Toothache with braces needs to be treated with root canal therapy and periodontal sequence therapy after removing braces according to the specific situation. 1. Root canal treatment after removing braces: If the cause of tooth pain with braces is pulpitis, apical periodontitis, etc., you need to actively seek medical treatment to remove the original braces, root canal treatment, the main steps are: root canal preparation, root canal disinfection, root canal filling, no significant pain in the tooth after treatment, and then repair the braces again. 2. Periodontal sequence treatment: If the cause of pain in braces is caused by periodontitis, there is no need to remove the braces, and you need to actively seek medical treatment for periodontal sequence treatment, including scaling, scraping, root planing, local rinsing, medication and other periodontal basic treatment, as well as periodontal surgery such as flap surgery, implantation of bone surgery, guided tissue regeneration. Specific treatment should be sought at an authorized medical institution.