At JUST KFO in Cologne-Rodenkirchen, we hear this question almost every day—and for good reason: Anyone who decides to undergo orthodontic treatment wants to know exactly what to expect. Orthodontic treatments, such as wearing braces, can often be associated with an uncomfortable feeling. The good news: Braces may feel unfamiliar at first—but actual pain is rare. In this article, we explain what you’ll feel, how long it takes to get used to them, and what helps if you experience discomfort.
Table of contents
About the author
Dr. Julia Steinmaier
Specialist dentist for orthodontics
Owner of JUST KFO in Cologne, sought-after speaker and author who regularly appears in specialist publications and the media.
What happens in the mouth after insertion?
Whether fixed braces, aligners or removable appliances - as soon as braces are worn for the first time, they begin to exert gentle forces on the teeth and jaw. This pressure on the teeth can lead to slight pain as the teeth have to get used to their new position. These pressure stimuli are necessary to trigger tooth movement - and this is exactly what can be noticeable in the first few days.
Typical sensations in the first few days:
- Feeling of pressure on individual teeth
- Sensitivity when chewing
- Friction on lips, cheeks or tongue
- Slight feelings of tension in the jaw area
These reactions are completely normal and a sign that the braces are working.
How long do the complaints last?
The adjustment period usually lasts only a few days. Most patients report that the sensation of pressure subsides significantly after about 3 to 5 days. However, patients’ experiences vary, and symptoms can differ from person to person. Minor friction inside the mouth can be effectively cushioned with protective wax, which we provide at the office.
Even after subsequent adjustments (e.g. when changing the archwire or aligner), short-term tensions can occur - these are usually much milder than when first inserted.
What helps with pressure or friction?
At JUST KFO we attach great importance to a pleasant treatment. These tips will help you to get through the adjustment period well:
- Soft food in the first few days (e.g. soups, puree, yogurt)
- Cold (e.g. cold water or ice) relieves pressure
- Braces wax for irritation on lips or cheeks
- Don't neglect dental care - especially important for sensitive teeth
- Only if necessary: mild painkiller after consultation with us or your GP
Do fixed braces hurt more than aligners?
Because of the constant force they apply, fixed braces often cause a stronger sensation of pressure at first than clear aligners. Clear aligners can be removed and exert very even, gentle forces —which is why they are particularly comfortable for everyday use. However, even clear aligners can cause a slight feeling of tightness in the first few days, especially when they are first inserted. When fitting the aligners, we usually explain in great detail what to expect and how to manage any discomfort. If pain does occur, it is advisable to consult your orthodontist to receive appropriate treatment options and solutions.
Our experience: Good preparation takes away the fear
At JUST KFO , we consciously take the time to prepare you or your child as a patient for the start with braces. During the consultation, we explain step by step what you can expect, what aids are available and how you can master everyday life without any problems. This builds trust - and the question "Does it hurt?" quickly loses its terror.
Conclusion: Unusual - yes, bad? No!
Braces may feel strange at first. Mild discomfort, such as pressure or friction, can have various causes, but it is temporary and easily managed. At our practice, we provide compassionate support throughout every stage of your treatment —from your initial consultation to your final follow-up appointment.
Do you have any questions or would you like to find out more about orthodontic treatment? Contact us - we are here for you!
