Can dental sensitivity (gum recession) be treated with resin fillings?
Hello, doctor.
Recently, I had a toothache and visited a clinic where the dentist assessed that I had tooth sensitivity in my first premolar and suggested filling the sensitive area (the receded gum part).
Later, I went to another clinic and found out that my second molar had a cavity.
Now that the cavity has been treated, the pain persists in my first premolar.
I already have sensitive teeth, but I used to not experience pain when drinking cold beverages.
Ever since the dentist filled the sensitive area, I feel pain when consuming cold or room temperature drinks.
1.
I would like to ask if sensitive teeth can really be treated with resin fillings.
Doesn't this potentially harm the tooth instead?
Zhen, 20~29 year old female. Ask Date: 2021/11/22
Dr. Lin Jiayong reply Dentistry
Hello: The sensitivity symptoms caused by exposed tooth roots can indeed be managed by using certain polymer materials to cover them, thereby reducing the sensitivity of the roots to external stimuli.
However, if the symptoms do not improve after the treatment, it is advisable to conduct further examinations to confirm whether there is pulpitis or periodontal inflammation.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/11/22
More Info
To address your question about whether resin fillings can help with tooth sensitivity and gum recession, it’s essential to understand the underlying causes of tooth sensitivity and how dental materials like resin fillings interact with tooth structure and gum health.
Tooth sensitivity often arises from exposed dentin, which can occur due to gum recession or enamel wear. When the protective enamel layer is compromised, stimuli such as hot, cold, or sweet foods can reach the nerve endings in the dentin, leading to discomfort or pain. In cases where gum recession has occurred, the root surface of the tooth may become exposed, which is more sensitive than the enamel-covered crown of the tooth.
Resin fillings, also known as composite fillings, can be used to cover sensitive areas of the tooth, particularly if the sensitivity is due to minor enamel loss or gum recession. The resin can provide a barrier to external stimuli, potentially alleviating sensitivity. However, it’s crucial to ensure that the resin is applied correctly and that the underlying issues are addressed. If the resin is placed over a compromised area without proper treatment of the underlying cause, it may not provide the desired relief and could even exacerbate the problem.
In your case, it seems that after the resin was applied to the sensitive area, you experienced increased sensitivity, particularly with cold and room temperature substances. This could be due to several factors:
1. Improper Application: If the resin was not bonded correctly or if there was moisture contamination during the application, it may not adhere properly, leading to gaps where sensitivity can persist.
2. Underlying Issues: If the sensitivity is due to deeper issues, such as nerve inflammation or more extensive enamel loss, simply applying resin may not be sufficient. The resin may not address the root cause of the sensitivity.
3. Material Properties: While resin fillings can provide some insulation against temperature changes, they may not be as effective as other materials in certain situations. For example, if the resin is too thin or not adequately contoured, it may not provide the necessary protection.
4. Adaptation Period: After a filling, some patients experience a temporary increase in sensitivity as the tooth adapts to the new material. However, if the sensitivity persists beyond a few weeks, it may indicate a need for further evaluation.
To address your concerns, here are some recommendations:
- Consult Your Dentist: If sensitivity persists, it’s essential to return to your dentist for a thorough evaluation. They may need to check the integrity of the resin filling and assess for any underlying issues that may not have been addressed.
- Consider Desensitizing Treatments: Your dentist may recommend using desensitizing toothpaste or applying fluoride varnish to help reduce sensitivity. These treatments can strengthen the enamel and reduce nerve sensitivity.
- Evaluate for Other Treatments: If the sensitivity is severe and persistent, your dentist may consider other options, such as dental crowns or more extensive restorative work, to protect the tooth and alleviate discomfort.
- Maintain Good Oral Hygiene: Keeping the area clean can help prevent further irritation and sensitivity. Use a soft-bristled toothbrush and avoid aggressive brushing techniques that can exacerbate gum recession and enamel wear.
In summary, while resin fillings can help with sensitivity in some cases, they are not a one-size-fits-all solution. It’s crucial to address the underlying causes of sensitivity and ensure that any dental work is performed correctly. If you continue to experience pain after treatment, further evaluation and possibly alternative treatments may be necessary to achieve relief.
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