Braces are an essential part of orthodontic treatment to straighten teeth and correct bite issues, but they can sometimes cause mouth injuries. From poking wires to irritated gums, mouth injuries due to braces can occur at any time during the treatment process. While these injuries are often mild and temporary, they can be uncomfortable and disruptive.
In this blog, well go over the common types of mouth injuries caused by braces, how to manage them, and when you should seek professional care to avoid complications.
Step 1: Identify the Type of Injury
The first step in managing a mouth injury caused by braces is to assess the type and severity of the injury. Common types of injuries include irritation to the gums, cuts inside the mouth, and discomfort caused by the braces themselves.
Common Types of Injuries from Braces:
Irritation or Sores on the Inside of the Mouth: The brackets, wires, or bands on the braces can rub against the inner cheeks, gums, or lips, causing sores or irritation.
Poking Wires: If a wire becomes loose or sticks out of the bracket, it can poke the inside of the mouth, leading to sharp pain and discomfort.
Gum Inflammation: The pressure exerted by braces can sometimes lead to swollen, tender, or bleeding gums.
Loose Brackets or Bands: A loose bracket or band can cause discomfort and potentially damage the tooth or the surrounding tissue.
Once you understand the type of injury, you can take steps to alleviate pain and manage the injury.
Step 2: Use Orthodontic Wax for Protection
If the braces are causing sores or irritation inside the mouth, orthodontic wax can be used to cover sharp or rough areas and protect your cheeks, lips, and gums.
How to Use Orthodontic Wax:
Clean the Area: Wash your hands thoroughly and clean the area around the brackets and wires.
Break Off a Small Piece of Wax: Take a small piece of orthodontic wax and roll it into a ball with your fingers.
Apply the Wax: Flatten the wax and press it gently over the brackets or wires that are causing irritation. This creates a smooth surface to prevent rubbing.
Reapply as Needed: If the wax falls off or becomes loose, replace it with a fresh piece as needed.
Orthodontic wax provides immediate relief from irritation and will prevent further discomfort from sharp wires or brackets.
Step 3: Rinse with Saltwater
Saltwater rinses are a simple and effective way to reduce irritation, cleanse any sores, and promote healing. Salt has natural antibacterial properties that help prevent infection in any open sores or cuts caused by the braces.
How to Use Saltwater Rinse:
Prepare the Solution: Mix half a teaspoon of salt into a glass of warm water.
Swish Gently: Swish the saltwater solution around your mouth for 30 seconds to 1 minute, making sure it reaches the irritated areas.
Spit and Repeat: Spit out the solution and repeat the process 2-3 times a day, especially after meals, to help soothe sores and prevent infection.
Saltwater rinses can help promote healing and reduce swelling or pain caused by braces-related injuries.
Step 4: Apply a Cold Compress for Swelling and Pain
If your mouth injury caused by braces has led to swelling or throbbing pain, a cold compress can help numb the area and reduce inflammation. Cold therapy constricts blood vessels, which reduces swelling and provides temporary relief from pain.
How to Apply a Cold Compress:
Wrap Ice in a Cloth: Place a few ice cubes in a clean cloth or use a cold pack wrapped in a towel to avoid direct contact with the skin.
Apply to the Affected Area: Place the cold compress against the outside of your cheek near the injured area. Hold it in place for 15-20 minutes.
Take Breaks Between Applications: After 15-20 minutes, remove the cold compress for 10-15 minutes before reapplying if necessary.
Cold compresses can help manage pain and reduce swelling caused by braces, especially after an adjustment or a new wire installation.
Step 5: Take Over-the-Counter Pain Relievers
Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort caused by braces-related injuries, especially if youre experiencing pain from sores, cuts, or gum inflammation.
Pain Relief Options:
Ibuprofen (Advil, Motrin): Ibuprofen is an anti-inflammatory medication that can reduce swelling and alleviate pain. Its especially helpful if youre dealing with inflamed gums or a swollen mouth.
Acetaminophen (Tylenol): If you cannot take ibuprofen, acetaminophen can relieve pain, though it doesnt address inflammation.
Aspirin (Avoid if You Have Gum Irritation): Avoid aspirin if you have irritated gums, as it can thin the blood and increase the risk of bleeding.
Always follow the recommended dosage on the packaging, and consult a healthcare provider if you have concerns about taking these medications.
Step 6: Avoid Eating Certain Foods
Certain foods can exacerbate mouth injuries caused by braces, especially if you have swollen gums, cuts, or irritation. To avoid further discomfort, it’s important to avoid foods that can irritate the mouth or put pressure on the braces.
Foods to Avoid:
Hard Foods: Avoid crunchy foods like nuts, popcorn, and raw vegetables, as they can get stuck in your braces or put extra pressure on your teeth.
Sticky Foods: Foods like caramel, gum, or taffy can stick to your braces and be difficult to remove, which could cause additional discomfort or injury.
Spicy or Acidic Foods: Spicy or acidic foods like citrus or hot sauces can irritate sores or cuts inside your mouth.
Instead, stick to soft, easy-to-chew foods like yogurt, mashed potatoes, or scrambled eggs to prevent further irritation.
Step 7: Seek Professional Help if the Pain Persists or Worsens
While these steps can help alleviate temporary discomfort, its important to seek professional orthodontic care if the injury persists, worsens, or if you notice significant damage to your braces.
When to Contact Your Orthodontist:
Pain That Wont Subside: If pain continues despite using pain relievers, cold compresses, and other remedies, contact your orthodontist for advice and treatment.
Loose or Broken Brackets or Wires: If a bracket or wire becomes loose or broken, this can cause additional irritation or further injury. Your orthodontist will need to repair or replace the broken parts.
Severe Swelling or Infection: If swelling becomes severe, or if you notice pus or a fever, it could be a sign of an infection that requires professional intervention.
Your orthodontist can adjust your braces, fix any broken components, and provide guidance on managing discomfort or pain during the treatment process.
Step 8: Maintain Regular Oral Hygiene
Keeping your mouth clean is crucial, especially when you have mouth injuries caused by braces. Proper oral hygiene will help prevent infection, reduce irritation, and support healing.
Oral Hygiene Tips:
Brush and Floss Regularly: Brush your teeth gently twice a day with a soft-bristled toothbrush and fluoride toothpaste. Use orthodontic flossers or a floss threader to clean between the braces and wires.
Use a Saltwater Rinse: In addition to regular brushing, rinse your mouth with saltwater to help reduce bacteria and soothe irritated areas.
Avoid Using Toothpicks: Toothpicks or sharp objects can damage your braces and worsen irritation. Stick to orthodontic-approved tools for cleaning.
A Quick Fix to Relieve Discomfort
Braces-related mouth injuries can be a nuisance, but by using orthodontic wax, taking pain relievers, and applying cold compresses, you can soothe the pain and manage swelling effectively. If the injury persists or worsens, contact your orthodontist for professional care and adjustments to your braces.