Braces Tightening: Frequency, Purpose and Side-Effects

A straight and stunning smile – it’s the dream, isn’t it? And with braces fitted by a specialised orthodontist, it’s a dream that’s well within reach.

But braces aren’t a treatment you can set and forget. They require regular adjustments and reviews to effectively align your teeth.

While these adjustments are commonly referred to as ‘tightening’ it’s not strictly the case, as your orthodontist may be changing wires, re-attaching brackets, and reviewing your progress to decide if anything additional needs to be considered such as the use of elastic bands.

So, just how often do you need to visit your orthodontist, and what can you expect during and after your maintenance appointments?

Read on to discover the answers to these questions (and more!), as we explore the ins and outs of braces tightening.

How often should I have my braces tightened?

While every patient is different, you should generally have your braces adjusted or tightened every 4–10 weeks.

However, your orthodontist will personalise your braces treatment to your individual needs, so there’s no exact adjustment time that will suit everyone.

In the initial appointment, your orthodontist will assess the severity of your malocclusion and develop a braces-adjustment schedule especially for you. Your personalised adjustment timeline will depend on your age and oral health, as well as the alignment of your teeth and jaw. Patients with severely crooked teeth may need to have their braces adjusted more frequently – although even in severe cases it’s unlikely you would need your braces tightened every 2 weeks for the entire treatment period.

What happens if you don’t get your braces tightened?

If you don’t regularly have your braces tightened or adjusted by your orthodontist, they may cause damage. Why? As your teeth move and slowly align, the tension produced by the wires and elastics of your braces will change. This means the pressure can decrease (and stop moving all together) or may start applying pressure that you don’t want.

Your orthodontist needs to regularly adjust your braces so they can keep placing the correct pressure on your teeth. Your elastics need changing at each appointment, and your wires may need to be replaced, adjusted or tightened.

Why do you need to get your braces adjusted?

While their three years of additional specialist training does give your orthodontist expert knowledge in the field of straightening and aligning teeth, every person is different, and your teeth and gums may not always move as expected.

At certain points your teeth may require more pressure or pressure in a different direction to achieve the desired results. This is why regular monitoring and adjustment by your orthodontist is absolutely essential.

And whatever you do – don’t attempt to tighten or adjust your braces at home! You might cause lasting damage to your teeth and gums.

Tightening Braces | How & Why Of Changing Wires

How to tighten your braces

Keen to know what exactly is involved in having your braces tightened by an orthodontist? We break the process down step-by-step.

Your orthodontist may:

1. Remove the elastic bands that affix the arch wire to the brackets on your teeth.
2. Remove the arch wire itself.
3. Give you the opportunity to thoroughly brush and floss your teeth without the hindrance of the elastic ligatures and wires.
4. Carefully examine the health and position of your teeth to determine what adjustment or tightening is necessary.
5. Place the arch wire (either your old wire or a new one) back onto the metal brackets.
6. Attach new elastic bands to affix the arch wire to each bracket.

Side-effects of braces tightening

After having your braces tightened, you might feel some pressure and sensitivity in your teeth, gums and jaw. The discomfort is usually mild and feels more like your teeth are bruised rather than a throbbing toothache. These side-effects should only last for a day or two and some people find that the pain of having their braces tightened reduces as treatment progresses.

How to relieve braces tightening pain

There are many ways to relieve temporary braces tightening discomfort, including:

1. Over-the-counter pain medicine such as paracetamol or ibuprofen.
2. Topical anaesthetic creams and gels.
3. Non-toxic orthodontic wax.
4. An ice pack, ice water or cold foods.
5. Gargling with warm salty water.
6. A gum massage.

Things to eat after you get your braces tightened

After you visit your orthodontist, it’s best to stick to a soft-food diet for the first couple of days after having your braces tightened. Avoid hard or sticky foods like boiled lollies, popcorn or chewing gum, and stick to soft foods like:

• Soup
• Mashed potato, pumpkin or sweet potato
• Fruit or vegetable smoothies
• Yoghurt, ice-cream or frozen yoghurt.
• Macaroni cheese or other soft pasta dishes
• Soft fruit like bananas, berries and pawpaw
• Porridge or rice pudding

Foods To Eat When You First Get Braces/ Tightened

Braces require regular maintenance – but a memorable smile is more than worth it. Eager to explore your options? Then use our Finder Tool to search for a local specialist orthodontist near you and to request a consultation.