Tooth sensitivity or toothache?
Hello, I got braces a little over a month ago, and since then, my gums have been feeling sore.
The dentist does not believe it is a problem with the teeth themselves, as I have 24K gold braces, which should not cause any allergic reactions or fit issues.
An X-ray did not reveal any problems, but recently the soreness has been increasing, and even after a cleaning, it hasn’t helped.
It’s quite uncomfortable.
Could you help me analyze if there might be other issues or suggest what further actions I could take? Thank you!
Xiao Mi, 30~39 year old female. Ask Date: 2005/04/15
Dr. Zeng Guanghui reply Dentistry
Generally, teeth that require crowns may have intrinsic enamel defects, or they may have experienced significant wear leading to symptoms of thermal sensitivity.
Additionally, if a tooth has undergone root canal treatment due to pulpitis, a crown is needed to prevent fracturing of the tooth after the treatment.
If there is sensitivity in the gums after the crown is placed, it is important to check the fit of the crown or whether there is excessive occlusion.
It is advisable to schedule a follow-up appointment after the crown placement to identify the cause and make appropriate adjustments.
Reply Date: 2005/04/15
More Info
Tooth sensitivity after getting braces is a common issue that many patients experience. The discomfort you are feeling, particularly the soreness in your gums, can be attributed to several factors related to the orthodontic treatment process.
Firstly, it’s important to understand that braces apply continuous pressure to your teeth to gradually shift them into the desired position. This pressure can lead to inflammation in the gums, which may cause a sensation of soreness or sensitivity. The fact that you have a 24K gold brace is less likely to contribute to an allergic reaction, but it’s still possible for the surrounding gum tissue to react to the mechanical forces exerted by the braces.
Another factor to consider is the oral hygiene routine. With braces, it can be more challenging to maintain optimal oral hygiene due to the brackets and wires that can trap food particles and plaque. If plaque builds up around the brackets, it can lead to gingivitis, which is an inflammation of the gums. This condition can cause discomfort and sensitivity. It’s crucial to brush your teeth thoroughly, ideally after every meal, and to use an interdental brush or floss threaders to clean between the brackets and wires effectively.
Additionally, the adjustment period after getting braces can vary from person to person. Some individuals may experience heightened sensitivity as their teeth and gums adapt to the new appliances. This sensitivity can sometimes feel worse after adjustments, as the orthodontist tightens the braces to continue moving the teeth.
If the sensitivity persists or worsens, it may be beneficial to consult with your orthodontist again. They can assess whether the sensitivity is due to the braces or if there might be another underlying issue, such as a cavity or periodontal disease. They may also recommend using a desensitizing toothpaste, which can help alleviate discomfort by blocking the transmission of pain signals from the tooth surface to the nerve.
In the meantime, here are some strategies to help manage the sensitivity:
1. Use a Soft-Bristled Toothbrush: A soft-bristled toothbrush can help minimize irritation to your gums while still effectively cleaning your teeth.
2. Desensitizing Toothpaste: Look for toothpaste specifically designed for sensitive teeth. These products contain compounds that help block pain signals.
3. Avoid Certain Foods: Try to avoid extremely hot, cold, or sugary foods and beverages that may exacerbate sensitivity.
4. Regular Dental Check-Ups: Continue to see your orthodontist regularly for adjustments and check-ups. They can monitor your progress and address any concerns you may have.
5. Maintain Good Oral Hygiene: Make sure to brush at least twice a day and floss daily. Consider using an antibacterial mouthwash to help reduce plaque buildup.
6. Warm Salt Water Rinses: If your gums are inflamed, rinsing with warm salt water can help soothe the area and reduce inflammation.
7. Pain Relief: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort as needed.
In conclusion, while tooth sensitivity after getting braces is common, it’s essential to monitor the situation closely. If the discomfort continues or worsens, don’t hesitate to reach out to your orthodontist for further evaluation and tailored advice. Your comfort and oral health are paramount during your orthodontic journey.
Similar Q&A
Dealing with Tooth Sensitivity After Orthodontic Adjustment
I am undergoing orthodontic treatment and have reached the stage of adjusting my bite. My left front tooth is slightly longer, so my dentist filed it down a bit to align it with the edge of the right front tooth. During the filing process, I experienced some sensitivity in the to...
Dr. Zeng Guanghui reply Dentistry
In the above situation, if the amount of tooth wear is not significant, it is advisable to avoid hot and cold foods or beverages for a short period and to use desensitizing toothpaste for brushing. This should gradually lead to recovery. However, if the sensitivity persists, it i...[Read More] Dealing with Tooth Sensitivity After Orthodontic Adjustment
Post-Braces Sensitivity: Understanding Gum Recession and Dental Pain
Dear Doctor, my orthodontic treatment is expected to last about a year. Recently, after changing the upper arch wire, the last two molars have become extremely sensitive; drinking water or hot beverages causes significant pain. I have visited my orthodontist twice. The first time...
Dr. Lin Jiayong reply Dentistry
Hello: During the process of orthodontic treatment, acute pulpitis is quite common. It is advisable to coexist with the pain for a while and not rush into starting root canal therapy, as this could prolong the orthodontic treatment indefinitely. The dentist should first move the ...[Read More] Post-Braces Sensitivity: Understanding Gum Recession and Dental Pain
Understanding Tooth Sensitivity After Orthodontic Adjustments
Hello, doctor. About two weeks ago, I visited an orthodontic clinic to adjust my removable retainer and a dislodged lingual retainer. Due to the presence of dental calculus, the orthodontist removed the calculus and made a new lingual retainer for that tooth. I felt uncomfortable...
Dr. Zeng Guanghui reply Dentistry
It may be due to the removal of tartar from between the teeth, which has caused increased sensitivity. It is recommended to monitor the situation for a period of time. If the symptoms persist, a follow-up appointment for examination should be made. Dr. Tseng Guang-Hui, Department...[Read More] Understanding Tooth Sensitivity After Orthodontic Adjustments
Understanding Orthodontics: Materials and Tooth Sensitivity Issues
Hello, doctor. I have a couple of questions: 1. What materials are braces made of? Due to certain reasons, I cannot have any metal products in my body. Are there alternative materials available? 2. I have a tooth near the gum line that feels painful when I touch it with my fi...
Dr. Wu Jinjun reply Dentistry
Hello: 1. Conventional orthodontic appliances are mostly made of stainless steel, titanium alloys, or nickel-titanium components. In recent years, a new type of ceramic product has emerged; you may consult your orthodontist to see if it can be used. 2. The sensitivity may be caus...[Read More] Understanding Orthodontics: Materials and Tooth Sensitivity Issues
Related FAQ
(Dentistry)
Braces(Dentistry)
Bruxism(Dentistry)
Occlusal Splint(Dentistry)
Gum Pain(Dentistry)
Teeth Grinding(Dentistry)
Halitosis(Dentistry)
Tooth Alignment(Dentistry)
Oral Blister(Dentistry)
Gum Recession(Dentistry)