Sensitivity in teeth after dental restoration?
After filling the small cavity on the surface of the upper right last molar, I still experienced sensitivity to cold drinks a few months later.
I returned to the dentist for a re-treatment, and the first three months were fine, but the symptoms returned afterward.
I have had the tooth filled three times and have seen two different dentists.
I will be going abroad for work soon, and I would like to know what can be done to resolve this issue once and for all.
Lu Lu, 20~29 year old female. Ask Date: 2021/08/24
Dr. Lin Jiayong reply Dentistry
Hello: If you still feel discomfort after two rounds of retreatment, you may consider proceeding with root canal therapy to eliminate sensation in the tooth.
However, current treatment methods are generally more conservative, so it is advisable to observe the situation first.
Additionally, you should consider whether you have habits such as teeth grinding or clenching, or eating hard foods.
If so, it is important to adjust your diet and relax to improve your routine.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/08/24
More Info
Persistent tooth sensitivity after dental fillings can be a frustrating and uncomfortable experience. It is not uncommon for patients to experience sensitivity following dental procedures, especially if the fillings are placed in areas that are prone to stress or if the tooth has undergone significant decay. Here are some insights and potential solutions to address your ongoing sensitivity.
Understanding Tooth Sensitivity
Tooth sensitivity typically arises when the protective layers of the tooth, such as enamel or dentin, are compromised. This can happen due to various reasons, including:
1. Dental Work: After a filling, the tooth may be sensitive due to the trauma of the procedure, the materials used, or the way the filling interacts with the tooth structure.
2. Enamel Erosion: Over time, enamel can wear down due to factors like acidic foods, aggressive brushing, or grinding teeth, leading to increased sensitivity.
3. Gum Recession: If the gums recede, the tooth roots may become exposed, which can lead to sensitivity, especially to temperature changes.
4. Underlying Issues: Sometimes, the sensitivity can be a sign of an underlying issue, such as a cracked tooth or pulpitis (inflammation of the tooth pulp).
Solutions and Tips
1. Use Desensitizing Toothpaste: Products like Sensodyne are specifically formulated to help reduce sensitivity. These toothpastes contain compounds that block the transmission of pain signals from the tooth surface to the nerve.
2. Avoid Extreme Temperatures: Try to avoid very hot or cold foods and drinks, as these can exacerbate sensitivity. If you know certain foods trigger your sensitivity, it may be best to avoid them until the issue is resolved.
3. Maintain Good Oral Hygiene: Continue to brush and floss regularly, but be gentle around the sensitive areas. Using a soft-bristled toothbrush can help minimize irritation.
4. Consult Your Dentist: Since you've already had multiple fillings and the sensitivity persists, it may be time to revisit your dentist. They can check for any underlying issues that may not have been addressed, such as cracks or pulp problems. If necessary, they might suggest further treatments like root canal therapy if the pulp is inflamed.
5. Consider a Mouthguard: If you grind your teeth at night, a custom mouthguard can help protect your teeth from further wear and reduce sensitivity.
6. Fluoride Treatments: Your dentist may recommend professional fluoride treatments to strengthen the enamel and reduce sensitivity.
7. Evaluate the Filling Material: If the sensitivity continues after multiple fillings, it might be worth discussing the type of material used for your fillings. Some materials can be more compatible with your teeth than others.
8. Monitor Your Symptoms: Keep track of when the sensitivity occurs and any associated activities. This information can help your dentist diagnose the issue more effectively.
Conclusion
Persistent tooth sensitivity after dental fillings can be a complex issue that may require a multifaceted approach to resolve. By using desensitizing toothpaste, maintaining good oral hygiene, and consulting with your dentist about your ongoing symptoms, you can work towards finding a solution. If the sensitivity continues despite these efforts, further investigation may be necessary to ensure there are no underlying dental issues contributing to your discomfort. Remember, open communication with your dental care provider is key to addressing your concerns effectively.
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