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Can I Expect Tooth Pain With Aligners?

Love Yourself, Love Your Smile

Patient receiving clear aligners during orthodontic treatment, highlighting tooth alignment process and potential discomfort associated with aligners.
  • Dr. Monica Madan
  • October 13, 2022

We’ve all heard the saying, “No pain, no gain”. But does it apply to your smile?

Regardless of whether you choose braces or clear aligners, like Invisalign, you are bound to experience some discomfort. However, the amount of tooth pain with aligners, like Invisalign, is very minimal when treatment is guided by an experienced orthodontist.

Causes of Tooth Pain with Aligners

Any method of teeth straightening is sure to cause a little bit of pain or soreness. But, with Invisalign, you’ll likely experience significantly less discomfort than you would with conventional braces. The amount of discomfort depends on how severe your alignment issues are and how well the treatment process is managed. 

Tooth pain with aligners is typically mild and feels like uncomfortable pressure rather than acute pain. It’s also temporary. You’re most likely to experience discomfort when you first start using Invisalign and when you switch to a new aligner tray. This means the process is working—your teeth are moving to a new position for the first time and your teeth and mouth aren’t used to it. 

While some discomfort is expected, not all types of tooth pain with aligners are normal. If you feel discomfort, be sure to tell your orthodontist so they can determine why it is happening. Potential causes include:ย 

  • Shifting of teeth: Invisalign works by putting pressure on your teeth to move them into a correct position. This can be uncomfortable.
  • New trays: New trays can feel tight when they are first placed on your teeth and since you will likely change your aligners every two weeks, you can expect some initial discomfort every time they are changed out.ย 
  • Improperly fitted trays: If your aligners donโ€™t fit properly, they can cause irritation and pain. An experienced orthodontist can ensure your trays fit properly.
  • Stubborn teeth: Some teeth are more stubborn than others. If a tooth or teeth arenโ€™t moving as planned, Invisalign treatment can be more uncomfortable and your orthodontist may need to refine your treatment plan.
  • Not using Invisalign correctly: If you eat with your aligners on or donโ€™t remove them correctly, they may become damaged and wonโ€™t fit properly, potentially leading to pain.

By understanding the cause of tooth pain with aligners, you and your orthodontist can create 

Alleviating Tooth Pain From Aligners

Pain caused by Invisalign should be temporary. Even so, even the slightest bit of discomfort can be annoying. Below are some tips to minimize pain:

  • Stay on schedule: Your aligner trays are customized specifically for you and should be changed according to the schedule advised by your orthodontist.
  • Apply a cold compress: Putting a cold compress against your skin can help reduce pain and swelling.
  • Suck on ice: Drinking cold water or sucking on an ice cube can help you minimize discomfort. Be sure to not chew the ice, as that can damage your aligners and cause more discomfort.
  • Eat soft foods: Eating hard food like nuts or chips may seem appealing, but they can end up hurting more. Try eating soft foods like bread, yogurt, bananas, and soup.
  • Switch aligners: Since new aligners tend to cause the worst soreness in the first hours, try putting in a new aligner at bedtime. Sleeping through the initial discomfort will allow you to wake up with the worst behind you.
  • Try over-the-counter pain medications: OTC painkillers like ibuprofen, aspirin, and acetaminophen can help with pain. Ask your orthodontist before taking any medication and follow the instructions for use and dosage.
  • Check the fit: If your aligners are feeling loose or are still too tight after a few days, contact your orthodontist. You may need to replace your aligners with a new set.

Minimize Pain and Maximize Your Smile

With any modification to your body, planning ahead and working with a professional are key. Working with a Blue Diamond Top 1% provider will help minimize your tooth pain with aligners and get the best results possible. At Beverly Hills Orthodontics, our expert team uses the latest and best tools to ensure you get the smile you want without unnecessary discomfort. Dr. Monica Madan and the BHO team are recognized as top experts in Invisalign treatment and are by your side throughout the entire teeth-straightening process.

Your Smile Is More than just two rows of teeth - it's how you show your personality to the world.

Let Dr. Madan and her team help you help keep your smile looking (and feeling) better than ever.
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patient reviews

Enjoy our 5-star experience.

We are thankful for the opportunity to serve our communities with the highest quality care. Check out what our patients are saying about their 5-star experience with us!

