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Tooth Sensitivity Tips

Dental Health

Dr. Suresh Gorantla 90% (87 ratings)
MDS - Orthodontics
Dentist, Visakhapatnam
Dental Health

Dont brush too hard- overbrushing erodes enamel and irritates the gums which eventually leads to tooth sensitivity.

 

 

 

1 person found this helpful

Tooth Sensitivity: What Is It?

Dr. (Major) Varun Nischal 89% (318 ratings)
BDS (Gold Medalist)
Dentist, Gurgaon
Tooth Sensitivity: What Is It?

If you have experienced sharp pain when you eat/drink hot, cold, sweet and sour food/drinks, or when you brush/floss your teeth, you may be suffering from tooth sensitivity provided that you do not have oral problems such as tooth decay. Even if you do not have any sensitive teeth, you are encouraged to read this article to prevent it.

What is Tooth Sensitivity? Tooth sensitivity is mainly caused by exposure of dentine (innermost layer) of the tooth to the oral environment. The dentine has numerous fine tubules which connect to the pulp. When the nerve endings in the pulp are irritated by external stimulus, sharp pain is felt.

The outermost layer of the crown is enamel. If the enamel has been damaged, the dentine will not be protected. The dentine of the root of a tooth is covered by the gum. If there is gum recession, the dentine of the root will be exposed.

Dentine Exposure is caused by:

1. Using a toothbrush with hard bristles

2. Brushing the teeth with excessive force or incorrect brushing technique, leading to gum recession and abrasion of the root surface 

3. Periodontal disease, resulting from gum recession and exposure of root surfaces

4. Acid erosion of enamel due to frequent intake of highly acidic food or drinks.

5. Habitual teeth grinding which wears off the enamel

Management of tooth sensitivity

1. Consult the dentist and learn the correct tooth brushing technique to prevent further abrasion of root surfaces.

2. Use desensitizing toothpaste to relieve tooth sensitivity. Please consult your dentist before purchasing or using desensitizing toothpaste.

3. If dentine has been exposed, the dentist can apply topical fluoride or put a filling over the exposed surface to reduce the sensitivity.

4. If you habitually grind your teeth, the dentist may fabricate a “night guard” for you to wear over the teeth to prevent continual attrition of teeth.

5. Other than tooth sensitivity, dental problems such as tooth decay, gum disease and cracked tooth may also lead to toothache. Therefore, if you have a toothache, please consult your dentist to find out the reasons behind it.

4 people found this helpful

Tooth Sensitivity - Why It Happens?

Dr. Premendra Goyal 95% (814 ratings)
BDS
Dentist, Mumbai
Tooth Sensitivity - Why It Happens?

For people with no dental problems, the teeth seem to be white pearls which add beauty to a person’s smile and face. However, there is more to it. The tooth does have layers which can make it sensitive and even painful. Those who have sensitivity when sipping cold water or eating sweets know how bad the experience can be. To understand how the sensitivity sets in a tooth, it is first important to understand the structure of the tooth.

There are 3 layers to the tooth from outside inwards – the outer white layer of enamel, a second sensitive layer of dentin, and the innermost one called the pulp. The enamel is devoid of any sensation and provides a protective covering for the tooth. It is the second hardest material in the body. The next inner layer, known as dentin, is made of fine tubules, which is responsible for sensation. The third innermost layer known as the pulp contains the blood and nerve supply essential for the tooth.

The tooth also has a crown and a root portion. The crown portion is what is visible in the mouth. The root portion is what is hidden in the jaw bone, provides an anchor, and is covered by the gums. The structure of the root is very similar to the crown, except that the first layer of enamel is replaced by a much softer material known as the cementum. As the gums recede, which often happens with age, the cementum is exposed to the oral environment, which then wears off much faster, and then sensitivity sets in.

How does sensitivity sets in?
The oral cavity is a very active environment with food particles, saliva, and millions of microorganisms. In this moist environment, food is degraded and acids are produced. These acids act on the enamel and there is a constant loss of enamel. The enamel does not have any sensation, and other than cosmetic concerns, enamel loss is asymptomatic. However, once the enamel layer is completely lost, and the dentin is exposed to the oral environment, the acids that are produced penetrate the fine tubules which cause sensitivity. Due to old age, when the gums recede, the cementum is exposed, and the rate at which cementum is lost is much rapid than that of enamel. Therefore, the dentin on the root surface produces sensitivity much faster than the crown surface.

