Tooth Sensitivity: Causes and Solutions for Mild Enamel Damage - Dentistry

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Tooth sensitivity when brushing?


Recently, I have been experiencing a slight sensitivity on the inner side of one of my molars while brushing my teeth.
It doesn't hurt, just feels a bit sour.
I'm not sure if it's the tooth or the gums that are sensitive.
I usually use an electric toothbrush.
Could this be due to enamel damage? Also, what should I do if there is mild enamel damage?

Mr. Wang, 10~19 year old female. Ask Date: 2018/04/22

Dr. Huang Tingfang reply Dentistry


Dear Mr.
Wang,
Hello! It is possible that you are experiencing tooth wear and slight enamel damage.
Applying fluoride can be effective.
Additionally, please reduce the power setting on your electric toothbrush a bit.
Make sure to communicate more with your dentist!
Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/04/22

More Info


Tooth sensitivity, particularly when brushing, can often be attributed to a variety of factors, including enamel wear, gum recession, or even the type of toothpaste being used. In your case, the mild sensitivity you are experiencing on the inner side of your molar could indeed be related to enamel damage or gum issues.

Enamel is the hard, protective outer layer of your teeth, and it can become worn down due to several reasons. Common causes of enamel erosion include:
1. Acidic Foods and Beverages: Consuming a diet high in acidic foods (like citrus fruits, soda, and wine) can erode enamel over time.

2. Brushing Technique: Using a hard-bristled toothbrush or applying too much pressure while brushing can lead to enamel wear. Even with an electric toothbrush, if you are pressing too hard, it can cause damage.

3. Brushing Frequency: Brushing too frequently, especially after consuming acidic foods, can exacerbate enamel erosion.

4. Gum Recession: If your gums are receding, the sensitive root surfaces of your teeth may be exposed, leading to sensitivity. This can happen due to aggressive brushing, periodontal disease, or natural aging.

Given your description of the sensitivity being mild and not painful, it may suggest that the enamel is beginning to wear down, but it is not yet at a critical level. However, it is essential to address this issue early to prevent further damage.


Solutions for Mild Enamel Damage:
1. Use a Soft-Bristled Toothbrush: Switch to a soft-bristled toothbrush if you haven't already. This will help reduce the risk of further enamel wear and gum irritation.


2. Gentle Brushing Technique: Ensure you are using gentle strokes when brushing your teeth. Avoid aggressive scrubbing motions; instead, use circular motions to clean your teeth effectively.

3. Desensitizing Toothpaste: Consider using toothpaste specifically designed for sensitive teeth. These products contain compounds that help block the transmission of sensation from the tooth surface to the nerve.

4. Fluoride Treatments: Professional fluoride treatments can help strengthen enamel and reduce sensitivity. Your dentist can apply fluoride varnish or recommend fluoride rinses for home use.

5. Dietary Changes: Reduce the intake of acidic foods and beverages. If you consume them, rinse your mouth with water afterward to help neutralize the acids.

6. Regular Dental Checkups: Regular visits to your dentist are crucial. They can monitor your enamel health and provide professional cleanings and treatments as needed.

7. Consider Sealants: If your dentist identifies areas of enamel wear, they may recommend dental sealants to protect the affected areas from further erosion.

8. Avoid Teeth Grinding: If you grind your teeth (a condition known as bruxism), it can contribute to enamel wear. Speak with your dentist about potential solutions, such as a night guard.

In conclusion, while mild sensitivity can be a common issue, it is essential to take proactive steps to protect your enamel and maintain your oral health. If the sensitivity persists or worsens, it would be wise to consult with your dentist for a thorough evaluation and personalized treatment options. Early intervention can prevent more severe dental issues down the line.

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