aligner therapy such as Invisalign treatment involves a series of clear, removable aligners that gently shift teeth over time. Because clear aligners don’t use metal brackets or wires, many patients report experiencing less overall discomfort compared to traditional braces. There’s no rubbing of hardware against the inside of the mouth, although pressure from the aligners may cause soreness, especially when switching to a new set of aligners. One advantage of Invisalign is that discomfort tends to be more gradual since the aligners are changed every week or two.
Lingual Braces
Lingual braces, placed on the back of the teeth, can also lead to discomfort, particularly during the initial adjustment period. However, the level of pain can vary depending on the individual’s tolerance and the specific design of the braces. Lingual braces can often be associated with sores on the tongue which can make speaking and eating less comfortable as well.
Alleviating Orthodontic Pain
Several strategies can help alleviate orthodontic pain:
Topical Anesthetics: Products like Orajel or Anbesol can be applied directly to areas of the mouth that are sore or irritated, providing localized pain relief.
Over-the-Counter Pain Relievers: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can effectively reduce pain and inflammation.
Cold Water or Ice Packs: Cold water or ice packs can help reduce swelling and numb pain temporarily. Cold beverages are especially beneficial when using thermal activated nickel-titanium archwires. These archwires respond to temperature changes—drinking cold water temporarily softens the wire, lessening the pressure on your teeth and providing some relief.
Soft Foods: Consuming soft foods can minimize discomfort and prevent irritation to the gums and cheeks.
Dental Pain Eraser: This is a new tool that uses uses Advanced Pulsewave Technology to send gentle electric pulses to calm nerves and block pain in the mouth. Dr. Mathue Faulkner has been successfully using the Dental Pain Eraser for the last year at his office in Austin, TX. If you live in the area and you’re interested in the Dental Pain Eraser, please reach out to him at Rise + Smile Orthodontics.
Proper Oral Hygiene: Maintaining good oral hygiene is essential to prevent infections and reduce inflammation. Brush your teeth regularly and floss around the braces.
Orthodontic Wax: Using orthodontic wax can help protect the inside of your mouth from irritation caused by the brackets and wires.
Saltwater Rinse: A warm saltwater rinse can soothe oral sores and reduce inflammation caused by braces rubbing against the soft tissues in your mouth. This natural remedy promotes healing and offers relief from irritation.
Orthodontic Techniques to Minimize Pain
Thermal Activated Nickel Titanium Archwires: One of the most significant advancements in orthodontics is the use of thermal activated nickel-titanium archwires. These wires are highly flexible at room temperature but become more rigid as they warm up in the mouth, applying gentle, continuous pressure on the teeth. Because they exert lower forces than traditional wires, thermal activated archwires tend to reduce the level of discomfort patients feel during treatment. Additionally, drinking cold water temporarily softens these wires, offering brief relief from pressure.
Self-Ligating Brackets: Self-ligating brackets use a clip or gate to hold the wire in place, reducing friction and potential discomfort. Forces needed to move the teeth are often gentler thereby causing less pain.
Invisalign: As mentioned earlier, Invisalign aligners generally cause less pain due to their custom-fit design.
Customized Treatment Plans using DIBs: Every patient’s pain threshold and dental needs are different. A board-certified orthodontist, like Dr. Mathue Faulkner, will create a personalized treatment plan based on your unique circumstances to minimize discomfort while ensuring optimal results. DIBs, or digital indirect bonding, is a technique that allows the doctor to completely personalize and customize treatment even with traditional braces.
Invisalign vs. Traditional Braces: A Pain Comparison
While both Invisalign and traditional braces can cause discomfort, Invisalign is often associated with a lower pain level. The aligners are made from a clear plastic material that is less likely to irritate the gums and cheeks. Additionally, Invisalign aligners can be removed for eating and cleaning, providing temporary relief from pressure.
Frequently Asked Questions
How long does orthodontic pain typically last? The initial discomfort associated with braces often subsides within a few days to a week. However, each patient’s experience may vary.
Is it normal to experience pain with braces? Yes, it is normal to experience some level of discomfort during orthodontic treatment. However, if the pain is severe or persistent, it is important to consult with your orthodontist.
Can I avoid orthodontic pain altogether? While it may not be possible to completely avoid pain, following the tips mentioned above can help minimize discomfort.
Will the pain get worse over time? In most cases, the pain associated with braces tends to decrease as the teeth gradually adjust to their new positions.
Is Invisalign less painful than traditional braces? Yes, many patients report less discomfort with Invisalign because it doesn’t involve metal brackets or wires. However, you may still experience soreness as your teeth shift.
Can I drink cold water to reduce pain from braces? Yes, drinking cold water can help temporarily alleviate pain, especially if your orthodontist uses thermal activated nickel-titanium archwires. The cold can soften the wires, reducing pressure on your teeth.
Should I take pain relievers before an orthodontic adjustment? Taking over-the-counter pain relievers like ibuprofen shortly before an adjustment can help manage discomfort proactively.
What foods should I avoid after getting braces? Avoid hard, sticky, or chewy foods that can increase pain or damage your braces. Opt for soft foods like soups, mashed potatoes, and smoothies.
Orthodontic pain is a common concern among patients undergoing treatment. By understanding the causes, types, and management strategies for orthodontic pain, individuals can better navigate the treatment process and minimize discomfort. Remember, open communication with your orthodontist is essential for addressing any pain concerns and ensuring a positive treatment experience. Whether you’re undergoing Invisalign or traditional braces, having a customized treatment plan from a skilled orthodontist like Dr. Mathue Faulkner at Rise + Smile Orthodontics will ensure a more comfortable experience on your journey to a perfect smile.
