Understanding Tooth Sensitivity: Causes and Solutions

Tooth sensitivity is a prevalent issue affecting many individuals. The discomfort can vary greatly, from occasional and mild to persistent and severe. This article explores the common causes of tooth sensitivity and offers practical solutions to alleviate it.

What is Tooth Sensitivity?

Tooth sensitivity, can occur when the inner layer of the tooth or the root surface of the tooth becomes exposed or when a tooth becomes damaged. This exposure can lead to discomfort when consuming cold or hot foods and drinks, or even during brushing and flossing. Sensitivity can range from barely noticeable to severe, impacting daily life and dietary choices.

Causes of Tooth Sensitivity

Several factors can contribute to tooth sensitivity:

  1. Gum Recession: Gum recession can expose the tooth roots, which are more porous than enamel and less protected. This exposure can lead to increased sensitivity, particularly to cold temperatures and sometimes brushing.
  2. Cavities: When a cavity forms, it creates a hole in the tooth that can expose the inner layers, leading to sensitivity. Similar to recession, the porous surface of the tooth is not a fan of being touched and can cause sensitivity. Unlike recession, if cavities are left untreated, they can progress and potentially reach the tooth’s nerve, causing significant pain.
  3. Cracked or Damaged Teeth: Cracks or fractures in a tooth can expose the dentin or even the nerve, resulting in sensitivity. Cracks can also cause inflammation in the ligament of the tooth that can lead to sensitivity to cold or to biting.
  4. Recent Dental Work: Procedures such as getting a crown can also cause temporary sensitivity. The tooth’s internal layers are often left exposed until the final fitting, leading to discomfort, especially during the fitting appointment.
  5. Bruxism: Grinding or clenching teeth, often during sleep, can damage teeth and ligaments, leading to heightened sensitivity. Biting trauma on teeth will also exacerbate any of the previously mentioned causes and sensitivity is often a combination of factors.

Managing Tooth Sensitivity

There are several approaches to managing and alleviating tooth sensitivity:

  1. Dental Treatments:
    • Fillings: For cavities, getting the tooth filled is essential. Untreated cavities can worsen and cause severe pain.
    • Dental Bonding: For exposed roots or sensitive areas, a dentist can apply a composite resin to cover the sensitive surfaces.
    • Gum Grafting: In cases of significant gum recession, surgical procedures can restore gum tissue and reduce sensitivity.
  2. Toothpaste: Specialized toothpaste for sensitive teeth can be effective. Look for products containing:
    • Stannous Fluoride: Helps to block the nerve pathways in the dentin.
    • Potassium Nitrate: Coats the outside of the dentin to block pores and reduce sensitivity.
    • Natural Alternatives: Toothpastes with arginine and calcium carbonate can also help by sealing exposed dentin pores.
  3. Dietary Adjustments: Reducing the intake of acidic foods and drinks can help prevent further erosion of enamel.
  4. Brushing Habits: Use a soft-bristled toothbrush and avoid brushing too aggressively. Ensure to brush twice a day with a fluoride toothpaste.
  5. Night Guards: For those who grind or clench their teeth, a custom-fitted night guard can help protect teeth from damage and reduce sensitivity.
  6. Regular Dental Check-ups: Regular visits to the dentist can help catch problems early and provide professional advice on managing sensitivity.

When to Seek Professional Help

If tooth sensitivity persists despite using specialized toothpaste and making lifestyle changes, it’s important to consult a dentist. Severe or persistent sensitivity might indicate more serious issues, such as deep cavities or significant gum recession, that require professional intervention. Any sort of pain or sensitivity in the mouth can be a sign of a much larger issue so it is always prudent to see a dentist to figure out the true cause.

Conclusion

Tooth sensitivity can significantly impact your quality of life, but understanding its causes and implementing appropriate solutions can provide relief. By maintaining good oral hygiene, making dietary adjustments, and seeking timely dental care, you can manage and reduce tooth sensitivity effectively. Some generalized sensitivity can never be fully removed but it will can often by mitigated with the right steps. Always consult the best dentist near you to get advice!

About Author /

Dr. Cellars is dedicated to serving his patients and caring for all their individual needs. After graduating from the University of the Pacific School of Dentistry and working at a private practice in Lancaster CA, he has returned to Southern California and has proudly served the community since then.

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