Understanding Braces Pain, Discomfort, and Dental Care During Orthodontic Treatment
Orthodontic braces are a common solution to correct misaligned teeth, crooked smiles, and malocclusion (bad bite). According to the American Dental Association (ADA), abnormal bite issues typically become noticeable between ages 6 and 12, as permanent teeth begin to emerge. Orthodontic treatment with braces often begins between the ages of 8 and 14, though many adults also get braces to correct alignment and improve oral health.
A common concern among patients is: “Do braces hurt?” While discomfort is expected, especially when braces are first applied or tightened, the level of pain varies from person to person. Most experience mild to moderate soreness that subsides within a few days.
Do Braces Hurt? Here’s What to Expect at Each Stage
1. Before Getting Braces: Spacers and Initial Discomfort
Before braces are placed, some patients may need to wear orthodontic spacers (also called separators) between their back teeth to make room for molar bands. These dental spacers can feel tight and uncomfortable, often described as the sensation of food stuck between teeth. The pain from spacers usually fades after a few days.
2. Getting Braces: Application Process and Pain Level
The process of getting braces put on is typically painless, though some steps may cause temporary discomfort:
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Molar bands are placed around back teeth, which may feel tight or pinch.
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Teeth are cleaned and etched with a sour-tasting solution before the orthodontic glue is applied.
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Brackets are attached to each tooth, and a blue curing light is used to harden the adhesive.
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A metal archwire connects the brackets and is secured with orthodontic elastics.
Although the procedure may feel strange or taste unpleasant, it should not be painful.
3. Wearing Braces: Soreness, Tightening, and Adjustments
After the braces are installed, pressure on the teeth begins within a few hours. This pressure is necessary to shift teeth into proper alignment, but it can cause:
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Sore teeth and gums
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Scratches or irritation on the inside of the cheeks and lips
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Cuts on the tongue from touching brackets or wires
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Pain while chewing or biting into harder foods
The discomfort usually peaks within the first 3–5 days and improves as your mouth adjusts. Over-the-counter pain relief medications, orthodontic wax, and a soft-food diet can help ease the discomfort.
4. Braces Tightening: What Happens During Adjustments?
To ensure braces are working effectively, orthodontists tighten braces regularly—usually once a month. During a braces adjustment, the orthodontist may:
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Replace the current archwire
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Add or adjust braces springs
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Tighten dental bands or rubber bands
Pain after braces tightening is normal and generally milder than the initial discomfort. This soreness tends to last a few hours to a couple of days and can be managed with soft foods and pain relievers.
5. Removing Braces: Is It Painful?
Braces removal is a quick and mostly painless process. The orthodontist will:
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Remove brackets, wires, and molar bands
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Clean off any remaining glue
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Take dental impressions for a retainer
There may be slight pressure during removal, but no sharp pain. After braces are removed, patients typically wear a removable or permanent retainer to maintain the new tooth alignment. Retainers are comfortable and not painful when worn correctly.
Oral Care Tips While Wearing Braces
Proper oral hygiene with braces is crucial to prevent cavities, tooth decay, and gum disease. Braces can trap food particles and plaque, making dental care more challenging.
Oral care tips for braces:
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Brush after every meal using a braces-friendly toothbrush
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Floss daily with orthodontic flossers or a water flosser
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Use fluoride toothpaste and mouthwash
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Avoid sticky, hard, and sugary foods
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Schedule regular orthodontic check-ups
Neglecting oral hygiene during orthodontic treatment can lead to white spots on teeth, enamel erosion, and even painful cavities.
Conclusion: Braces Pain Is Manageable and Temporary
While braces may cause discomfort, especially during the first few days or after adjustments, the pain is temporary and manageable. With proper care and the guidance of a skilled orthodontist, most patients quickly adapt to the feeling of wearing braces.
Understanding what to expect at each stage—from getting braces to tightening and removal—can help you stay comfortable and committed throughout your orthodontic journey. In the end, the results—a straighter smile, better oral health, and increased confidence—are worth the effort.
