Tooth Sensitivity After Getting Braces: Causes and Solutions - Dentistry

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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.

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