Teeth often feel sensitive and ache even without eating?
Hello, Doctor.
During my dental cleaning before the New Year, the dentist mentioned that I had cavities that needed treatment.
After the treatment, I experience pain when biting food, and my teeth feel sensitive and ache when I'm not eating.
The sensitivity is so severe that half of my teeth feel uncomfortable.
I would like to ask what might be the problem with my teeth.
Thank you very much for your time and assistance.
Yizhan, 40~49 year old female. Ask Date: 2016/04/12
Dr. Zeng Guanghui reply Dentistry
The above situation may indicate that the extent of the cavity is quite large.
If the pain persists, it is advisable to consult a dentist for further evaluation and consider the possibility of root canal treatment.
Reply Date: 2016/04/12
More Info
Tooth sensitivity and pain after dental treatment can be a common concern for many patients. It is essential to understand the underlying causes of these symptoms and the potential solutions available. Based on your description, it seems that you have experienced discomfort following dental treatment, particularly after having cavities treated and possibly after a dental cleaning.
Understanding Tooth Sensitivity
Tooth sensitivity can arise from various factors, especially after dental procedures. Here are some common reasons for your symptoms:
1. Enamel Erosion: If the enamel, the protective outer layer of your teeth, has been worn down due to decay or aggressive brushing, it can expose the underlying dentin, leading to increased sensitivity.
2. Dental Procedures: Treatments like fillings, crowns, or root canals can sometimes lead to temporary sensitivity. This is often due to inflammation in the pulp (the innermost part of the tooth) or irritation of the surrounding tissues.
3. Cavity Treatment: If a cavity was deep, the treatment might have affected the nerve endings in the tooth, causing lingering pain or sensitivity. Sometimes, if the decay was close to the nerve, it can lead to pulpitis, which is inflammation of the dental pulp.
4. Gum Recession: If your gums have receded, the roots of your teeth may be exposed, which are not protected by enamel and can be more sensitive to temperature changes and pressure.
5. Post-Operative Sensitivity: After dental work, it’s not uncommon to experience some level of sensitivity as the tooth adjusts to the new filling or crown. This sensitivity can last for a few days to weeks.
Addressing Your Symptoms
Given your symptoms of pain when biting and sensitivity when not eating, here are some recommendations:
1. Consult Your Dentist: It’s crucial to follow up with your dentist regarding your ongoing discomfort. They may need to evaluate the treated tooth to ensure that the filling or crown is properly placed and that there are no underlying issues, such as an infection or further decay.
2. Desensitizing Toothpaste: Using a toothpaste specifically designed for sensitive teeth can help alleviate discomfort. These toothpastes contain compounds that block the transmission of pain signals from the tooth surface to the nerve.
3. Fluoride Treatments: Your dentist may recommend fluoride treatments to strengthen the enamel and reduce sensitivity. This can be particularly beneficial if your enamel has been compromised.
4. Avoid Certain Foods: Try to avoid very hot, cold, or acidic foods and beverages that can exacerbate sensitivity. Stick to softer foods that require less chewing until your symptoms improve.
5. Good Oral Hygiene: Maintaining excellent oral hygiene is essential. Brush gently with a soft-bristled toothbrush and floss daily to prevent further decay and gum issues.
6. Follow-Up Care: If your symptoms persist, your dentist may suggest further treatments, such as a root canal if the pulp is inflamed or infected, or a crown if the tooth structure is compromised.
Psychological Factors
It’s also worth noting that dental anxiety can contribute to the perception of pain. If you feel anxious about dental treatments, this can heighten your sensitivity to discomfort. Discussing your concerns with your dentist can help alleviate some of this anxiety and ensure you feel more comfortable during treatments.
Conclusion
In summary, tooth sensitivity and pain after dental treatment can stem from various causes, including enamel erosion, post-operative sensitivity, and gum recession. It is essential to communicate openly with your dentist about your symptoms and concerns. They can provide tailored advice and treatment options to help manage your sensitivity and ensure your dental health is maintained. Regular check-ups and good oral hygiene practices are vital in preventing future issues.
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