Dental Case Analysis – Painful Mouth Sore Caused by Orthodontic Braces

Case Overview

This image shows a patient wearing orthodontic braces with a large, painful ulcer on the inner lower lip. The sore has a yellowish center with surrounding redness and swelling, consistent with traumatic oral ulceration caused by repeated friction from brackets or archwire.

Scale All Teeth

• Upper and lower teeth visible

• Lower teeth fitted with orthodontic brackets and archwire

• No obvious tooth fractures or active decay visible

• Primary concern is soft-tissue injury, not tooth structure

Full Analysis and Diagnosis

Clinical Findings

• Single, well-defined ulcer on inner lower lip

• Yellow or pale necrotic center

• Red, inflamed surrounding tissue

• Swelling of the lower lip

• Brackets and wire in direct contact with affected area

Interpretation

• Findings are suggestive of a traumatic mouth ulcer

• Likely caused by continuous rubbing of braces during speaking and chewing

• Moist oral environment delays healing if irritation persists

Probable Diagnosis

• Orthodontic appliance–induced oral ulcer

• Traumatic mucosal injury with secondary inflammation

(Clinical confirmation recommended.)

Deep Examination

Soft Tissue Assessment

• Superficial tissue breakdown

• No visible pus or deep abscess

• Pain likely significant during movement of the lip

• Risk of secondary infection if ulcer enlarges

Appliance Assessment

• Bracket edges or wire may be sharp or protruding

• Protective covering or adjustment is required

Time Frame to Heal

With Proper Management

• Pain reduction: 2–4 days

• Ulcer size reduction: 5–7 days

• Complete healing: 7–14 days

Without Treatment

• Ulcer enlargement

• Persistent pain and swelling

• Secondary bacterial infection

• Difficulty eating, speaking, and oral hygiene

• Reduced tolerance to orthodontic treatment

Process to Execute (14-Day Window)

Days 1–3

• Orthodontic evaluation

• Identify offending bracket or wire

• Apply orthodontic wax over sharp areas

• Recommend gentle oral hygiene

Days 4–7

• Adjust or trim wire/bracket if needed

• Monitor ulcer size and pain level

• Reduce mechanical irritation

Days 8–14

• Confirm healing of ulcer

• Reinforce preventive measures

• Resume orthodontic treatment comfortably

Issues That Will Scale Up If Untreated

• Chronic mouth ulcer

• Lip swelling and scarring

• Secondary infection

• Ongoing pain

• Poor compliance with braces

• Delay in orthodontic progress

Clinical Comments

Mouth ulcers caused by braces are common but should not be ignored. Early protection and appliance adjustment usually lead to rapid healing. Persistent or worsening sores require prompt professional evaluation.

Find a Dental Clinic Near You

Search for a qualified dental clinic using our directory:
https://cebudentalimplants.com/map-dental-clinic