Do braces hurt?! I think this is a question asked by almost every single person that's interested in getting started with their braces journey!
We’ll first start off this article addressing the questions of “do braces hurt to put on,” then discuss “do braces hurt,” and wrap it up with “what to expect in the first few days with braces?”
I'm going to start this off by saying not everyone experiences the things that I'm going to discuss in this post, meaning that some people experience more dental discomfort, and some experience cheek irritation. And, in fact, some people don't experience any discomfort at all! This is because everyone has a different threshold to “pain” and the experience that he or she will have might be different from yours.
This means that when you go into your orthodontic appointment, go in with an open mind. The last thing I want you to do is fear your orthodontic appointments! Yes, you may have a tiny bit of discomfort but it's nothing that's going to be like the end of the world, AND the good news is, a lot of people go through this process everyday! This is why I recommend joining communities like The Braces Club, where you can discuss your experience, if braces hurt for you, and share with other people so that you guys can kind of learn from one another and see how your stories line up with someone else!
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Does Getting Braces On Hurt?
So when you first get braces bonded on your teeth, nothing should hurt!
Let's go ahead and get started with the first appointment! When you get your braces on there is nothing that hurts. I have a video that talks about the process of getting braces on and if you've seen that video there's really nothing that can cause any pain! The biggest thing that is even remotely uncomfortable is those cheek retractors (see below). But those don't hurt at all. They basically just stretch your cheeks so that the orthodontist can keep your mouth dry and put the braces on accurately. But rest assure, during your appointment, there will be nothing that will hurt you at all!
If you guys remember in another video though we've talked about how braces cause teeth to move and the way teeth move is by causing a little bit of inflammation around the roots, and that's how tooth movement works. If you want to learn more about that I have plenty of videos that talk about it, but when you first get your braces on, a couple of hours after you get your braces on you might experience a little bit of discomfort. The best way to describe this is that this feels a lot like your teeth are bruised. And you know how bruises are - they don't hurt but they're kind of annoying and they're uncomfortable whenever you press on them. It’s just like this with braces! When you bite on something when your teeth are initially moving it's going to be a little bit uncomfortable but this pain doesn't last forever. It's like getting a ball in motion. When you first start with orthodontic tooth movement, it's probably the worst because the teeth are just starting to move. That's why spacers and the initial wires are the ones that cause a little bit more discomfort than later on in treatment. This is because those periodontal ligaments that are surrounding the teeth are initially starting to move and that can cause a little bit of discomfort! The best way to managing this pain is by eating cold food or taking any medication you usually take for your headache. I recommend Tylenol because it actually helps orthodontic discomfort and doesn’t slow down tooth movement, like many other anti-inflammatory medications do!
First few days with braces
"It may feel a bit like your teeth and gums are bruised"
Let’s fast forward. now that your braces are on, what can you expect on the days to follow?
With this discomfort early on in braces you're may get two types of possible discomfort. One is going to be caused by the tooth movement and the second one is going to be more of a gum discomfort that's caused by irritation to the cheeks and lips. It’s important to know the difference because we handle these discomforts a little bit differently!
Managing teeth pain
Braces fun fact: The composition of the initial wire your orthodontist uses, which is made of nickel titanium was discovered by NASA!
There are a few ways that you can handle / manage dental discomfort caused by braces. The main goal for all these techniques is to decrease the inflammation in your mouth so that your teeth are comfortable. One way you can help resolve this pain is by eating colder foods. This is because the early wires your orthodontist uses are actually heat-activated and are activated by the temperature in your mouth. So, if you were to eat cooler foods / drinks, what you’ll do is temporarily and slightly deactivate these wires to decrease the amount of force placed on your teeth by the braces.
Another trick you can do is decrease the forces placed on your teeth by foods. This means staying away from foods that are harder to bite/chew and stick with softer foods for the first few days like rice, mashed potatoes, and soups. By decreasing the chewing forces on your teeth, you will decrease the inflammation around your teeth and help decrease dental pain!
Lastly, if these first two tricks don’t work, you can always use whatever anti-inflammatory medication you take for your headaches, as prescribed by the box. This is because tooth movement is all caused by inflammation around the roots of your teeth. By taking an anti-inflammatory medication, you can decrease the discomfort around the teeth and therefore make the experience more comfortable.
PROTIP: I recommend using Tylenol because it is the only type of anti-inflammatory medication that has been shown to NOT decrease tooth movement. All the other ones actually do! Minimally, but they do.
These initial wires are generally the most difficult to get used to because it’s like getting a ball in motion. Once you get the ball rolling, your braces journey will become a lot more comfortable but usually these initial wires are the most difficult part of your orthodontic journey. It’s unfortunate that it is all in the beginning of your treatment, but it only gets better from here!
Managing gum/cheek pain
In these early few days with braces you might also have a little bit of cheek discomfort and that can be caused by the brackets sticking out and the fact that your cheeks aren't used to them! You have to realize that the tissue in your mouth is really thin and early on when the cheeks don't know what this metal is, they can get caught on and it can snag and cause a little bit of irritation. This doesn't last forever, though, because throughout treatment your cheeks thicken up and they develop little calluses, that will eventually go away!
Let’s briefly review the things you can do to help with the cheek/gum discomfort from braces. There are three main things that you can do to decrease this gum irritation
One of the preventative things you can do is to use wax on any brackets/wires that are sticking out and causing irritation. I have a video that teaches you how to use dental wax but, briefly, what you want to do is roll some generic dental wax into a ball and form it around your braces after you dry them off with something like a paper towel. What this will do is make it so the parts of the braces don't poke your cheeks and create sores. Generic orthodontic wax is great but sometimes is a bit difficult to adapt / keep on your braces so if you want to try something a bit stronger, I always recommend my patients give Gishy Goo and Ortho Dots a try! They are a bit pricier, but they are definitely great!
Another way of managing discomfort to your cheeks is gums is to rinse with warm salt water. This is because those areas that are irritated by the braces can sometimes become ulcerated and you don't want bacteria to grow in those little ulcers and cause even more irritation! The warm water and salt will help clear the areas of these sores and help them heal quicker!
I recommend always having some topical anesthetic ready when you're about to get started with braces! If you have sores developing, make sure to dry the area of the sore and apply a bit of Anbesol! It will make you feel so much better and significantly improve your braces journey!
I hope you found some of the tips and tricks that I mentioned in this post useful! If you want to learn more about managing the discomfort caused by braces check out this video which answers the question of "Do Braces Hurt" in a bit more detail or this video, where we talk about "How to Manage Braces Pain".
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