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Orthodontics

Do Braces Hurt? What to Expect in the First Week

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Dr. Arpita Dash

Dental Surgeon & Smile Specialist

20 June 2026 Updated 17 Jul 2026 7 min read

Many people avoid braces because they worry about pain. The reality is that braces do not hurt constantly, but there is some discomfort, especially in the first week and after adjustments. This discomfort is temporary and usually mild. It is also a sign that the braces are working. Research shows that most patients rate braces discomfort as 3 to 4 out of 10, with the worst soreness occurring in the first 3 days.

In Bhubaneswar, many patients delay or avoid orthodontic treatment because of fear of pain. This is especially common among adults who did not get braces as children. Understanding what to expect can help you prepare and manage any discomfort effectively.

At YourDentist Laser Dental Clinic in Bhubaneswar, we help patients understand what to expect and how to manage soreness during orthodontic treatment with proven pain management strategies.

Do braces hurt when they are first put on?

The actual process of placing braces is not painful. The teeth are cleaned, the brackets are bonded, and the wires are attached. You may feel pressure as the wire is tightened, but it should not hurt.

The soreness usually starts a few hours after the braces are placed. It peaks in the first 2 to 3 days and then decreases.

What does braces pain feel like?

Braces discomfort is usually:

  • A dull ache in the teeth and jaw
  • Soreness when chewing
  • Tenderness in the teeth
  • Irritation on the inside of the cheeks and lips from the brackets

This is different from the sharp pain of a toothache. It is a general soreness that comes from the pressure needed to move teeth.

Braces pain timeline

TimeWhat to expect
First few hoursMild pressure, no major pain
Day 1 to 3Peak soreness, teeth feel tender
Day 4 to 7Soreness decreases
After adjustmentsMild soreness for 1 to 3 days
After first monthMost patients are used to braces

First week with braces

The first week is the hardest because your mouth is adjusting to the brackets and wires. During this time:

  • Eat soft foods
  • Use orthodontic wax on irritating brackets
  • Rinse with warm salt water
  • Take pain medication if needed
  • Avoid hard and sticky foods

Most patients feel much more comfortable by the end of the first week.

Managing braces pain at home

There are several ways to reduce discomfort from braces:

Eat soft foods

Soft foods reduce pressure on sore teeth. Good options include:

  • Yogurt
  • Mashed potatoes
  • Soup
  • Khichdi
  • Idli
  • Bananas
  • Scrambled eggs
  • Smoothies

Use orthodontic wax

Orthodontic wax covers brackets that rub against the cheeks and lips. Apply a small amount to the irritating bracket. This prevents sores and irritation.

Rinse with warm salt water

A warm salt water rinse soothes irritated gums and mouth sores. Mix half a teaspoon of salt in warm water and rinse for 30 seconds.

Take pain relievers

Over-the-counter pain medication can help with soreness, especially after adjustments. Take it as directed.

Use a cold compress

A cold compress on the cheeks can reduce soreness and inflammation after braces placement or adjustment.

Keep your mouth clean

Food stuck around brackets can irritate the gums. Brush carefully after every meal and use an interdental brush to clean around brackets.

Do braces adjustments hurt?

After each adjustment, you may feel mild soreness for 1 to 3 days. This happens because the wire is tightened or changed, which increases pressure on the teeth. The soreness is usually less intense than the first week.

Do clear aligners hurt?

Clear aligners can also cause discomfort, especially when switching to a new set. The pressure is usually focused on specific teeth that are moving. Aligner discomfort is usually less than braces because there are no brackets or wires rubbing against the cheeks.

When to call your orthodontist

Most braces discomfort is normal. Contact your dentist if you have:

  • Severe pain that does not improve with medication
  • A wire poking into your cheek that you cannot fix with wax
  • A broken bracket
  • A loose wire
  • Swollen gums with pus
  • Mouth sores that do not heal

Pain management comparison for braces

MethodHow it helpsWhen to use
Soft foodsReduces chewing pressureFirst week and after adjustments
Orthodontic waxPrevents cheek and lip irritationWhenever brackets rub
Salt water rinseSoothes gums and mouth sores2 to 3 times daily
Over-the-counter painkillersReduces soreness and inflammationAfter adjustments, as directed
Cold compressReduces swelling and numbnessFirst 24 hours after placement
Warm compressRelieves jaw sorenessAfter first few days
Soft dietLess pressure on teethFirst week, after tightening

Using a combination of these methods provides the best relief during braces treatment.

Braces discomfort by treatment type

Treatment typePain levelDuration of soreness
Metal bracesModerate3 to 5 days initially
Ceramic bracesModerate3 to 5 days initially
Self-ligating bracesMild to moderate2 to 4 days initially
Clear alignersMild1 to 3 days per new tray

Self-ligating braces and clear aligners generally cause less discomfort than traditional metal or ceramic braces because they use lighter forces.

Can braces pain be avoided?

Some soreness is unavoidable because teeth need pressure to move. However, you can reduce discomfort by following your dentist’s instructions, keeping your mouth clean, and using wax and salt water rinses.

Braces pain vs toothache pain

Braces soreness is a dull, pressure-like ache that affects multiple teeth. Toothache pain is usually sharp, localised, and constant. If you have toothache pain, it may be from a cavity or infection, not from the braces.

Will braces hurt for the entire treatment?

No. Most patients adjust within a month. After that, braces feel like a normal part of life. There may be brief soreness after adjustments, but it is manageable.

Why choose YourDentist for braces in Bhubaneswar

  • Gentle orthodontic treatment approach.
  • Modern braces and aligner options.
  • Clear instructions for managing discomfort.
  • Flexible evening appointments.
  • Experienced care from Dr. Arpita Dash.

Frequently asked questions

Do braces hurt when you first get them? There may be soreness for a few days, but the actual placement is not painful.

How long do braces hurt after tightening? Soreness after tightening usually lasts 1 to 3 days.

How can I stop braces from hurting? Eat soft foods, use orthodontic wax, rinse with salt water, and take pain medication if needed.

Are clear aligners less painful than braces? Aligners usually cause less cheek irritation but can still cause pressure soreness when switching trays.

Do braces hurt for the whole treatment? No. Most patients adjust within the first month.

What should I eat when my braces hurt? Soft foods like yogurt, soup, khichdi, and mashed potatoes are good choices.

Can I take painkillers before getting braces? Taking an over-the-counter pain reliever about an hour before your appointment can help reduce initial soreness. Ask Dr. Dash for specific recommendations.

Does braces pain mean something is wrong? No. Mild soreness is normal and means the braces are working. However, sharp or severe pain is not normal and should be reported to your dentist.

How long does it take to get used to braces? Most patients adjust to braces within 1 to 2 weeks. After that, the brackets feel like a normal part of your mouth, and you only experience mild soreness after adjustments.

Can children handle braces pain? Yes, children are often more adaptable than adults. Dr. Dash uses gentle techniques for children and provides clear instructions for managing discomfort at home.

If you are considering braces and have questions about comfort, visit YourDentist Laser Dental Clinic in Bhubaneswar. Call +91 7064719630 or message us on WhatsApp.

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About Dr. Arpita Dash

Dr. Arpita Dash is a Dental Surgeon & Smile Specialist with 10+ years of experience in Bhubaneswar, specializing in root canal treatment, orthodontics, dental implants, and aesthetic dentistry. She has treated over 5000+ patients with a 4.9-star rating.

Learn more about Dr. Arpita Dash

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