My aligners hurt really bad

Severe aligner pain is not expected to be ignored; remove sharp irritation from the cause and arrange a review if pain is intense or persistent.

Clear aligners apply pressure to guide teeth through the periodontal ligament, so tightness or tenderness can occur after a new tray. Severe pain may instead result from a sharp edge, a damaged tray, a poorly fitting attachment, gum injury, or a tooth problem unrelated to movement.

Check the tray for cracks or rough edges and use orthodontic wax over a rubbing area. Follow the prescribed wear instructions, choose softer foods temporarily, and use only pain medicine suitable for you according to its label or a clinician’s advice; do not force a distorted tray into place.

Contact the orthodontic team promptly for severe pain, a tray that will not seat, a loose attachment, bleeding or ulceration that persists, facial swelling, or pain in one tooth. Seek urgent medical care for swelling that affects breathing or swallowing.

Ask whether the tray fit and tooth movement are appropriate, whether an edge needs smoothing or a replacement tray is needed, and whether the pain could be decay, gum disease, or another dental problem. Ask whether to continue wearing that tray.