Managing Tooth Sensitivity After Dental Polishing: Tips and Insights - Dentistry

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Tooth sensitivity or toothache?


Hello, doctor.
I visited the dentist because my teeth were scraping my tongue.
The dentist polished and smoothed them a bit.
The first time, I didn't feel much, but when I returned home, they still felt sharp.
I went back for a second polishing, and afterward, I noticed that my teeth felt sensitive to cold air and also hurt when biting hard foods.
The dentist mentioned that it would gradually improve over 2-3 weeks, but since the enamel was removed, it won't grow back.
Does this mean I will continue to experience sensitivity? What should I do now? My teeth have always been healthy, and I've never had cavities.
Polishing them to remove sharp edges won't cause further damage, right? Thank you, and take care.

Nick, 20~29 year old female. Ask Date: 2021/10/07

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to first purchase a high-fluoride toothpaste or a desensitizing toothpaste, and apply it locally to the sensitive areas.
Observe for about one month, and if discomfort persists, further examination or treatment can be considered.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/07

More Info


Tooth sensitivity following dental polishing can be a common concern, especially after procedures that involve smoothing or reshaping the enamel. When you undergo polishing, the dentist removes a thin layer of the outer enamel, which can expose the underlying dentin, leading to increased sensitivity to temperature changes and pressure. This sensitivity can manifest as a sharp or aching pain when consuming hot or cold foods and drinks, or even when breathing in cold air.


Understanding Tooth Sensitivity
Tooth sensitivity occurs when the enamel, which protects the inner layers of the tooth, is compromised. The enamel is the hardest substance in the human body, but it can wear down due to various factors, including aggressive brushing, acidic foods, and dental procedures. When the enamel is thinned or removed, the dentin, which contains tiny nerve endings, becomes exposed. This exposure can lead to discomfort when the tooth is stimulated by temperature changes or pressure.


Why Sensitivity Occurs After Polishing
1. Enamel Removal: During the polishing process, a fine layer of enamel is removed to smooth out the surface of the teeth. While this can improve aesthetics and make the teeth feel smoother, it can also lead to sensitivity if the dentin is exposed.

2. Dentin Exposure: If the polishing is aggressive or if the enamel is already thin, the dentin may become exposed, leading to sensitivity. The dentin is less protective than enamel and is more susceptible to stimuli.

3. Inflammation: After dental procedures, the gums and surrounding tissues may become inflamed, contributing to a heightened sensitivity.


Managing Tooth Sensitivity
Here are some tips to help manage and alleviate tooth sensitivity after dental polishing:
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 avoid aggressive brushing techniques. Brushing too hard can further wear down enamel and exacerbate sensitivity.

3. Avoid Acidic Foods and Drinks: Acidic foods and beverages can erode enamel and increase sensitivity. Try to limit your intake of citrus fruits, soda, and vinegar-based products.

4. Fluoride Treatments: Ask your dentist about fluoride treatments. Fluoride can help strengthen enamel and reduce sensitivity by remineralizing the tooth surface.

5. Limit Temperature Extremes: If you notice sensitivity to hot or cold, try to avoid extreme temperatures in your food and drinks. Opt for lukewarm options until the sensitivity subsides.

6. Regular Dental Check-ups: Keep up with regular dental visits. Your dentist can monitor your sensitivity and recommend treatments if necessary.

7. Time: As your dentist mentioned, sensitivity can improve over time. It may take a few weeks for your teeth to adjust after polishing, so patience is key.


When to Seek Further Help
If your sensitivity persists beyond a few weeks or worsens, it’s important to return to your dentist for further evaluation. Persistent sensitivity could indicate underlying issues such as enamel erosion, gum recession, or even dental decay that may need to be addressed.


Conclusion
In summary, while tooth sensitivity after dental polishing can be uncomfortable, it is often temporary and manageable with the right care. By using desensitizing products, practicing gentle oral hygiene, and avoiding irritants, you can help alleviate discomfort. Always communicate with your dentist about any ongoing issues, as they can provide tailored advice and treatment options to ensure your dental health remains optimal.

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