Starting your orthodontic journey—whether with braces or Invisalign—is an exciting step toward a healthier, more confident smile. But one of the most common concerns patients have is: Will it hurt? The truth is that some discomfort is normal during orthodontic treatment, especially at the beginning or after adjustments. However, it’s manageable—and temporary.
At My LA Braces, the highest-rated orthodontic office in East Los Angeles, we prioritize patient comfort from day one. Whether you’re a child, teen, or adult, understanding what to expect and how to manage pain can make your experience smoother and more positive.
Why Orthodontic Treatment Causes Discomfort
Orthodontic appliances like braces and Invisalign work by gradually shifting your teeth into their ideal positions. This movement puts gentle pressure on the teeth, gums, and jawbone. That pressure is what causes soreness—especially when you’re new to treatment or following a tightening or tray switch.
Braces may also cause irritation to the inside of the mouth (cheeks, lips, and tongue), particularly in the early weeks. Invisalign typically causes less irritation but can still lead to soreness as new trays exert pressure.
When Should I Expect Pain or Soreness?
While everyone’s experience is different, here are the most common times when discomfort may occur:
- Initial placement of braces or first Invisalign tray
- After routine adjustments (braces) or tray changes (Invisalign)
- After adding appliances like elastics or expanders
- When eating tough or crunchy foods early in treatment
The good news? The discomfort usually peaks within the first 2–3 days and starts to fade by day five.
Tips for Managing Pain from Braces or Invisalign
1. Over-the-Counter Pain Relievers
For mild to moderate soreness, medications like ibuprofen (Advil) or acetaminophen (Tylenol) can help. Always follow dosage recommendations and check with your orthodontist or doctor if you’re unsure about taking medication.
Pro Tip: Taking a dose about an hour before your adjustment appointment or new tray fitting can reduce soreness afterward.
2. Orthodontic Wax
Braces can sometimes cause irritation where brackets or wires rub against the inside of your mouth. Orthodontic wax provides a smooth barrier and prevents sores. Simply pinch off a small piece and place it over the bracket or wire that’s bothering you.
3. Cold Compress or Ice Water
Cold temperatures help reduce inflammation and numb discomfort. Try sipping ice water throughout the day or applying a cold compress to the outside of your cheek for 10-minute intervals.
4. Warm Salt Water Rinse
If you develop mouth sores or irritation, a warm salt water rinse can speed up healing and soothe pain. Mix about 1/2 teaspoon of salt into a glass of warm water and swish gently for 30 seconds, 2–3 times a day.
5. Soft Foods Are Your Friend
Stick to soft foods during the first few days after getting braces or changing aligners. Yogurt, mashed potatoes, smoothies, soup, eggs, and oatmeal are all great choices. Avoid crunchy, chewy, or spicy foods until the soreness subsides.
6. Oral Anesthetics (Optional)
Products like Orajel or Anbesol can be applied directly to sore spots for quick relief. These gels contain a numbing agent and can be helpful if other methods aren’t enough.
Pain Differences: Braces vs. Invisalign
Many patients ask: Is Invisalign less painful than braces?
Generally, yes—but not always. Invisalign trays are smoother and don’t have brackets or wires, which reduces mouth irritation. However, because trays are replaced every 1–2 weeks, each new set can cause temporary pressure and soreness. Braces, on the other hand, tend to create more sustained pressure but may have longer gaps between adjustments.
Ultimately, both options cause some discomfort, but neither should be unbearably painful. And in both cases, pain decreases as your mouth adjusts.
When Should I Be Concerned?
While soreness and mild pain are normal, you should contact your orthodontist if you experience:
- Severe pain that doesn’t improve with medication
- Poking wires or broken brackets causing injury
- Swollen or bleeding gums
- Invisalign trays that don’t fit properly or cause deep cuts
- Sharp pain when biting down or chewing (beyond initial soreness)
These may be signs of an issue that needs adjustment or attention.
Pain Management for Kids and Teens
Children and teenagers may be especially sensitive to orthodontic discomfort. As a parent, it’s helpful to:
- Encourage them to express how they feel
- Offer soft foods and cold drinks
- Use distraction (movies, games) to take their mind off soreness
- Remind them that the pain is temporary—and the results are worth it!
At My LA Braces, we take extra care to make our younger patients feel comfortable and supported throughout treatment.
Staying Consistent is Key
One important thing to remember: Don’t let discomfort stop you from following instructions. Skipping Invisalign wear time or breaking food rules with braces can prolong treatment—and lead to more pain in the long run.
Following your orthodontist’s guidelines and sticking to a consistent routine will help your teeth move efficiently, which means less overall discomfort and a shorter path to a beautiful smile.
How we can help
At My LA Braces, we’re committed to making your orthodontic journey as smooth and pain-free as possible. As the highest-rated orthodontic office in East Los Angeles, we provide expert guidance, personalized care, and thoughtful support every step of the way—whether you choose braces or Invisalign.
From your first consultation to your final smile reveal, we’ll be here to answer your questions, relieve any discomfort, and help you feel confident about your treatment. Book your appointment today to learn more about your options and how we can make your smile transformation a comfortable experience from start to finish.