
Braces are an effective way to straighten teeth and improve your bite, but they can sometimes come with an uncomfortable side effect: oral sores. When brackets and wires rub against the cheeks, lips, or tongue, irritation can occur, leading to painful ulcers or tender spots. The good news is that these sores are common, temporary, and usually easy to manage with the right care.
Why Braces Can Cause Oral Sores
When braces are first placed or adjusted, your mouth needs time to adapt to the new hardware. Brackets, wires, and elastics can create friction against soft oral tissues, especially in areas that aren’t used to contact. This friction can lead to small cuts or inflamed areas that develop into sores.
Sores are more likely to appear during the early stages of treatment or after adjustments, when teeth are shifting and components may feel more noticeable.
Common Types of Sores and Irritation
The most common oral sores associated with braces include ulcers on the inside of the cheeks or lips, tender spots on the tongue, and general gum irritation. These sores may appear white or yellow in the center with a red border and can be painful when eating or speaking.
While uncomfortable, these sores are not usually a sign of a serious problem and tend to heal as your mouth becomes accustomed to the braces.
Using Orthodontic Wax for Protection
Orthodontic wax is one of the simplest and most effective ways to prevent sores. Placing a small amount of wax over brackets or wires that are rubbing helps create a smooth barrier between the braces and your soft tissues. Wax is especially helpful at night or during the first few weeks of treatment.
Maintaining Gentle Oral Hygiene
Keeping your mouth clean plays a key role in managing and preventing sores. Brushing gently with a soft-bristled toothbrush and rinsing regularly helps reduce bacteria that can worsen irritation. A mild saltwater rinse can also soothe sore areas and promote healing.
Avoid alcohol-based mouthwashes, as they can dry out and irritate sensitive tissues.
Choosing the Right Foods
Hard, crunchy, or spicy foods can aggravate oral sores and prolong healing. Sticking to softer foods, especially during flare-ups, can help reduce discomfort. Foods like yogurt, mashed vegetables, and smoothies are easier on irritated tissues and less likely to cause additional friction.
Managing Pain and Discomfort
Over-the-counter pain relievers may help ease discomfort from oral sores when needed. Topical oral gels designed to numb sore areas can also provide temporary relief. If a wire is poking or causing persistent pain, it’s important to contact your orthodontic office for an adjustment rather than trying to fix it yourself.
When to Expect Improvement
Most oral sores heal within one to two weeks as your mouth adapts to braces. As treatment progresses, many patients notice fewer sores over time. If sores become unusually large, last longer than expected, or are accompanied by signs of infection, it’s important to seek professional guidance.
With proper care and a few preventative strategies, oral sores don’t have to derail your orthodontic journey.
About the Practice
Straighten out and improve your oral health at Rockwall Crossing Orthodontics. Both form and function are top priority for Dr. Bart Miller as he specializes in traditional braces for patients of all ages. By offering guidance on managing common concerns like oral irritation, we help patients feel confident and supported throughout their orthodontic treatment. Come visit us to learn more!
Call us at (972) 771-1117 or request an appointment online.


