When braces are placed on the teeth, it is common for patients to experience some level of pain. This pain is mainly due to the forces applied to the teeth as the braces work to gradually move them into their desired positions. Understanding the nature of this pain and how to relieve it is important for patients undergoing orthodontic treatment.
Initial Adjustment Pain
Cold Compresses
One of the simplest and most effective ways to relieve the pain immediately after getting braces or after an adjustment is by using cold compresses. Cold can numb the area and reduce inflammation. For example, a patient can use a cold pack wrapped in a thin towel and apply it gently to the outside of the cheek near the area where the braces are causing pain. This should be done for about 10 – 15 minutes at a time, with breaks in between. The cold constricts the blood vessels in the area, which helps to decrease swelling and numb the pain – sensitive nerves.
Over – the – Counter Pain Relievers
Non – steroidal anti – inflammatory drugs (NSAIDs) such as ibuprofen can be very helpful in relieving brace – related pain. These medications work by reducing inflammation in the gums and around the teeth. However, it is important to follow the recommended dosage instructions. For example, for ibuprofen, the typical adult dosage may be 200 – 400 mg every 4 – 6 hours as needed, but this can vary depending on individual factors such as age, weight, and overall health. It is always advisable to consult a healthcare provider if there are any concerns about taking pain relievers, especially for patients with underlying medical conditions or those taking other medications.
Soft Diet
Eating a soft diet can also alleviate pain. When braces are first put on or adjusted, biting and chewing can be painful. Foods like mashed potatoes, yogurt, smoothies, and soup are ideal. By avoiding hard and crunchy foods, patients can reduce the pressure on their teeth and gums, which in turn lessens the pain. For instance, biting into a hard apple or a crunchy pretzel can put excessive force on the teeth with braces, causing more discomfort.
Ongoing Pain During Orthodontic Treatment
Orthodontic Wax
Orthodontic wax is a useful tool for relieving pain caused by braces rubbing against the cheeks or lips. The braces can sometimes have sharp edges or protrusions that can irritate the soft tissues in the mouth. Orthodontic wax can be molded and placed over these areas to create a smooth surface. This not only reduces the irritation but also provides a cushioning effect. For example, if a bracket is poking the inside of the cheek, a small piece of orthodontic wax can be applied to the bracket to prevent further abrasion.
Maintaining Good Oral Hygiene
Keeping the mouth clean is crucial for relieving and preventing pain during orthodontic treatment. Poor oral hygiene can lead to inflammation of the gums, which can exacerbate the pain caused by braces. Brushing teeth gently with a soft – bristled brush after every meal and using floss or interdental brushes (if possible) helps to remove food particles and plaque. This reduces the risk of gum disease and associated pain. For example, if plaque builds up around the braces, it can cause the gums to become inflamed and tender.
Regular Adjustment Follow – Up
Regular visits to the orthodontist for adjustments are important. Sometimes, if the pain persists for an extended period, it may be due to an improper adjustment of the braces. The orthodontist can check the alignment of the braces and make any necessary changes. For instance, if a wire is too tight and causing excessive pressure on the teeth, the orthodontist can loosen it slightly to relieve the pain.
Pain Related to Specific Orthodontic Situations
Pain from Expander Appliances
For patients with expander appliances, which are used to widen the upper jaw, there can be unique pain issues. Initially, there may be a feeling of pressure and discomfort in the palate. To relieve this, rinsing the mouth with warm salt water can be helpful. The warm water can soothe the area and reduce inflammation. A solution of about half a teaspoon of salt in a glass of warm water can be used for rinsing several times a day. Additionally, taking pain relievers as mentioned earlier can also provide relief.
Pain from Rubber Bands
Rubber bands are often used in orthodontic treatment to apply additional forces to move the teeth. If the rubber bands are causing pain, it may be because they are too tight or are being placed incorrectly. If this is the case, it is important to contact the orthodontist. In the meantime, patients can try to reduce the pain by gently massaging the area where the rubber bands attach to the teeth. This can help to increase blood flow and relieve some of the tension.
Psychological and Behavioral Approaches to Pain Relief
Distraction
Keeping the mind occupied can be an effective way to reduce the perception of pain. For example, engaging in activities like reading a book, watching a movie, or listening to music can take the patient’s focus away from the pain. This is because when the brain is focused on something enjoyable or interesting, it is less likely to register the pain signals as strongly.
Relaxation Techniques
Relaxation techniques such as deep breathing or meditation can also be beneficial. When a person is stressed, the pain may seem more intense. By taking slow, deep breaths and relaxing the body, the overall perception of pain can be reduced. For example, sitting quietly and taking in deep breaths through the nose and out through the mouth for a few minutes several times a day can help to ease the discomfort associated with braces.
Conclusion
In conclusion, there are various ways to relieve the pain caused by braces. By understanding these methods and implementing them as needed, patients can have a more comfortable experience during their orthodontic treatment.
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