Common Orthodontic Problems

Although braces take some getting used to, the results of wearing them (an attractive smile and balanced facial bone structure, and increased functionality of the teeth and jaw) are well worth it. There are some simple remedies, particularly orthodontist-provided relief wax, that are usually helpful for common problems related to wearing braces. Serious problems, however, such as wounds to the mouth or damage to the braces themselves, require immediate orthodontic intervention.

Dental Soreness From Braces

Patients are expected to experience some discomfort during the first few days after they have been fitted with braces, or undergone orthodontic adjustments. Usually, this is limited to a feeling of pressure against the teeth that causes sensitivity, which can be troublesome, especially at mealtimes. Until patients become accustomed to their braces/adjustments, they should eat soft foods, and take over-the-counter painkillers such as acetaminophen or ibuprofen. Rinsing with salt water may also be helpful.

Mouth Sores From Braces

Traditional braces, because of their metal components, can create small mouth sores inside the cheeks, or on the lips or tongue, that are irritating and distracting. Topical anesthetics such as Orajel%u2122 pain reliever are helpful in relieving pain and assisting healing. Topical anesthetics can be applied as frequently as necessary, but always with a clean cotton swab to avoid possible infection.

Irritation From Braces

Wearing metal braces can be irritating to the gums, inner cheeks, lips and tongue. Relief wax, a product supplied by the orthodontist, is extremely helpful in relieving discomfort. A small ball of wax is applied as a barrier over any piece of metal that is rubbing or poking a tender area of soft tissue, providing immediate relief. The wax is harmless if ingested, so inadvertently swallowing it is not cause for concern. Relief wax helps to improve eating, speech and general comfort, making patients much less aware of their braces. In place of relief wax, wet cotton or orange peel can be substituted.

Food Wedged Behind Braces

Getting food stuck between the teeth can be annoying, uncomfortable and embarrassing, particularly for people with braces. Orthodontist-recommended dental floss (tying a small knot in the middle of the floss increases leverage), dental picks and dental brushes can provide relief. Many people report that water flossers are extremely effective in cleaning food from between and behind braces. Whatever is used, patients should not be too aggressive during cleaning to avoid injuring mouth tissue or damaging braces.

Damage to Braces

For various reasons, braces can become damaged. Parts of metal braces, including ligatures, brackets and wires, can loosen, twist or break off from normal wear and tear, eating hard or sticky foods, or mouth injuries. Although temporary fixes may be possible to relieve discomfort, an emergency orthodontic visit will probably be required. An orthodontist has the appropriate tools and adhesives for performing repairs.

Preventing Problems With Braces

Although not all problems with braces can be avoided, the following can lower the risk of orthodontic emergencies:

Avoiding hard foods, including popcorn kernels, hard candy and ice
Wearing a mouth guard whenever engaging in sports
Never using the teeth to tear open or cut items such as wrappers and string

Cleaning the teeth and braces thoroughly and regularly to avoid irritation and bacterial buildup is essential.

Nima Raoufinia DDS

Lumen Dental of Tysons Corner

Patient Education

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