Signs that may need clinical advice
What is normal brace pain?
After having braces fitted or adjusted, or when starting a new aligner tray, it is very common to feel tenderness or achiness in the teeth and jaw for 2–5 days. This is caused by the bone and periodontal fibres responding to the gentle pressure applied by your appliance. The discomfort usually peaks around day two and gradually eases.
Pain from rubbing
Brackets, wires, and aligner edges can rub against the soft tissue inside your mouth and cause ulcers or sores. This is particularly common in the first few weeks of treatment while your mouth adjusts. Orthodontic wax placed over the offending part can provide immediate relief. If the ulcer is not healing or is very painful, contact your clinician.
Home relief options
Pain relief: over-the-counter paracetamol or ibuprofen (if suitable for you) can help with general soreness.
Orthodontic wax: cover any rubbing brackets or sharp edges.
Soft foods: stick to soft foods such as yoghurt, soup, mashed potato, and scrambled eggs when teeth are tender.
Cold water or ice: rinsing with cold water can temporarily reduce inflammation.
When pain might indicate something more serious
Occasional tooth pain during orthodontic treatment is expected. However, sharp pain localised to a single tooth — especially if it is throbbing, wakes you at night, or comes with swelling — may indicate a dental issue unrelated to your brace, such as a cavity or nerve problem. In this case you should see a dentist rather than relying on orthodontic support alone.
Related issues
Common questions about brace pain
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