Mouth ulcers are shallow sores that develop inside the mouth, and can cause discomfort when eating, speaking, or brushing. For those wearing braces, these ulcers tend to appear more often, but they do not have to disrupt your day-to-day routine.
In this article, we will walk you through practical ways to prevent ulcers while wearing braces, and simple methods to relieve them if they do occur.
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Why Braces Cause Mouth Ulcers
Mouth ulcers are a common side effect of orthodontic treatment. They often appear in the early stages, but they can also develop later as the mouth adjusts to new wire placements or tightening. Several factors contributing to this include:
Friction from brackets and wires
Braces have small metal parts that may rub against the inside of the cheeks, lips, or tongue. This friction can break the surface of the skin, especially in areas where contact is frequent.
Increased sensitivity in the mouth
The mouth is more reactive during orthodontic treatment. As teeth shift and the soft tissue adapts, even minor irritation can lead to ulcers.
Poor oral hygiene
Braces create more surfaces where food and bacteria can collect. Without thorough cleaning, this build-up can irritate the tissue and delay healing, increasing the risk of ulcers.
Accidental bites
As your bite changes, it is not uncommon to accidentally bite the inside of your cheeks or lips. These small injuries can quickly turn into painful sores.
Stress and diet
Other factors like stress, hormonal changes, or certain foods may also increase your likelihood of developing ulcers. While not directly caused by braces, these triggers can make symptoms worse.
How to Prevent Mouth Ulcers While Wearing Braces
While some irritation is expected with braces, there are ways to reduce the risk of mouth ulcers.
- Use orthodontic wax
Orthodontic wax helps shield the soft areas in your mouth from direct contact with your braces. Pinch off a small piece, roll it between your fingers, and press it onto the bracket or wire causing discomfort.
Reapply after eating or brushing, or whenever the wax wears off. If you have not received wax from your orthodontist, ask for some during your next visit.
- Keep your mouth clean
Effective brushing and rinsing help reduce the bacteria that can worsen irritation. Use a soft-bristled toothbrush and angle it carefully around the brackets. Rinse with saltwater or an alcohol-free mouthwash once or twice daily to keep your mouth clear of debris.
- Stay hydrated
A dry mouth is more prone to irritation. Drink water regularly throughout the day, especially if you speak often or mouth breathe. Proper hydration helps your mouth maintain a natural healing environment.
- Avoid trigger foods
Spicy, acidic, crunchy, or salty foods can aggravate sensitive areas. When possible, choose soft, neutral options like soups, rice, eggs, yoghurt, or smoothies. These reduce the risk of further irritation.
(Source: Envato)
Soothing Tips for Existing Ulcers
If an ulcer has already formed, there are several ways to ease discomfort and support healing. These methods are simple, safe, and can be done at home.
- Rinse with saltwater or antiseptic mouthwash
Saltwater helps clean the ulcer and reduce inflammation. Mix one teaspoon of salt into a glass of warm water and rinse gently for 30 seconds.
Do this two to three times a day. An alcohol-free antiseptic mouthwash can also be used to prevent infection and promote healing.
- Apply gel or cream
Over-the-counter ulcer gels form a protective layer over the sore and relieve pain. Apply a small amount directly to the ulcer using a clean fingertip or cotton swab. These products are safe to use alongside braces, but avoid eating or drinking immediately after application.
- Cold relief
Cold temperatures help numb pain and reduce swelling. Try holding cold water in your mouth or sucking on ice chips. Avoid applying ice directly to the ulcer.
- Avoid irritating foods
To prevent further discomfort, stick to soft, bland foods like porridge, yoghurt, soup, or smoothies. Avoid anything spicy, acidic, or sharp until the ulcer has healed.
- Pain management
Paracetamol or ibuprofen may be used for temporary relief. Always follow the dosage instructions on the label, and check with a healthcare professional if you are unsure about what is suitable for you.
When to See Your Orthodontist or Dentist
Most mouth ulcers will heal on their own within 7 to 14 days. However, some cases may need professional attention.
Here is when to schedule a visit:
- The ulcer lasts longer than two weeks without improvement
- There is noticeable swelling, pus, or redness spreading around the sore
- You experience fever or pain that worsens over time
- A bracket or wire continues to injure the same area
- Over-the-counter treatments are not helping
Your orthodontist can adjust sharp wires, replace loose brackets, or prescribe medicated gels if needed.
If an infection is suspected, your dentist may recommend further treatment or refer you to a specialist. Getting help early prevents complications and keeps your orthodontic treatment on track.
Conclusion
Mouth ulcers are a common part of the braces journey. While they can cause discomfort, they are often manageable with simple daily habits. If symptoms persist or interfere with your routine, your orthodontist or dentist can provide additional support. Ongoing care and regular check-ups will help ensure your treatment stays on track.
Get a new smile with braces from The Braces Practice Singapore. Reach out via WhatsApp or our contact form for any enquiries!