To summarize, let us take a look at some of the most common causes of sensitivity:

  • Tooth decay, often worsened by soft, sticky foods which produce acids more than grains and vegetables
  • Use of hard brush which can lead to enamel wear-off
  • Improper dental fillings, allowing seepage of the acid into the dentin
  • Age, leading to gum recession

In case you have a concern or query you can always consult an expert & get answers to your questions!

6866 people found this helpful

Tooth Sensitivity - Facts You Must Be Aware Of!

Dr. Premendra Goyal 95% (814 ratings)
BDS
Dentist, Mumbai
Tooth Sensitivity - Facts You Must Be Aware Of!

Have you ever come across a situation when on a warm day, all you want is a tall glass of something cold; but you couldn't due to the sensitivity in the teeth. Isn't that really frustrating? This problem is known as tooth sensitivity and has become very prevalent. And due to the changing food habits, the condition has only gotten worse. While sensitivity was a common issue mostly in the aged people due to gum recession but now the condition is different and the condition affects a much bigger and younger group of people. The following are some facts to know about tooth sensitivity.

  1. It is a warning sign: Tooth sensitivity is often the second warning that something is wrong underneath. Enamel is lost first, but it only is a cosmetic issue. Once the entire enamel is lost, dentin gets exposed, which is what causes sensitivity. Since enamel loss does not cause any pain or sensitivity, it is often ignored. However, if treatment is initiated with enamel loss, then sensitivity can be avoided.
  2. Sensitivity can occur after dental treatment too: If you have had a filling or a denture or a crown that is not properly fitted, you may experience sensitivity. The dental prosthesis may not fit snugly and cause problems.
  3. Desensitizing toothpaste helps: Most of these contain potassium nitrate which blocks the sensitive dentin tubules and prevent sensitivity. Used as soon as the sensitivity sets in, it can be completely managed.
  4. Tooth sensitivity can be prevented: Proper oral hygiene measures can help in preventing tooth sensitivity. One of the major causes of tooth sensitivity is the change in food habits with a lot more processed and refined foods. Soft, sticky foods like chocolates are consumed more than ever. Compare that with eating a fruit or a vegetable. The fruit has a natural cleansing effect compared to a chocolate on the enamel. Rinsing your mouth with water after every meal helps remove food deposits in the teeth. It is also important to keep a constant watch on the oral cavity with annual checkup so that issues are addressed in their early stage is another way to prevent sensitivity.
  5. Tooth sensitivity is totally reversible: This depends on how religiously a person takes care of their oral health. With some minor change to oral maintenance, this is totally reversible.
    • As soon as sensitivity is identified, check with a doctor
    • In the initial stage, this can be totally reversed with desensitizing toothpaste and mouthwash.
    • Fillings or crowns which were not done properly can be corrected if they are causing the problem
    • In some cases, the tubules can be blocked by applying a thin layer of cement over it.

In case you have a concern or query you can always consult an expert & get answers to your questions!

7277 people found this helpful

Tooth Sensitivity

Dr. Jyoti Singh 90% (10 ratings)
BDS
Dentist, Navi Mumbai
Tooth Sensitivity

Tooth sensitivity is something that affects a number of people. It is often caused by eating or drinking something hot, cold, sweet or acidic. Under normal conditions, the underlying dentin of the tooth (the layer that immediately surrounds the nerve) is covered by the enamel in the tooth crown, and the gums that surround the tooth. Over time, the enamel covering can get thinner, thus providing less protection. The gums can also recede over time, exposing the underlying root surface dentin.
The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When the dentin is exposed, these tubes can be stimulated by changes in temperature or certain foods. 

What causes it?

Exposure of the dentin can occur due to a number of factors. Some of the more common reasons are:

  • Gum recession due to age or improper tooth brushing.
  • Acidic beverages (such as soda) that cause enamel erosion and dentin exposure.
  • Tooth grinding : this may actually cause most or all of the teeth to feel sensitive.
  • Brushing with a very abrasive toothpaste, brushing incorrectly and/or brushing more than three times a day could result in a loss of enamel.
  • Gum disease, which can result in gum recession.
  • A chipped or fractured tooth may expose the dentin.

In addition, some dental treatments can cause sensitivity. Treatments such as such as teeth whitening, professional dental cleanings, having braces put on or getting a filling placed have been known to cause sensitivity during or after the procedure.

What can I do about it?

The first step in doing something about dental sensitivity is to find out what the cause is – a dental professional can help you with this.

