At-Home Care for Orthodontic Soreness
When clear aligners are first worn, it can take several days to get used to the tightness created from these new trays. During this time, the mouth may feel tender or sore. While soreness is rarely problematic enough to warrant additional dental care, contact Dr. Polymeris if soreness becomes highly uncomfortable.
Causes of Orthodontic Soreness
When clear aligners are initially worn or when changing to a new set over the course of treatment, teeth start to gradually shift toward their new destination. This initial movement causes adjacent tissue to become inflamed. This inflammation causes fibers that join the teeth to the jawbone and gums (periodontal ligaments) to swell. The swelling in turn leads to compressed nerve fibers, which are the true cause of orthodontic soreness.
What Can Be Done to Ease Soreness?
It is important to remember that orthodontic discomfort generally decreases within a few days. After the initial phase of clear aligners, it can take between one and two weeks for the tissues of the tongue, cheek and lips to adapt to Invisalign treatment. There are several home remedies, however, that will help ease initial discomfort:
Wax Application
Orthodontic relief wax is usually provided at your appointment and can be applied to the aligner or attachment(s), especially if the soreness is being caused by them rubbing on the cheek, lip or tongue. The wax provides a smooth, effective buffer between the two. Roll a pea-sized amount of wax into a ball and place it the protruding and bothersome part of the aligner or attachment(s). Press the wax into place to efficiently cover any irritating wires.
Salt Water Rinses
Warm salty water is an excellent remedy for sore lips, gums and cheeks. The salt water mixture actually extracts excess fluid in inflamed tissue by way of osmosis, alleviating pressure on the nerves and easing soreness. To utilize this remedy, add a teaspoon of salt to around half a cup of lukewarm water. Swish the water around the mouth without gargling for one minute before spitting it out.
Chewing on Soft Foods
To further ensure comfort, you can also chewing on soft foods that won’t damage your attachments. Apple and cheese slices work nicely, as do small celery slices. The chewing action compresses the fibers that fix the teeth and gums together (periodontal ligaments), thus pumping out the fluid accumulation that causes soreness.
Eat Berries
Not only do berries contain high levels of antioxidants, they can also substantially reduce intraoral swelling. Cherries, blackberries, blueberries and raspberries all contain natural anti-inflammatory properties which reduce soreness. Cherries are preferable because they are soft enough not to damage the attachments and do not contain small seeds which tend to stick between the teeth.
Pain Medication
While it is unlikely that orthodontic soreness will warrant over-the-counter pain medications, some patients choose to alleviate soreness this way.
If you have any questions or concerns about orthodontic soreness, please contact Dr. Polymeris, your oral health provider.
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