Tooth Sensitivity: Causes and Remedies for Discomfort - Dentistry

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Tooth sensitivity


I have experienced slight gum recession due to improper brushing technique.
I know that gum recession can easily lead to sensitive teeth, but now I feel discomfort even when I'm not eating and while lying in bed before sleep.
Is this normal? (I have confirmed that there are no cavities.) If it is, what remedies are available?

Xiang, 20~29 year old female. Ask Date: 2021/06/30

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to seek medical attention to identify the underlying cause.
If the sensitivity of the teeth is solely due to exposed tooth roots, using desensitizing toothpaste can be a reliable long-term treatment to alleviate the symptoms.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/30

More Info


Tooth sensitivity can be a frustrating and uncomfortable experience, and it often stems from various underlying causes. In your case, it seems that improper brushing technique has led to mild gum recession, which is a common issue that can indeed contribute to increased tooth sensitivity. When the gums recede, the underlying dentin layer of the teeth becomes exposed. Dentin contains tiny tubules that lead to the nerve endings inside the tooth, making the teeth more sensitive to temperature changes, pressure, and even air.

Your experience of feeling discomfort even when not eating or lying down suggests that the sensitivity may be more pronounced than typical. While it is good to hear that you have ruled out cavities, there are several other factors that could be contributing to your discomfort:
1. Gum Recession: As mentioned, gum recession exposes the roots of the teeth, which are not covered by enamel and are more sensitive. This can lead to discomfort, especially when exposed to cold air or when brushing.

2. Brushing Technique: Aggressive brushing or using a hard-bristled toothbrush can exacerbate gum recession and sensitivity. It is advisable to use a soft-bristled toothbrush and gentle brushing techniques to avoid further irritation.

3. Acidic Foods and Beverages: Consuming acidic foods and drinks can erode enamel and contribute to sensitivity. If you consume a lot of citrus fruits, sodas, or other acidic items, consider moderating your intake.

4. Teeth Grinding (Bruxism): If you grind your teeth at night, this can lead to enamel wear and increased sensitivity. If you suspect this might be an issue, a night guard may be beneficial.

5. Dental Procedures: Recent dental work, such as fillings or cleanings, can temporarily increase sensitivity. If you have had recent treatments, it may take some time for your teeth to settle down.


Remedies for Tooth Sensitivity
1. Desensitizing Toothpaste: Over-the-counter desensitizing toothpaste can help block the sensation from reaching the nerve. These products typically contain compounds like potassium nitrate that help reduce sensitivity over time.

2. Fluoride Treatments: Your dentist can apply fluoride varnishes or gels to strengthen enamel and reduce sensitivity. This is particularly useful if you have areas of exposed dentin.

3. Good Oral Hygiene: Maintaining a proper oral hygiene routine is crucial. Brush gently with a soft-bristled toothbrush and floss daily to keep your gums healthy and reduce the risk of further recession.

4. Dietary Changes: Avoiding highly acidic foods and beverages can help protect your enamel. If you do consume them, rinse your mouth with water afterward to neutralize the acids.

5. Regular Dental Check-ups: Regular visits to your dentist can help monitor your gum health and sensitivity. Your dentist can provide tailored advice and treatments based on your specific situation.

6. Mouth Guards: If you grind your teeth, a custom mouth guard can protect your teeth from further wear and reduce sensitivity.

7. Gum Grafting: In cases of significant gum recession, your dentist may recommend a gum graft to cover exposed roots and reduce sensitivity.


Conclusion
While experiencing tooth sensitivity, especially when it occurs without any apparent trigger, can be concerning, it is often manageable with the right approach. Since you have confirmed that there are no cavities, focusing on your brushing technique, using desensitizing products, and maintaining regular dental visits will be key to alleviating your discomfort. If your symptoms persist or worsen, it is essential to consult with your dentist for a thorough evaluation and personalized treatment plan.

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