Gum Recession, Tooth Mobility, and Sensitivity Issues - Dentistry

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Gum recession, tooth mobility, tooth sensitivity?


Hello, Doctor.
I apologize for bothering you with a few questions.

1.
I only feel a slight discomfort and aching sensation in my last tooth on the right side when I eat ice or drink cold water.
It seems like I have had this issue since childhood, but it only occurs with cold items.
Is this sensitivity in my tooth? If so, can I ignore it since it doesn't affect my daily life?
2.
My mother is 58 years old and has a history of periodontal disease.
In recent years, she occasionally experiences gum inflammation and swelling, for which she buys anti-inflammatory medication that usually resolves the issue by the next day.
Recently, she mentioned that she feels old, her gums are receding, and her teeth feel loose, so she avoids hard foods.
I suggested she see a doctor, but she insists that it's normal with aging and that she can just get dentures when all her teeth fall out.
Is this really acceptable? What good advice can you provide?
Thank you, Doctor, for taking the time to read and respond to my questions.
I appreciate it.

Acan, 20~29 year old female. Ask Date: 2021/06/05

Dr. Qiu Qiongyao reply Dentistry


Hello, in response to your questions: Question 1.
Yes, it is advisable to seek treatment.
Question 2.
It is better to get dentures done early! Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2021/06/05

More Info


Gum recession, tooth mobility, and sensitivity issues are common dental concerns that can significantly affect oral health and quality of life. Let's break down your questions and provide a comprehensive understanding of these issues.

1. Tooth Sensitivity: The discomfort you experience in your back tooth when consuming cold items, such as ice or cold water, is indeed indicative of tooth sensitivity. This condition, often referred to as dentin hypersensitivity, occurs when the protective enamel layer of the tooth wears down, exposing the underlying dentin. The dentin contains tiny tubules that lead to the nerve endings inside the tooth. When exposed to temperature changes, these nerves can react, causing pain or discomfort.
While it may seem manageable and not significantly impacting your daily life, it is essential to address tooth sensitivity. Ignoring it could lead to further enamel erosion or even cavities, which may require more extensive dental treatment in the future. You might consider using a toothpaste specifically designed for sensitive teeth, which can help block the pain signals from reaching the nerve. Additionally, visiting a dentist for a thorough examination can help determine the underlying cause of your sensitivity and whether any preventive measures or treatments are necessary.

2. Gum Recession and Tooth Mobility in Your Mother: Your mother's situation is concerning, especially given her history of periodontal disease. Gum recession is a common consequence of periodontal disease, where the gums pull away from the teeth, exposing more of the tooth or its root. This can lead to increased tooth mobility, as the supporting structures of the teeth become compromised.
While it is true that aging can contribute to gum recession and tooth mobility, it is not a natural or acceptable part of aging to simply wait until all teeth are lost to consider dentures. This approach can lead to significant discomfort, nutritional issues due to an inability to chew properly, and a decline in overall health.
It is crucial for your mother to seek professional dental care. A dentist can assess the extent of her gum recession and tooth mobility and recommend appropriate treatments. These may include deep cleaning (scaling and root planing), gum grafts to restore lost gum tissue, or other periodontal treatments to manage inflammation and infection.
Encouraging your mother to maintain regular dental check-ups is vital. These visits can help monitor her condition and prevent further deterioration. Additionally, a dentist can provide guidance on proper oral hygiene practices tailored to her needs, which can help manage her symptoms and improve her overall oral health.

In summary, both tooth sensitivity and gum recession are issues that should not be overlooked. While they may seem manageable at first, they can lead to more severe dental problems if left untreated. It is advisable for both you and your mother to consult with a dentist for personalized advice and treatment options. Regular dental visits and good oral hygiene practices are key to maintaining healthy teeth and gums, regardless of age.

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