Being almost invisible, clear aligners can offer an aesthetic alternative to traditional braces. Aligners are custom-made plastic trays that are made to gently reposition your teeth over time. They are designed from smooth, medical-grade plastic, offering discreet and comfortable orthodontic treatment.1,2
While aligners are generally more comfortable than metal braces, some soreness or discomfort may occur during the course of treatment. This article explores aligner-related soreness and shares tips to ease discomfort for a smoother, more effective treatment experience.
Aligner Soreness: What to Expect?
Like traditional braces, clear aligners work by gently shifting your teeth into their desired positions using gradual, precise pressure. Since they are custom fitted to your teeth, they apply the necessary force in a sequential manner to facilitate the shifting.1,2 This can cause some discomfort or soreness (only during the brief adjustment period) when starting aligners or switching to a new set.2 Many patients describe this sensation as pressure or tenderness rather than outright pain. Studies have shown that this discomfort is usually mild and only temporary, as patients generally adapt to their aligners soon enough.3
One such study on clear aligners showed that 83% of patients reported being fully accustomed to wearing their aligners in just one week. The good news is that even for patients who felt discomfort or soreness with aligners, the symptoms typically lasted for only a few days (2–3 days) after starting a new set of aligners. Overall, the study revealed positive feedback and high satisfaction among aligner users.3
Top Tips for Easing Aligner Pain and Discomfort
Dentists and orthodontists are increasingly incorporating pain management strategies to help ease the discomfort often associated with orthodontic treatments. These methods may include over-the-counter pain relievers, oral pain medications, and topical numbing agents.4 However, it’s essential to consult your dentist/orthodontist before using any pain management techniques, as they can provide personalised guidance and recommendations.
In addition to professional advice, here are some tips to help you manage aligner discomfort at home:
Use dental wax: Dental or orthodontic wax is made from non-toxic, biocompatible materials (like beeswax). It is an easy to use and instant solution for getting relief.4 You can apply dental wax to the rough aligner edges. This will help reduce irritation by creating a protective barrier between the aligners and sensitive oral tissues.3,4
Consume a soft diet: Eating soft, easy-to-chew foods will minimise the pressure applied on your teeth and gums. This will help reduce soreness from aligners. Additionally, a soft diet can help maintain good oral health and provide comfort during the whole treatment process.4
Do warm saltwater rinses: Rinsing your mouth with warm salt water (1 teaspoon salt to approximately 250 ml of warm water) can soothe irritated tissues and reduce soreness.5
Change your aligners regularly: Follow your orthodontist's instructions on when to switch aligners (changing your aligners every 1 or 2 weeks as advised by your doctor). Changing them as directed can help minimise pain and ensure effective movement.
Use chewies: These small, soft devices can help seat the aligners properly and may alleviate discomfort by distributing pressure evenly.
Try behavioural approaches: You can use behavioural strategies like Cognitive Behavioral Therapy (CBT), physical activity, or even music therapy to help distract from discomfort and reduce anxiety.4
How to Stay Consistent with Your Aligner Treatment Despite the Discomfort?
Reassurance and prompt follow-up care can play a significant role in managing pain and improving your comfort during your aligner treatment.4 Also, if over-the-counter medications or home remedies don’t provide relief, your dentist or orthodontist can always smooth the edges of your aligners to improve comfort.3
Understand that while perception levels may vary between individuals, any discomfort is usually minimal and short-lived. It has been observed that most patients quickly adapt to their aligners and are pleased with the results, despite the occasional pressure. Even for those who experience greater discomfort initially, it generally goes away within a few days, making the process manageable and worthwhile.3 Therefore, stick with your treatment, and if you experience any pain or discomfort, consult your dentist or orthodontist for guidance. Remember, consistent aligner wear is key to a successful treatment outcome.
Conclusion
While mild discomfort is a normal part of aligner therapy, it is generally temporary and can always be managed with the right approach. From using dental wax and warm saltwater rinses to adopting a soft diet and employing behavioural strategies, there are many ways to alleviate soreness and ensure a smoother experience. Always maintain consistent communication with your orthodontist, this is key to addressing any concerns and staying on track. Remember, temporary discomfort is a small step toward achieving your perfect smile, so stay committed to your treatment for the best results.
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