If the sensitivity is due to a cavity, a restoration can be placed. If gum disease is the cause, the dental professional can perform a thorough cleaning of the area.

If the sensitivity is due to exposed dentin, there are a number of steps you can take, as can your dental professional, to help reduce the sensitivity. These can include:

  • At Home: 
    • Use a very soft bristle tooth brush, with low abrasive tooth paste.
    • Brush correctly and do not over brush.
    • Use a tooth paste specially formulated to soothe the nerve endings in the tooth.
    • Use a high concentration fluoride toothpaste (given to you by the dental professional) to strengthen the tooth surface.
  • The dental professional can:
  • In Office Procedures:
  • Fluoride varnish can be applied to exposed areas, strengthening the enamel and dentin.
  • Fluoride foam or gel can be placed into a mouth tray; you then sit with this in your mouth for 3-5 minutes, providing the teeth with a high concentration of fluoride to strengthen the areas.
  • Bonding agent, the material used to stick tooth colored restorations to teeth, can be used to seal the dentin surface and provide a barrier to the stimuli that cause sensitivity.


In the end, whether you need an in-office procedure or over-the-counter products, the most important step is to see a dental professional so that he or she can determine the cause of the tooth sensitivity and help you find a solution that will work.

10 people found this helpful

Nailbiting - 7 Harmful Effects of it!

Dr. K R Parameshwar Reddy 90% (14 ratings)
MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Hyderabad
Nailbiting - 7 Harmful Effects of it!

Many people bite nails when they are anxious or stressed. However, knowing its harmful effects will only increase their anxiety and stress. About 30% of children, 45% of teenagers and 25% of young adults have the habit of biting their nails. Nail biting is one habit which sets in due to various reasons and just continues due to nervousness, boredom, frustration or stress. People tend to unconsciously bite their nails and over a period of time, it becomes very difficult to get rid of the habit.

A good understanding of the harmful effects of biting nails, to the overall health and oral health, can be a good starting point to quitting the habit. The harmful effects of nail biting on oral health effects are listed below:

  1. Source of infection: The fingernails are more difficult to clean than the fingers and the rest of the hand. Therefore, there is a good amount of bacteria residing there, which get into your mouth and your stomach when you bite nails. The next time you wonder why your stomach is upset, take a good look at your nails.
  2. Tooth chipping: The enamel is thinnest at the tip of the front teeth. When biting nails, there is a constant pressure on this thin enamel which can chip after a certain point of time. Another way that a tooth chips is because of the pressure when biting a nail. The tooth can hit hard on the opposing tooth, leading to a fracture or chipping.
  3. Altered shape of the teeth: In many cases, the front teeth appear worn off or are squared. This is because there is always pressure on the teeth from the nails.
  4. Induce gap between the front teeth: When nail biting continues for years at a stretch, the two front teeth can develop a gap between them.
  5. Tooth sensitivity: With the enamel wearing off, the dentin is exposed and this can cause tooth sensitivity in many people.
  6. Joint problems: The temporomandibular joint (TMJ) near the ears helps in opening and closing the mouth. Constant pressure on the joint due to nail biting leads to inflammation of the joint which can cause ear ache, headaches, improper closing of the jaw and clicking sounds.
  7. Delay treatment with braces: A person with braces with a nail biting habit will have very bad consequences. There is pressure from both the braces and the biting. This could also lead to the failure to correct the misaligned teeth.

How to manage this habit?

  1. Identify the root cause of the habit
  2. Identify alternate ways to manage stress (exercise, yoga, hobby, etc.)
  3. A nail polish that has a bitter or offensive taste or smell
  4. Well manicured and painted nails, which you won’t feel like biting
  5. Get family and friends to remind or chide you, whichever works. If you wish to discuss about any specific problem, you can consult a Dentist.
5128 people found this helpful

Causes And Management of Tooth Sensitivity

Dr. Sundeep Khurana 89% (31 ratings)
BDS
Dentist, Faridabad
Causes And Management of Tooth Sensitivity

Dental problems can be very painful and take the smile off your face completely. Those who have experienced sensitivity would vouch for it. It just will not allow you to enjoy the hot coffee or a favourite sweet or a cold smoothie.  The pain that shoots down the tooth after any of these would leave the person shuddering.

The tooth has 3 layers, from the outside in these are the enamel, the dentin and the pulp. The outermost enamel is mineralized and the hardest structure in the body. The next layer, dentin, has fine tubules and when the enamel is worn off exposing the dentin, sensitivity sets in. The enamel is thinner in some portions of the tooth like the neck and the roots, therefore sensitivity onset is quicker in these areas.

