Tooth Sensitivity: When to Seek Dental Care - Dentistry

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Dull toothache?


Hello Doctor: I previously had a filling in my front tooth, but recently it has been sensitive to touch, although I have no issues eating.
I visited the dentist, but they said they couldn't determine the problem and advised me to wait until the pain becomes severe before returning.
Is there a chance that my tooth could fall out?

wū wū w, 10~19 year old female. Ask Date: 2016/08/22

Dr. Huang Tingfang reply Dentistry


Dear Ms.
55555: Hello! As mentioned, the areas that may need filling could be peeling off and require reapplication; or the tooth roots may be exposed and causing sensitivity.
The worst-case scenario is if biting down causes pain, which may necessitate a root canal treatment! Please communicate more with your dentist! Thank you! Wishing you well! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2016/08/22

More Info


Tooth sensitivity can be a frustrating and concerning issue, especially when it comes to your front teeth, which are not only functional but also play a significant role in your smile and overall appearance. Based on your description, it seems that you have experienced some discomfort in your previously treated front tooth, particularly when it is accidentally bumped. While you mentioned that eating does not cause pain, the sensitivity you feel when touching the tooth could indicate underlying issues that need to be addressed.

Tooth sensitivity can arise from various factors, including:
1. Dental Decay: If there is a cavity forming or if the existing filling is failing, it can lead to sensitivity. Even if the tooth appears intact, decay can occur beneath the surface.

2. Gum Recession: If your gums have receded, the sensitive root surfaces of your teeth may be exposed, leading to increased sensitivity, especially to touch or temperature changes.

3. Cracked Tooth: A crack in the tooth can cause pain when pressure is applied. This is often difficult to detect without X-rays or a thorough examination by a dentist.

4. Previous Dental Work: If you have had a filling or other dental work done, it is possible that the material used is causing irritation or that the tooth is reacting to the changes made during the procedure.

5. Nerve Issues: Sometimes, the nerve inside the tooth can become inflamed or irritated, leading to sensitivity. This could be due to trauma, decay, or other factors.

Given your situation, it is essential to take your symptoms seriously. While your dentist suggested waiting until the pain becomes severe, it is generally advisable to seek dental care sooner rather than later, especially since you are experiencing sensitivity. Waiting for "big pain" could lead to more extensive damage or complications, such as the need for a root canal or even tooth loss.

Here are some steps you can take:
1. Schedule a Follow-Up Appointment: If you are experiencing sensitivity, it is crucial to return to your dentist for a more thorough examination. Explain your symptoms in detail, including when they occur and any other changes you have noticed.

2. Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another dentist can provide you with more insight and options for treatment.

3. Maintain Good Oral Hygiene: Continue to brush and floss regularly, and consider using a toothpaste specifically designed for sensitive teeth. This can help alleviate some discomfort while you seek further evaluation.

4. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased sensitivity, pain during chewing, or swelling in the gums. This information can be valuable for your dentist.

5. Avoid Hard Foods: Until you have a clearer understanding of the situation, it may be wise to avoid hard or crunchy foods that could exacerbate the sensitivity or cause further injury to the tooth.

In conclusion, while it may be tempting to wait until the pain becomes more severe, it is generally better to address dental issues proactively. Sensitivity can be a sign of a more significant problem, and early intervention can often prevent more extensive treatment down the line. Your front teeth are essential for both function and aesthetics, so taking care of them should be a priority. Don't hesitate to reach out to your dentist or seek another opinion if you feel your concerns are not being adequately addressed.

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