Post-Scaling Tooth Sensitivity: Causes and Solutions - Dentistry

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Discomfort after teeth cleaning?


I would like to ask the doctor about my dental issues.
I have dental calculus, and last week, while I was experiencing allergies, I coughed up a small piece of calculus.
Since then, my back teeth have become very sensitive.
The pain is not like typical tooth pain; it only occurs when I eat or drink liquids, and I also feel a tingling sensation in my jaw and scalp, but it's manageable.
I visited the dentist, who performed a cleaning, but I didn't experience pain during the cleaning.
The sensitivity and discomfort seem to have started after coughing up the calculus due to my allergies.
The dentist mentioned that the sensitivity is likely due to exposed gums after the cleaning.
I would like to know how long this condition might last, and if it persists, what steps I should take.
I'm afraid to bite or drink anything because of the pain.

Balasai, 30~39 year old female. Ask Date: 2022/07/17

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to initially use desensitizing toothpaste for symptom relief.
Apply a small amount of desensitizing toothpaste to the sensitive and painful areas about three times a day.
Additionally, avoid consuming very cold or very hot foods, and schedule regular follow-up appointments for monitoring.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/07/17

More Info


Tooth sensitivity after dental scaling or cleaning is a common issue that many patients experience. It can be particularly distressing, especially when it affects your ability to eat or drink comfortably. In your case, it seems that the sensitivity began after you dislodged some tartar, which may have exposed parts of your teeth or gums that were previously protected. Let's delve into the potential causes and solutions for your sensitivity.


Causes of Tooth Sensitivity Post-Scaling
1. Gum Recession: One of the primary reasons for increased sensitivity after dental cleaning is gum recession. When plaque and tartar are removed, it can sometimes reveal areas of the tooth that are more sensitive, particularly if the gums have receded. This exposure can lead to discomfort when consuming hot, cold, or sweet foods and beverages.

2. Dentin Exposure: The outer layer of your teeth, known as enamel, protects the inner layer called dentin. If scaling has removed some of the enamel or if the gums have receded, the dentin can become exposed. Dentin contains tiny tubules that lead to the nerve endings inside the tooth, making it sensitive to temperature changes and certain foods.

3. Inflammation: After a dental cleaning, your gums may be inflamed or irritated, especially if there was significant tartar buildup. This inflammation can lead to discomfort and sensitivity.

4. Underlying Dental Issues: If there are existing dental problems, such as cavities or cracks, they may become more pronounced after cleaning, leading to increased sensitivity.


Duration of Sensitivity
The duration of tooth sensitivity can vary from person to person. In many cases, sensitivity after dental cleaning is temporary and may resolve within a few days to a couple of weeks as your gums heal and adjust. However, if the sensitivity persists beyond this period, it may indicate an underlying issue that requires further evaluation.


Solutions and Management
1. Desensitizing Toothpaste: Using a toothpaste specifically designed for sensitive teeth can help alleviate discomfort. These toothpastes contain compounds that block the transmission of sensation from the tooth surface to the nerve.

2. Fluoride Treatments: Your dentist may recommend fluoride treatments to strengthen the enamel and reduce sensitivity. This can be particularly effective if the sensitivity is due to dentin exposure.

3. Good Oral Hygiene: Maintaining excellent oral hygiene is crucial. Brush gently with a soft-bristled toothbrush and avoid aggressive brushing techniques that can exacerbate gum recession.

4. Dietary Adjustments: Until the sensitivity subsides, consider avoiding extremely hot, cold, or acidic foods and beverages that can trigger discomfort.

5. Follow-Up with Your Dentist: If your sensitivity persists or worsens, it’s essential to return to your dentist for a follow-up appointment. They can assess whether there are any underlying issues that need to be addressed, such as cavities or further gum recession.

6. Consider a Mouthguard: If you grind your teeth at night, a custom mouthguard can help protect your teeth and reduce sensitivity.


Conclusion
Tooth sensitivity after dental scaling is a common experience and can often be managed with appropriate care and products. However, if the sensitivity is severe or does not improve, it is crucial to seek further evaluation from your dentist. They can provide tailored advice and treatment options to ensure your comfort and oral health. Remember, maintaining regular dental check-ups and cleanings is vital for preventing issues that can lead to sensitivity and other dental problems.

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