Cavity issues?
Hello Doctor, I would like to ask a question.
The tooth next to my front tooth had a cavity that spread to both sides and was quite deep.
I have had it filled before, but recently I started feeling sensitivity.
I went to the dentist for a cleaning and asked them to check it out.
The dentist concluded that the sensitivity is due to the cavities on both sides, which makes it more sensitive, and the recent cold weather may also be a factor.
During the cleaning, touching that area did not cause pain or sensitivity.
The dentist mentioned that if the sensitivity lasts for a few seconds, it is not a concern, but if there is persistent pain, then there is an issue.
However, I still feel sensitivity, which seems to be coming from inside the tooth, but it is not painful.
I would like to know if there are any methods to alleviate the sensitivity.
Thank you for your response, Doctor.
Karen, 40~49 year old female. Ask Date: 2018/01/31
Dr. Zhu Guanyu reply Dentistry
Hello: After proper filling of interproximal caries, there are two possible developments.
One is that after meals, cleaning the interproximal area with dental floss can lead to the formation of secondary dentin at the base of the original cavity.
The other is improper oral hygiene, which can result in secondary caries or even apical periodontitis.
If there are significant symptoms, it is advisable to seek medical examination.
Thank you for your message! Wishing you safety and health.
Sincerely, Dr.
Kuan-Yu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2018/01/31
More Info
Tooth sensitivity, especially after having cavities filled, can be a common issue that many people experience. It sounds like you have had a cavity that was deep and required filling, and now you are noticing sensitivity, particularly in cold weather. This sensitivity can be attributed to a few factors, and there are several strategies you can employ to manage it.
Understanding Tooth Sensitivity
Tooth sensitivity occurs when the underlying layer of your teeth, known as dentin, becomes exposed. This can happen due to various reasons, including:
1. Cavity Treatment: After a cavity is filled, the tooth may be temporarily sensitive as it adjusts to the filling material. The sensitivity can be exacerbated if the filling is deep or if the tooth was previously damaged.
2. Gum Recession: If your gums have receded, the roots of your teeth may be exposed, leading to increased sensitivity.
3. Temperature Changes: Cold weather can cause the nerves in your teeth to react, leading to discomfort.
4. Brushing Technique: Aggressive brushing can wear down enamel and lead to sensitivity.
5. Dental Products: Some toothpaste and mouthwashes can be abrasive or contain ingredients that may irritate sensitive teeth.
Tips for Managing Tooth Sensitivity
Here are several strategies that may help alleviate your tooth sensitivity:
1. Use Desensitizing Toothpaste: Look for toothpaste specifically designed for sensitive teeth. These products often contain compounds that help block the transmission of sensation from the tooth surface to the nerve.
2. Gentle Brushing: Use a soft-bristled toothbrush and gentle brushing techniques. Avoid aggressive scrubbing, which can wear down enamel and exacerbate sensitivity.
3. Fluoride Treatments: Ask your dentist about fluoride treatments. Fluoride can help strengthen enamel and reduce sensitivity. You can also use fluoride mouth rinses at home.
4. Avoid Acidic Foods and Drinks: Acidic foods and beverages can wear down enamel and increase sensitivity. Try to limit your intake of citrus fruits, soda, and vinegar-based products.
5. Temperature Management: If cold weather exacerbates your sensitivity, consider using a scarf or face mask to protect your mouth from the cold air.
6. Regular Dental Check-ups: Continue to see your dentist regularly for check-ups and cleanings. They can monitor your sensitivity and provide additional treatments if necessary.
7. Consider a Night Guard: If you grind your teeth at night, a custom night guard can help protect your teeth from wear and reduce sensitivity.
8. Avoid Whitening Products: If you are using whitening toothpaste or treatments, consider stopping, as these can sometimes increase sensitivity.
When to Seek Further Help
If your sensitivity persists or worsens, it’s essential to consult your dentist. Continuous sensitivity, especially if it progresses to pain, could indicate an underlying issue, such as:
- Pulpitis: Inflammation of the tooth pulp, which may require further treatment.
- Cracked Tooth: A crack in the tooth can lead to sensitivity and may need to be addressed.
- Infection: An infection in the tooth or surrounding gums can also cause sensitivity and pain.
Conclusion
Tooth sensitivity after cavity treatment can be frustrating, but with the right strategies, you can manage it effectively. Incorporating desensitizing toothpaste, gentle brushing techniques, and regular dental visits can significantly improve your comfort. If your symptoms persist, don’t hesitate to reach out to your dentist for further evaluation and treatment options. Remember, your oral health is crucial, and addressing these issues early can prevent more significant problems down the line.
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