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If you’re considering treatment with clear aligners like Invisalign®, you may worry about aligner pain and discomfort. In fact,  “Does Invisalign® hurt?” is one of our most frequently asked questions.  Good news, you can stop worrying. While it’s noted that the tooth movements your aligners create might cause a few minor aches, it’s not unbearable. In fact, it’s easily managed.

 Note: This product is not available for purchase by the general public. Always follow the directions for use.

Common Kinds of Aligner Pain

Pain is obviously a something we’d all prefer to avoid or at least minimise wherever possible, so it’s good to delve a little deeper as to what degree of discomfort to expect when considering aligners like Invisalign®.

Tooth Movement and Aligner Fit

Many aligners wearers experience minor discomfort during the course of their aligner treatment. Their pain is typically described as a tenderness or pressure. The feeling may vary at different times during your treatment (such as when you first start treatment, or with each new, tighter fitting aligners).

 

Changing Aligners

 

As you know, treatment in aligners like Invisalign® involves series of several aligners during the process. The discrepancy between the shape of your next aligner and the alignment of your teeth is greatest when you begin wearing your next aligner. This is when the pressure is at it’s greatest, and you may feel some discomfort. Over time, though, your teeth will start to shift and conform to fit the aligner. Any pain will subside and your mouth will relax.

 

Our patients report only slight discomfort when advancing through aligners – and most will find it is well worth it to see their teeth move into their desired positions.

 

Other experience discomfort only at certain times, such as when the aligners are taken in and out, (such as for cleaning) or when chewing on firm foods.

Pressure Means the Aligners are Working

If you do notice that some achiness when wearing your aligners, you can take some comfort that it’s a sign that they’re doing their job. Your teeth do need a small amount of pressure to realign, and while the slight pressure may not be fun, it is an essential part of the how aligners like Invisalign® work.

Tongue and Gum or other Soft Tissue Irritation

Luckily, we find that very few aligner patients experience significant irritation and that aligners like Invisalign® tend to be less irritating to the soft tissues in your mouth compared to fixed braces wires and brackets.

In some cases however, an attachment, or the edge of the aligners themselves might have a section  that rubs against your cheek, tongue, the floor of the mouth or gums. If this does occur, it can cause a significant amount of irritation, especially if you don’t take steps to control the rubbing early on (more on this later).

Do Aligners like Invisalign® Hurt? What Can Be Done

If you are finding that your aligners are causing some your teeth to ache, there are a few things you can do, though, to ease that discomfort:

Start a New Set of Aligners at Night

To minimise how much discomfort you may notice, switch to your new set of aligners just before going to bed. That way, you will be fast asleep during those first tender hours.

Keep in mind that the act of taking out a new set of aligners can be uncomfortable (and sometimes difficult, if they are tight). So, if you make the change just before bedtime, your teeth will have a few hours to start moving before you have to remove your aligners, which should make the removal process much easier.

Use Gentle Biting Forces

If you teeth are feeling tender, you may like to ‘rest’ them a little by avoiding anything crunchy or firm in the first few days of wearing a new aligner.
You can also try to avoid clenching your jaw wherever possible (some people tend to do this when feeling stressed).
If you make a consicous effort to relax your jaw, you’ll notice that when at rest, the top and bottom teeth shouldn’t touch.

OTC Pain Relief

Another option if you are finding that your aligners are hurting is to consider using some short-term pain relief – similar to what you might use for a headache.  Please always check with your doctor or pharmacist before using something new.

Minimise Rough Edges

If you aligners are hurting due to soft tissue irritation, contact your orthodontic office for advice.

 

Of course, you might want to trim or smooth off the offending edges yourself. But, we recommend not endeavouring an adjustment yourself as this could impact the function of the aligners. You don’t want to risk trimming off too much that you compromise how the aligners sit over the teeth and their ability to create the tooth movements it needs to. If you damage an aligner, a new one will have to be remade and could slow down your treatment time and how long treatment takes. It’s just not worth trying to do yourself.

So, whilst some adjustments may be possible, this should be done under the guidance of an experienced, qualified clinician.
Keep in mind also that there may also be other options available, such as using orthodontic wax to reduce soft tissue contact with any rough edges.

Wear Your Aligners Consistently

The most important thing is to continue wearing your aligners. Sure, it’s tempting to take them out when they start to ache, but you have to keep wearing them if you want the discomfort to subside. Teeth tend to hurt less with regular constant pressure, rather than a ‘stop-start’ approach. You also want to avoid prolonging treatment.

When Will the Aligner Pain Stop?

Most pain or discomfort caused by tooth movement usually eases within a few days if your aligner tray change. That’s because the pressure and tooth movement decreases, and the feeling of tightness subsides. Some patients report that keeping the tray in for as long as possible each day can help any pain and discomfort pass quicker.

 

If the pain feels somewhat different to what you expect, it could be a gum or tooth problem. Be sure to keep up good oral hygiene practice and book an appointment with your general dentist if the pain persists.

 

 

How long is Treatment in Aligners like Invisalign®?

 

Keep in mind that tooth discomfort or pain is a sign that the treatment is doing what it should. Some people get incredible results from this treatment in as little as four to six months. Others will need longer, for example – a year or more. Treatment time is very individual and will depend on your unique needs. So, just remember how amazing your smile – and your confidence – will be when the treatment comes to an end.

 

Summary – So, Do Aligners like Invisalign® hurt?

Overall, pain is mild, and generally not experienced constantly throughout treatment, We’ve explored some handy and quick ways to overcome the discomfort. Follow the above tips, and you’ll be on the right track to sail through your treatment!

Is Invisalign right for you?

 

Find out if you’re a candidate for aligner treatment like Invisalign® by booking a free assessment at Fine Orthodontist Sydney.

*If orthodontic X-rays are required, a fee of $180 applies. Treatment may not be suitable for you.

 

These Products are not available for purchase by the general public. They are however available to Fine Orthodontist Sydney patients. Always read the label and follow the instructions for use.

Find out more about Invisalign®:

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Written by Danielle Long, Writer

Danielle Long

Danielle Long is a writer at Fine Orthodontist Sydney. She holds graduate qualifications in English and Education and is an integral part of the team at Fine Orthodontist Sydney. Danielle Long has been assisting in the orthodontic care process at Fine Orthodontist Sydney for over fifteen years, working closely with the team to provide exceptional patient support, communication and coordination of treatment plans. As a writer and an orthodontic treatment coordinator, Danielle Long’s primary responsibilities include facilitating exceptional patient education and communication, ensuring seamless coordination of treatment plans, and providing support to the clinical orthodontic team at Fine Orthodontist Sydney.

Specialist Orthodontist Input by Dr Martin Fine BDS, MSc (Orthodontics)

Specialist Orthodontist Dr Martin Fine, BDS, MSc (Orthodontics), is based in Sydney’s Eastern Suburbs. With over 30 years’ experience in private practice, Dr Fine has expertise working with a wide variety of orthodontic appliances, including braces and Invisalign. He has presented at orthodontic conferences globally, and has taught postgraduate orthodontic students at the University of Sydney. Dr Fine is a member of both the AAO (American Association of Orthodontists) and the ASO (Australian Society of Orthodontists), and is a former president of the Alpha-Omega Dental Society’s Sydney Chapter.  

In the past, Dr Fine’s research has been featured in the Angle Orthodontist journal. Dr Fine is committed to providing outstanding patient care using the latest and most effective techniques. 
 

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