Tooth Weakness After Braces: Concerns and Solutions

Feeling of weakness during orthodontic treatment?

Hello Doctor: I just had braces installed two weeks ago, and I had my first premolars extracted on both sides, along with bone screws placed near the first molars.
Today marks the 12th day, and my teeth still feel very weak, making it difficult to eat normally.
Based on others' experiences, I expected to be able to eat after about a week, so I am quite worried.
After one week, the second premolar and second molar on the right side have returned to normal, but the first molar remains loose (although it doesn't hurt when I bite down).
I tried to slowly chew softer foods on the right side, but afterwards, I noticed some discomfort around the bone screw, which felt like a dull ache.
Although the discomfort subsided the next day, I started to feel pain when biting down on the first molar.
After waiting another four to five days, the molar no longer hurt when biting, but I could hear a "clicking" sound and felt that the tooth was still loose.
When I tried to eat something slightly harder than cake, that tooth would start to ache and feel uncomfortable.
Could this tooth be related to the bone screw? Additionally, is there a problem with my teeth since I haven't been able to eat properly for over ten days? Would it be better to postpone the installation of the lower braces? I am really worried about what to do if my teeth continue to feel weak...
Thank you, Doctor.

Akira, 20~29 year old female. Ask Date: 2016/05/08

Dr. Zeng Guanghui reply Dentistry

After having the upper braces installed, the first premolars on both sides were extracted, and bone screws were placed on both sides.
In the early stages of orthodontic treatment, the teeth began to move slowly, and there was a sensation of soreness and weakness when biting down.
However, maintaining good oral hygiene and brushing properly will gradually improve the situation.
The soreness near the first molars where the bone screws were placed may persist for a longer duration.
If the pain continues, it could be due to the bone screws being positioned too close to the molars or possibly affecting the tooth roots.
It is advisable to return for a follow-up appointment with the orthodontist for an examination, as this is not related to the installation of the lower braces.

Reply Date: 2016/05/08

More Info

It sounds like you are experiencing significant discomfort and concerns regarding your teeth after getting braces, particularly with the first molar and the bone screws placed nearby. Let’s address your concerns one by one.

1. Tooth Weakness After Braces: It is not uncommon to feel some degree of looseness in teeth after the placement of braces, especially shortly after the procedure. The process of orthodontic treatment involves the application of pressure to teeth to move them into the desired position. This pressure can cause the periodontal ligaments (the connective tissue that holds the teeth in place) to stretch, which may lead to a temporary feeling of looseness. However, this should not be a cause for alarm as long as the teeth are not painful or excessively mobile.

2. Pain and Discomfort: The discomfort you are experiencing, particularly with the first molar, could be related to the bone screws. These screws are used to anchor the orthodontic appliances and can sometimes cause localized discomfort or pressure. If you are feeling pain when biting down or if the tooth feels excessively loose, it is essential to communicate this to your orthodontist. They may need to adjust the tension on your braces or evaluate the placement of the bone screws.

3. Eating Difficulties: It is concerning that you have been unable to eat normally for over ten days. While some discomfort is expected after getting braces, you should be able to consume soft foods without significant pain. If you are experiencing pain when eating, it may indicate that the tooth is not responding well to the treatment or that there is an issue with the bone screws. It is advisable to stick to very soft foods and avoid anything hard or chewy until you can consult with your orthodontist.

4. Timing of Adjustments: If you feel that the discomfort is too severe or if the tooth continues to feel loose, it may be worth discussing with your orthodontist the possibility of delaying the placement of the lower braces until the upper teeth stabilize. Your orthodontist can provide guidance based on your specific situation and the overall treatment plan.

5. Long-term Concerns: It is understandable to worry about the long-term health of your teeth. If the first molar continues to feel weak or painful, it is crucial to address this with your orthodontist as soon as possible. They may need to take X-rays or perform other assessments to ensure that there are no underlying issues, such as root resorption or infection.

6. Managing Anxiety: It’s normal to feel anxious about dental procedures and the health of your teeth. To manage this anxiety, consider discussing your concerns openly with your orthodontist. They can provide reassurance and detailed explanations about what to expect during treatment. Additionally, practicing relaxation techniques, such as deep breathing or mindfulness, can help alleviate some of the stress associated with dental visits.

In conclusion, while some discomfort and looseness in teeth can be expected after getting braces, persistent pain and difficulty eating should be addressed promptly with your orthodontist. They can evaluate your situation, make necessary adjustments, and help ensure that your treatment progresses smoothly. Remember, open communication with your dental care provider is key to addressing your concerns and achieving the best possible outcome for your orthodontic treatment.

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