What is the direct answer?
Clear aligners can irritate gums when an edge is sharp, the tray is distorted, or plaque collects around a poorly cleaned appliance.
What does this question mean?
An aligner covers the tooth crowns and should not cut the marginal gingiva. A rough edge, attachment, trapped plaque, or poor fit can cause redness, tenderness, or an ulcer.
What can you do next?
Clean the aligner as instructed and brush and clean between teeth before reinserting it. Do not trim the tray yourself without orthodontic instructions.
When should you seek dental care?
Contact the orthodontic team if irritation persists, the tray will not seat, or an ulcer, swelling, or bleeding develops. Severe pain or facial swelling needs urgent care.
What should you ask the dentist?
Ask whether fit, trim line, attachment, or hygiene is causing injury, and whether the tray needs adjustment or replacement.
Frequently asked questions
Does irritation mean treatment is failing?
Not necessarily. It often indicates a fit, edge, attachment, or cleaning issue that needs checking.
Can I wear an aligner that cuts my gum?
Contact the orthodontic team promptly so the edge and wear instructions can be assessed.

