As with any appliance, there is a short adjustment period as the teeth may experience some minor pressure or soreness as the body gets used to the appliance. If needed, you can take over-the-counter pain medication such as Tylenol or Advil for the first few days. It is normal to develop redness and/or rash at the forehead and chin and this is a sign of good wear! Diaper rash cream or lotion can help ease the symptoms. If any part of the piece feels loose, contact Dr. Julien and his team immediately. If you cannot be seen right away, you can use a hexagonal key that fits and tighten the bolts yourself if you feel confident.