Can Gum Inflammation Cause Tooth Sensitivity? the Connection - Dentistry

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Can gum inflammation cause tooth sensitivity?


Hello Doctor: I have a small molar that was just filled and capped over a month ago, and everything was fine until the day before yesterday when I used dental floss.
The root of that tooth suddenly became very sensitive, to the point of tears while cleaning.
It was particularly painful when I pulled the floss horizontally, but not as much when pulling vertically.
After that, when I brushed my teeth, the toothbrush touched the gum and caused a brief sensitivity, but it was just for that moment and then it was fine—very strange.
Today, using dental floss still causes sensitivity, but it seems to be improving.
A colleague with a similar experience mentioned that it might be due to gum inflammation affecting the dentinal tubules.
Is this explanation plausible? Should I continue to monitor the situation? Thank you, and I wish you all the best.

Hui, 30~39 year old female. Ask Date: 2023/04/16

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to have the original physician take an X-ray for confirmation.
If there are no obvious abnormalities, it is advisable to observe the situation for now.

Reply Date: 2023/04/16

More Info


Gum inflammation, also known as gingivitis, can indeed lead to tooth sensitivity. This connection arises from the intricate relationship between the gums, the underlying bone, and the teeth. When the gums become inflamed, they can affect the health of the teeth and the surrounding structures, leading to various symptoms, including sensitivity.

Tooth sensitivity often occurs when the protective enamel on the teeth is worn down or when the gums recede, exposing the underlying dentin. Dentin contains tiny tubules that lead to the nerve endings inside the tooth. When the gums are inflamed, they may recede, exposing these tubules and making the teeth more sensitive to stimuli such as temperature changes, pressure, or even touch from a toothbrush or dental floss.

In your case, the sudden sensitivity you experienced while using dental floss and brushing your teeth could be attributed to localized gum inflammation around the recently treated tooth. The fact that the sensitivity was momentary and improved after the initial discomfort suggests that it may not be a severe issue. However, persistent sensitivity, especially if it worsens or is accompanied by pain, should not be ignored.

Your colleague's suggestion that gum inflammation could affect the dentinal tubules is valid. Inflammation can lead to increased permeability of the dentin, allowing stimuli to reach the nerve endings more easily. This is particularly relevant if there is any underlying periodontal disease or if the gum tissue is compromised.

As for your next steps, it is advisable to monitor the situation closely. If the sensitivity persists or worsens, or if you notice any other symptoms such as swelling, bleeding gums, or pain, it would be prudent to consult your dentist. They may recommend a thorough examination, possibly including X-rays, to assess the health of the tooth and surrounding structures.
In the meantime, here are some tips to manage sensitivity and maintain gum health:
1. Gentle Oral Hygiene: Use a soft-bristled toothbrush and gentle brushing techniques to avoid further irritation to the gums.
2. Desensitizing Toothpaste: Consider using toothpaste specifically designed for sensitive teeth. These products contain compounds that help block the transmission of sensation from the tooth surface to the nerve.

3. Avoid Irritants: Stay away from very hot, cold, or acidic foods and beverages that can exacerbate sensitivity.

4. Regular Dental Check-ups: Ensure you have regular dental check-ups to monitor the health of your teeth and gums. Your dentist can provide professional cleanings and advice tailored to your specific situation.

5. Flossing Technique: Be mindful of your flossing technique. Instead of forcing the floss, gently slide it between your teeth and around the gum line to minimize trauma to the gums.

In summary, while gum inflammation can indeed lead to tooth sensitivity, your symptoms may not indicate a serious problem at this moment. However, ongoing observation and communication with your dentist are essential to ensure that any underlying issues are addressed promptly. If you experience any changes or worsening of symptoms, do not hesitate to seek professional advice.

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