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The Most Unattractive Stage During Orthodontic Treatment? How Can You Get Through It?

Ngo Ngoc Hong
Ngo Ngoc Hong
Asked: 05/06/2026

Doctor, everyone says there is a “worst-looking” stage during orthodontic treatment when the teeth become more spaced out, the mouth appears more protrusive, and the overall appearance is less aesthetic. I am a bit worried because my job requires a lot of communication. Could you share how long this stage lasts and how I can get through it?

Answered: 05/06/2026

Hello, during orthodontic treatment, almost everyone has wondered, “which stage of orthodontic treatment looks the worst?” and felt concerned after hearing people talk about the awkward phase when the face looks less attractive, the teeth appear more irregular, or the lips temporarily become more prominent. Doctor understands these concerns and today will explain each stage clearly, why these changes occur, and how to get through them as comfortably as possible.

Which Stage Is the Most Unattractive During Orthodontic Treatment?

Doctor can explain it in a way that is easy to understand: the most unattractive stage during orthodontic treatment is typically the first 3–6 months, when the teeth have started moving but have not yet aligned into their proper positions. During this period, the teeth may appear temporarily more irregular, and the lips may seem slightly more protrusive due to the brackets and archwires applying orthodontic forces.

Many people wonder why they appear “less attractive” during the initial phase. In reality, this is a completely normal response because:

  • The teeth are beginning to rotate and align, so they may not yet appear straight.
  • The lips may appear slightly more prominent because the brackets increase the volume inside the mouth.
  • The bite is being adjusted, which can sometimes make the face appear temporarily asymmetrical.
  • The alveolar bone is responding to orthodontic forces, so tooth movement has not yet stabilized.

These changes are not negative consequences but rather normal signs of the orthodontic process. Once the teeth begin moving into their proper alignment (usually from the sixth month onward), the face and smile gradually become more balanced and noticeably more attractive.

Common Changes During the Most Unattractive Stage of Orthodontic Treatment

During this initial phase, the changes that may make you feel self-conscious or concerned all have clear biological explanations:

  • The teeth may appear more crowded or irregular: because the orthodontist is creating space to relieve crowding and allow the teeth to rotate and align correctly.
  • The lips may appear fuller or more prominent: because the brackets press against the inner surface of the lips, creating a slightly fuller or mildly swollen appearance.
  • Temporary bite discrepancies: as the archwires move the teeth into new positions, the upper and lower jaws may not fit together perfectly, causing temporary facial imbalance.
  • Mild soreness or discomfort when chewing: because the periodontal tissues are adapting to orthodontic forces, making the teeth more sensitive.

All of these changes are only temporary, do not permanently alter facial structure, and will improve significantly as the teeth move into their correct positions.

How Can You Get Through the Most Unattractive Stage During Orthodontic Treatment?

Doctor understands that this is often the stage when many people feel discouraged. However, with proper care and a few adjustments to daily habits, this period passes quite quickly.

Understand That This Stage Is Necessary

The teeth often need to become temporarily irregular before they can be properly aligned. Once you understand the biological process, it becomes easier to feel comfortable and confident.

Attend Follow-Up Appointments as Scheduled

The most important factor is allowing the orthodontist to closely monitor tooth movement. Regular follow-up visits help ensure that orthodontic forces are adjusted appropriately, minimizing temporary facial asymmetry.

Reduce Initial Discomfort

  • Eat soft foods for 2–3 days after each adjustment appointment.
  • Use orthodontic wax if the brackets irritate the lips.
  • Apply cold compresses to reduce mild swelling during the first day.

Aesthetic Care During the “Awkward Phase”

  • Keep hairstyles simple and maintain clear skin to create a cleaner overall appearance.
  • Practice smiling naturally and avoid compressing the lips, as this can make lip prominence appear more noticeable.
  • Feel more confident when communicating—other people usually notice these changes far less than you think.

Maintain a Positive and Patient Mindset

Most patients share the same experience: “By the fifth or sixth month, everything starts looking much better, and confidence improves significantly.”
Therefore, once you get through the first few months, you will likely find that all of your effort has been completely worthwhile.

If you are still concerned or feel that the changes during the initial stage are too significant, you can visit Gangwhoo Cosmetic Hospital so that a specialized orthodontist can evaluate your progress and adjust the orthodontic forces appropriately. Gangwhoo Cosmetic Hospital currently offers a full range of aesthetic orthodontic options—including ceramic braces, metal braces, self-ligating braces, and Invisalign—to help shorten the “most unattractive” phase and maximize patient comfort throughout treatment.


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