HomeAnswersOrthodontistspacing in between the teethIs it normal to get gum pain during ortho treatment?

Is it normal to develop gaps and pain between teeth during orthodontic treatment?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 24, 2022
Reviewed AtOctober 11, 2023

Patient's Query

Hello doctor,

I am 18 years old and have braces on my teeth. My orthodontist said he would not put a bracket on my milk tooth, but the permanent tooth next to my milk tooth has shifted. Now, there is a gap between the two teeth, which hurts. Should I be concerned about it?


Welcome to icliniq.com.

You should not be concerned regarding the milk tooth being present and shifting out of the arch. They are not supposed to be handled with braces. The tooth will fall off soon and replace a permanent tooth. When the new tooth erupts, the orthodontist will put a bracket to align it with the other teeth. This should be fine. The concern arises when it is found that a permanent tooth is missing. This can be evaluated by an OPG (orthopantomogram), where we can find out about the development of the underlying tooth and its position. Sometimes it does pain, but it should be a temporary one. Once the tooth is shed off, the pain will subside, and a new tooth should replace it. Avoid touching that area constantly.

Regarding follow up

I request you to share the most recent dental X-ray.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mayank Khandelwal
Dr. Mayank Khandelwal


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