Some of the common reasons for sensitivity are listed below:

  1. Tooth decay:  As caries progresses from enamel to dentin, sensitivity sets in, especially to hot and cold foods.
  2. Wear and tear:  Excessive brushing of teeth can lead to wearing of teeth, especially near the neck areas, leading to loss of enamel and resulting in sensitivity.
  3. Dental damage:  Chipped or broken tooth can lead to sensitivity.
  4. Gingival disease: This leads to loss of gum cover over the tooth, leading to exposure of dentin and therefore sensitivity.
  5. BruxismClenching of teeth, common in people with high levels of stress, can lead to enamel wearing and subsequent sensitivity.
  6. Dental treatment: Some dental procedures like scaling, crowns, root planing, and some fillings can cause transient sensitivity.
  7. Highly acidic food items: Citrus fruits, tomatoes, tea, etc. can lead to tooth sensitivity.
  8. Bleaching agents:  Most tooth whitening agents result in sensitive teeth.
  9. Excessive use of mouthwash: The mouth rinses contain high amount of alcohol which can also lead to tooth sensitivity.

Management: As with all health conditions, the first step in management is to identify the problem.  Whether it is dental decay or recent dental treatment, food habits or tooth whitening agents, the cause needs to be identified and then treatment begun accordingly.

  1. For lost enamel, be it decay or damage, the tooth again needs to be restored to its original form to cover the dentinal tubules and reduce sensitivity.
  2. For habits, be it food related or bruxism, in addition to treating the tooth, the habit per se needs to be addressed to prevent recurrence.
  3. For associated dental products like whitening agents or mouth rinses, talk to a dentist to switch to a less harmful product.
  4. De-sensitizing pastes are also available that can be used on a regular basis to reduce the problem.

Tooth sensitivity is annoying, but there are ways to manage it effectively, please get in touch with your dentist, today!

5877 people found this helpful

Homeopathic Remedies For Toothache!

Dr. Mukesh Singh 94% (10330 ratings)
B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Homeopathic Remedies For Toothache!

Homeopathy is often associated only with chronic illnesses. Another myth associated with this form of treatment is that it takes ages for the effect of the medication to be visible. However, in the case of a toothache, Homeopathy can be very relevant and can quickly ease the pain. Homeopathic treatment for toothaches addresses the underlying cause of the problem. Some of the common triggers for a toothache are tooth decay, an abscess or gum problems.

Take a look at these common Homeopathic remedies for a toothache:

  1. Plantago: Plantago is an efficient remedy for toothaches that is accompanied by tooth sensitivity, increased salivation and swollen cheeks. Plantage can be taken in the form of pills or applied externally on the tooth that is paining.
  2. Silicea: Silicea is the ideal Homeopathic remedy to treat tooth abscesses and their accompanying toothaches. It addresses the collection of pus around the root of the tooth and hence controls the pain. Silicea is also useful against toothaches that are aggravated by cold water.
  3. Chamomilla: If the toothache is unbearable and affects not one, but an entire row of teeth, chamomilla is what you need. It is also beneficial for toothaches that are aggravated by the intake of warm drinks.
  4. Hekla lava: A toothache that is associated with a swollen jaw can be treated with Hecla Lava. This Homeopathic remedy will relieve both the pain in the tooth and the swelling of the jaw.
  5. Calcarea fluorica: Homeopathic medicine can be used to treat not only a toothache, but also the decaying of a tooth. Calcarea fluorica is known to slow the decay of tooth enamel. It also prevents the flaking of enamel and is has a beneficial impact on people who have enamel deficiency.
  6. Staphysagria: Unhealthy gums and retracted gums are common causes for tooth decay. Staphisagria is a Homeopathic remedy that can treat the drawing of tooth roots in such cases and the pain associated with them. It also addresses the formation of excessive plaque.
  7. Arnica: Arnica addresses the toothache and bleeding that follows a tooth extraction and the filling of dental cavities. It is also very useful against the pain and swelling of the gums that accompanies wearing false teeth.

Homeopathic remedies for toothaches offer fast pain relief. Since, Homeopathic medication has negligible side effects, it can be safely administered to both children and adults. However, a tooth ache should never be ignored. If you wish to discuss about any specific problem, you can consult a homeopath.

3377 people found this helpful

Tooth Pain - 5 Causes Behind it!

