Braces pain – What to do? Tips and tricks

Mar 16, 2025Dr. Julia Steinmaierapprox. 4 min read

What this is about: what types of discomfort can occur and what helps in each case. How long they last is explained in How Long Do Braces Hurt?; the first day after placement in Do Braces Hurt?. About the treatment itself: fixed braces.

Braces are a proven method to enhance your smile and prevent health problems. However, especially in the first few days after placement or adjustment, you may experience mild discomfort. Don’t worry—this is completely normal and should not be severe. Here we provide you with valuable tips on how to relieve pain from your braces and prevent it long-term.

Why Do Braces Hurt?

Before you do anything about the pain, it’s helpful to understand why it occurs in the first place. Here are the most common reasons:

  • Pressure and friction: The brackets and wires exert pressure on your teeth and can irritate the oral mucosa.
  • Poking wires: Sometimes wires protrude and can injure the insides of your cheeks.
  • Tooth movement: Your braces cause your teeth to move, which can feel uncomfortable at first.
  • Poor oral hygiene: Bacteria and plaque can cause inflammation and intensify discomfort.

If the pain persists or becomes too severe, you should definitely see your orthodontist to determine the cause and find the best solution.

How You Can Relieve the Pain

1. Use Pain Relievers Appropriately

For more severe pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can help. A Cochrane Review on pain management in orthodontics concludes that pain relievers work better than a placebo – no meaningful difference was found between anti-inflammatory drugs such as ibuprofen and acetaminophen. The authors rate the certainty of this evidence as moderate to low.1 Please take pain relievers only after consulting your orthodontist.

2. Rinse with Salt Water

Lukewarm salt water has a soothing effect and can support your gums. Rinse your mouth several times daily to promote healing.

3. Use Wax for Brackets

If brackets or wires are rubbing, you can apply special wax. This protects your mucous membranes from irritation.

4. Prefer Soft Foods

Avoid hard and sticky foods in the first few days. Soft foods such as yogurt, soups, or purees are ideal right now.

5. Gentle Dental Care

Use a soft toothbrush and brush your teeth thoroughly to avoid inflammation. Interdental brushes help keep the areas around the brackets clean.

6. Attend Follow-Up Appointments

Regular visits to JUST KFO ensure that your braces fit optimally and all your questions are answered. If you experience severe pain, please schedule an appointment to check the fit.

More on this topicFixed Braces in Cologne

Which bracket systems we use, how the treatment path looks and what to expect in everyday life with fixed braces.

Go to Fixed Braces

When Should You See Your Orthodontist?

Sometimes a visit to your orthodontist is necessary:

  • Persistent painlasting longer than a week.
  • Inflammation or open sores in the mouth.
  • Protruding wiresthat injure the mucous membranes.
  • Loose brackets or wiresthat affect orthodontic correction.
  • Unusual tooth movement or loosening of teeth.

How to Prevent Pain from the Start

With the right preparation, you can prevent many discomforts:

  • Be sure to maintain thorough oral hygieneto avoid inflammation.
  • Eat soft foods for the first few days.
  • Use orthodontic waxto minimize irritation of the oral mucosa.
  • Cool your mouth area as needed with cold drinks or ice cubes.
  • Come regularly to JUST KFO for professional monitoring and consultation.

How to Keep Orthodontic Treatment Comfortable

Braces discomfort is usually only temporary and can be managed well with the right measures. We at JUST KFO accompany you throughout your entire treatment and make sure you feel comfortable. Should you experience severe discomfort, do not hesitate to contact us.

Get professional advice now – for orthodontic treatment that fits your situation.

Frequently Asked Questions About Braces Pain

Why do braces sometimes hurt?

The pressure that moves the teeth can cause a feeling of tension or pressure , especially after insertion or adjustment. This is usually harmless and typically subsides within a few days. By the way: Even if you feel almost nothing, the treatment is working—the intensity of discomfort says nothing about treatment success.

How can I relieve the pain?

Helpful measures include soft foods for the first few days, cooling, plenty of water, and some protective wax on the brackets if there is irritation. If necessary, mild pain relievers can help in the short term.

How long does the discomfort last?

Usually only a few days. The pressure sensation typically subsides noticeably within about 3 to 5 days once your mouth has adjusted to the braces.

When should I see my orthodontist?

If pain is very severe, lasts unusually long, or if a wire or bracket is poking, rubbing, or has come loose. Such issues can usually be fixed quickly – do not hesitate to contact us.

How can I avoid pain from the start?

You cannot completely avoid the initial pressure sensation – it is part of tooth movement. However, you can do a lot to make treatment comfortable: maintain good oral hygiene, avoid very hard or sticky foods, wear aligners consistently, and keep your follow-up appointments. If you have sore spots, we can help quickly.

Sources:

  • Monk, A. B., Harrison, J. E., Worthington, H. V., & Teague, A. (2017). Pharmacological interventions for pain relief during orthodontic treatment. Cochrane Database of Systematic Reviews, Issue 11, Art. No.: CD003976. https://doi.org/10.1002/14651858.CD003976.pub2
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About the Author

Dr. Julia Steinmaier

Specialist in orthodontics. Owner of JUST KFO in Cologne, sought-after speaker and author who regularly appears in professional publications and media.

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Dr. Julia Steinmaier
JUST KFO

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Reviewed by Dr. med. dent. Julia Steinmaier, specialist in orthodontics · Last reviewed on June 27, 2026

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