The teeth appear to be worn down too thin, resulting in abnormal sensitivity?
Hello, doctor.
About two weeks ago, I visited an orthodontic clinic to adjust my removable retainer and a dislodged lingual retainer.
Due to the presence of dental calculus, the orthodontist removed the calculus and made a new lingual retainer for that tooth.
I felt uncomfortable during the procedure, but I didn't mention it at the time because I had a previous experience of injury from slightly moving my tongue.
Now, two weeks later, my teeth are still very sensitive and uncomfortable when exposed to hot or cold food/water, or even when I gently press on the retainer.
Could this indicate that the nerve of the tooth has been damaged? If so, are there any remedies or ways to alleviate this discomfort?
Yayan, 20~29 year old female. Ask Date: 2023/03/16
Dr. Zeng Guanghui reply Dentistry
It may be due to the removal of tartar from between the teeth, which has caused increased sensitivity.
It is recommended to monitor the situation for a period of time.
If the symptoms persist, a follow-up appointment for examination should be made.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/03/16
More Info
Tooth sensitivity after orthodontic adjustments can be a common issue, especially when changes are made to the alignment or structure of the teeth. In your case, it seems that the sensitivity arose after the removal of tartar and the adjustment of your retainers. This can lead to discomfort for several reasons, and understanding these can help in managing your symptoms effectively.
Firstly, the removal of tartar can expose areas of the tooth that were previously protected. Tartar buildup can shield the tooth surface and the underlying dentin, which contains nerve endings. Once this protective layer is removed, the exposed dentin can lead to heightened sensitivity, particularly to temperature changes (hot or cold) and pressure. This is likely what you are experiencing when you consume hot or cold foods and drinks or when you apply pressure to the area with your fingers or the retainer.
Regarding your concern about whether the nerve has been damaged, it is unlikely that the nerve itself has been harmed during the cleaning or adjustment process. However, the sensitivity you are feeling is a sign that the nerves in the affected teeth are reacting to stimuli more intensely than usual. This is often a temporary condition that can improve over time as the teeth adjust to the changes.
Here are some recommendations to help manage your sensitivity:
1. Use Desensitizing Toothpaste: Products specifically designed for sensitive teeth can help block the transmission of pain signals from the tooth surface to the nerve. These toothpastes typically contain compounds like potassium nitrate or strontium chloride, which can help reduce sensitivity over time. It may take a few weeks of consistent use to notice significant improvement.
2. Avoid Extreme Temperatures: Try to avoid consuming very hot or cold foods and beverages until your sensitivity decreases. This includes ice-cold drinks and hot soups, which can exacerbate the discomfort.
3. Gentle Oral Hygiene: Be gentle when brushing your teeth. Use a soft-bristled toothbrush and avoid aggressive brushing techniques that can further irritate sensitive areas.
4. Regular Dental Check-ups: Continue to follow up with your orthodontist or dentist. If the sensitivity persists beyond a few weeks or worsens, it’s essential to have a professional evaluation. They may need to check for any underlying issues, such as gum recession or other dental problems that could be contributing to your sensitivity.
5. Consider Fluoride Treatments: Your dentist may recommend professional fluoride treatments, which can help strengthen the enamel and reduce sensitivity.
6. Monitor Your Retainer: Ensure that your retainer fits properly and is not causing additional pressure on your teeth. If it feels uncomfortable, discuss this with your orthodontist, as they may need to make adjustments.
In conclusion, while tooth sensitivity can be uncomfortable, it is often a temporary condition that can be managed with proper care and attention. If your symptoms persist or worsen, do not hesitate to reach out to your dental care provider for further evaluation and treatment options. Remember, maintaining open communication with your orthodontist about your experiences and any discomfort is crucial for your ongoing dental health.
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