Dr. Dhruba Bhattacharya 89% (1656 ratings)
MBBS, PGC In Family Welfare & Health Management, DHA, PGD In Medical Laws & Ethics
General Physician, Kolkata
Tooth Pain - 5 Causes Behind it!

Mild to severe tooth pain can turn out to be debilitating and damaging condition if it is persistent. Also, the pain in head/ears can spread to the rest of the head and give you an uncomfortable ache and tingling sensation all day long. So what are the causes behind tooth pain? Here's our list!

  1. Tooth decay: The presence of food debris that has not been cleaned out can stay on and cause cavities and persistent tooth pain. This condition can also make the teeth extra sensitive and pain then emanates as a natural response to signify that all is not well in the area. This can also lead to sharp pain when bite an apple or munch on nuts. One must see a dentist for this kind of pain so that scaling and plaque removal can take place. 
  2. Injury: If there is persistent, throbbing pain after eating something that is too hot or too cold, then it might be more than mere tooth sensitivity. This condition could also point at chipped, broken or cracked teeth due to excessive teeth grinding or a fall or accident. It could also be caused due to sports injury. The dentist will usually take a dental X ray to find the cause of the pain and to unravel the extent of the damage as well.
  3. Inflammation: Constant pain may also point at inflammation of the pulp. This may be caused due to damaged roots. If this kind of inflammation comes with bleeding and fever, then you must consult a dentist immediately. It can also mean that the pulp or root of the tooth is dying, in which case a root canal may be required. 
  4. Sinus: A dull ache in the sinus area of the upper teeth usually point at sinusitis, which is a condition that emanates due to pain in the nerves of that area. This pain can also happen due to cold and cough as well as an allergic attack that affect the facial muscles due to excessive sneezing and watering of the eyes. Also, a flu and fever can lead to this kind of pain. 
  5. Infection: Inflammation along with fever and bleeding can also point at infection. This can render the complete pulp tissue damaged. Also, the growth of abscess in such cases can cause acute tooth pain. The dentist will usually diagnose the issue with a tooth X ray before prescribing antibiotics and carrying out a root canal for severe cases. 

Persistent toothache with other symptoms should always be checked by a dentist so as to rule out long term damage that can result in tooth loss.

3447 people found this helpful

Tooth Sensitivity - Facts You Should Know About It

Dr. T. Chandan 88% (40 ratings)
MDS, BDS
Dentist, Delhi
Tooth Sensitivity -  Facts You Should Know About It

Often we are caught by a piercing pain that shoots through the roots of our teeth right up to our cranial region, at fairly unsuspecting moments. The pain can either cause momentary discomfort or end up being excruciating and difficult to bear. Rushing to the dentist is usually the only recourse left for us to take at such times. Most of such complaints meet the same verdict, that of, ‘sensitive tooth’. The problem of sensitive tooth has emerged as one of the most recurring and prevailing dental ailments.

Usually exposing the affected tooth to extreme tastes like sweet and sour or hot and cold food items can trigger off sensitivity in your teeth. Tooth sensitivity usually occurs when the nerve endings are exposed to food and other foreign particles due to a condition of gum pull back. This primarily takes place due to insufficient oral care which results in the decomposition of tooth enamel. This also makes one vulnerable to tooth decay and cavity formation. Inflammation of gums and persistent intake of acid inducing food products are among the other prominent factors leading to tooth sensitivity. The incidence of tooth sensitivity also increases with age. However, it is a fairly defeasible disease and one of the foremost steps to rectify the condition is meticulous and regular dental care.

Some of the steps to follow while dealing with sensitive tooth can be as follows.

1. Regular oral care: Maintaining the oral hygiene is paramount to avoid the recurrence of tooth sensitivity. Use of a proper brush in the right technique at least twice a day is mandatory. For the best results and to avoid gum bleeding, dentists recommend the use of a soft bristled toothbrush. Over and above brushing, one must use fluoride and antiseptic mouthwash for rinsing purposes. Use of floss is also a good practice.
2. Using a proper toothpaste: The choice of toothpaste needs to be judicious. The best kind is a fluoridated toothpaste with a lesser proportion of tartar present in it. Regular use may substantially reduce the harm caused by tooth decay and work as a viable solution to sensitive tooth.
3. Regular visits to the dentist: Prevention is better than cure. As such, it helps to make periodic visits to the dentist to check the condition of your teeth rather than making an SOS rush to her or his clinic when disaster strikes. Oral hygiene can be best maintained when abiding by the instructions given by the dentists.

3235 people found this helpful
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