Smiling couple with confident smiles, showcasing healthy smiles and orthodontic results.
appolo R.
Amazing staff and doctors! Always so efficient! Irene, Meklit and Anthony are the best!
Julia
Highly recommend. I had a great experience getting Invisalign here. They are experts at what they do and so kind and professional. Beautiful, bright office with an amazing view is a bonus :)
Response from the owner:Julia, thank you! Kind, professional, expert care in a bright space with a nice view is exactly the experience we hope to give.
Jamie K.
Absolutely could not recommend BHO more. Dr Madan, Dr Sinclair, Gabriel, and the front desk are so lovely and so organized. The office is spotless and beautiful, and they are so clear about what to expect as fast as cost and treatment plan. Absolutely love them and highly recommend them!
Response from the owner:Jamie, thank you for such a glowing review! Clear answers, an organized office, and a spotless space are things we work hard at, so it means a lot to hear that Dr. Madan and the team made that impression.
Annabelle D.
This place is so awesome the people are all so sweet and good vibes and the office has such a beautiful atmosphere and view as well.
Response from the owner:Annabelle, thank you! Sweet people, good vibes, and a beautiful space with a view are a pretty great combination, and we love that you noticed.
Kimberly T.
Great Orthodontist office! They have been amazing to fix my smile!! Highly recommend!
Response from the owner:Kimberly, thank you for the recommendation! We are thrilled that you are happy with your smile.
Brian L.
Beverly Hills Orthodontics absolutely exceeded my expectations and has provided an exceptional service and experience! Dr. Madan and her team are friendly, professional, and genuinely care about their patients. In Oct 2024, I inquired about Invisalign to a handful of orthos. Due to my smile at the time, I was told I needed braces instead of Invisalign from other orthos. Dr. Madan was the one that said she can use Invisalign but I would have to wear bands as well and be disciplined in wearing them to see the results. She was honest and realistic in her approach and I’m glad I decided to go with BH Ortho. Fast forward to July 2026, my gap in my teeth has closed and my teeth are incredibly straight. So thankful for Beverly Hills Orthodontics! The office is clean, appointments are efficient to make via text, and conveniently there are multiple locations across LA. My first two pics show my new smile using Invisalign with Beverly Hills Orthodontics, and my last two pics are before. If you’re looking for an orthodontist who delivers exceptional care and outstanding results, I highly recommend Beverly Hills Orthodontics.
Response from the owner:Thank you so much for your wonderful review! We are thrilled to hear about your incredible experience with Dr. Madan and our team, and we are so happy to see your amazing new smile. Providing honest guidance, personalized treatment options, and convenient, top-tier care across all our locations is always our highest priority. We deeply appreciate your high recommendation and for trusting Beverly Hills Orthodontics with your smile journey!
Rachna S.
My favorite place and all the doctors and staff are very polite, attentive and caring. Love coming for my appointments
Response from the owner:Thank you, Rachna! We appreciate your kind words about our team. It's our goal to provide exceptional care and a friendly environment. We look forward to seeing you again soon!
M K.
Friendly and honest. I’m very happy my daughter is being serviced here. Would recommend it to others.
Response from the owner:Hearing that you are happy with your daughterโ€™s care truly means the world to us! We take a lot of pride in being completely honest, transparent, and friendly with our families every single day. Thank you so much for trusting us with her smile and for recommending us to others!
Kate L.
I got my Invisalign here and the process was absolutely incredible and easy. They took really good care of me and everyone at the office was very nice and polite. One of the technicians, Anthony, went above and beyond during the appointments and Dr. Maden was always there overseeing everything and making sure everything was going smoothly. 10/10 recommend coming here
Response from the owner:Thank you so much for the exceptional 10/10 recommendation! We are thrilled to hear that your Invisalign process was so seamless and that you felt incredibly well cared for by our team. We truly appreciate your support!
Lisa L.
My son has been seeing Dr M and has had a great experience with her and the entire BHO team. Everyone is so warm and welcoming, making the Invisalign journey way more bearable. Another plus- the office is immaculate!
Response from the owner:Thank you for your wonderful feedback, Lisa! We're thrilled to hear that you had a great experience with our team and appreciated our environment. Your support means a lot to us!
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