Persistent Tooth Sensitivity After Gum Treatment: What to Do Next?

Tooth sensitivity that cannot be effectively treated?

Hello, I have been experiencing tooth sensitivity and have undergone treatment for periodontal disease for three months (6-7 visits).
The doctor said I am fine and should return in six months, but my teeth still feel sensitive.
I then went to a general dentist, who said there are no cavities, so no treatment could be provided.

My questions are:
1.
Why do I still experience tooth sensitivity after having treated periodontal disease and having no cavities?
2.
What type of dental specialist should I see next?
Thanks, Andy.

Andy, 40~49 year old female. Ask Date: 2006/03/11

Dr. Zeng Guanghui reply Dentistry

Generally, after treatment for periodontal disease, the plaque on the gums, both above and below the gum line, as well as in the periodontal pockets, is thoroughly removed, and the inflammation of the gums improves.
However, some gum recession may occur post-treatment, exposing the tooth necks to the oral environment, which can lead to sensitivity to hot and cold stimuli, resulting in discomfort or pain.
It is recommended to maintain good oral hygiene, avoid consuming irritating foods (such as excessively acidic, spicy, very cold, or very hot foods), and consider using desensitizing toothpaste for cleaning teeth or receiving regular fluoride treatments.
Importantly, after a period of periodontal disease treatment, regular follow-up appointments for check-ups should be scheduled.

Reply Date: 2006/03/11

More Info

Hello Andy,
Thank you for reaching out with your concerns regarding persistent tooth sensitivity following your gum treatment. It sounds like you've been through quite a journey with your dental health, and I understand how frustrating it can be to experience ongoing discomfort despite having undergone treatment. Let's address your questions one by one.

1. Why is my tooth still sensitive after periodontal treatment and with no cavities?
Tooth sensitivity can arise from several factors, even after periodontal treatment and in the absence of cavities. Here are a few potential reasons:
- Gum Recession: If your gums have receded due to periodontal disease, the roots of your teeth may be exposed. The roots are not covered by enamel, making them more sensitive to temperature changes and certain foods. This sensitivity can persist even after treatment if the gum tissue has not fully healed or if further recession occurs.

- Dentin Sensitivity: The underlying layer of your teeth, called dentin, contains tiny tubules that lead to nerve endings. If the enamel has been worn down (which can happen due to aggressive brushing, grinding, or acidic foods), these tubules can become exposed, leading to sensitivity.

- Inflammation: After periodontal treatment, it’s possible that some inflammation may still be present in the gums or surrounding tissues, which can contribute to discomfort. This inflammation can take time to resolve completely.

- Changes in Bite: If your bite has changed due to the treatment or if you have developed habits like teeth grinding (bruxism), this can lead to sensitivity and discomfort.

- Other Dental Issues: Sometimes, issues such as cracked teeth or problems with the dental pulp can cause sensitivity. Even if your dentist did not find cavities, there could be other underlying issues that need to be addressed.

2. What type of dental specialist should I see next?
Given your ongoing sensitivity and the complexity of your situation, I recommend seeing a periodontist or an endodontist.
- Periodontist: Since you have a history of periodontal disease, a periodontist can evaluate the health of your gums and surrounding structures. They can assess whether there are any lingering issues related to your gum treatment that might be contributing to your sensitivity.

- Endodontist: If the sensitivity persists and is severe, it may be worthwhile to consult an endodontist, who specializes in issues related to the dental pulp and root canals. They can perform tests to determine if there is any nerve involvement or other pulp-related issues that might be causing your discomfort.

In the meantime, consider using a desensitizing toothpaste specifically designed for sensitive teeth. These products can help block the sensation of pain from the exposed dentin. Additionally, practicing good oral hygiene, avoiding overly hot or cold foods, and using a soft-bristled toothbrush can help manage sensitivity.

If you find that your symptoms worsen or if you experience any new symptoms, don't hesitate to seek immediate dental care. It's important to address these concerns promptly to ensure your dental health remains optimal.

I hope this information helps clarify your situation and guides you toward the appropriate next steps. Take care, and I wish you the best in your dental journey!
Best regards,
Doctor Q&A Teams

Similar Q&A

Post-Braces Sensitivity: Understanding Gum Recession and Dental Pain

Dear Doctor, my orthodontic treatment is expected to last about a year. Recently, after changing the upper arch wire, the last two molars have become extremely sensitive; drinking water or hot beverages causes significant pain. I have visited my orthodontist twice. The first time...

Dr. Lin Jiayong reply Dentistry
Hello: During the process of orthodontic treatment, acute pulpitis is quite common. It is advisable to coexist with the pain for a while and not rush into starting root canal therapy, as this could prolong the orthodontic treatment indefinitely. The dentist should first move the ...

Understanding Tooth Sensitivity and Root Canal Treatment Options

Hello, Doctor! I originally had a sensitivity issue with my front teeth, and it's a long story. On the night of November 25, I experienced hyponatremia and was admitted to the emergency room, then spent three days in the intensive care unit. Since I was lying down for those ...

Dr. Zeng Guanghui reply Dentistry
The lower front teeth may have been subjected to excessive force, affecting the periodontal ligaments and potentially impacting the dental pulp nerves within the teeth, leading to symptoms of tooth sensitivity. If the dental examination shows no cracks, as long as excessive occlu...

Persistent Tooth Sensitivity After Dental Filling: Solutions and Tips

After filling the small cavity on the surface of the upper right last molar, I still experienced sensitivity to cold drinks a few months later. I returned to the dentist for a re-treatment, and the first three months were fine, but the symptoms returned afterward. I have had the ...

Dr. Lin Jiayong reply Dentistry
Hello: If you still feel discomfort after two rounds of retreatment, you may consider proceeding with root canal therapy to eliminate sensation in the tooth. However, current treatment methods are generally more conservative, so it is advisable to observe the situation first. Add...

Understanding Tooth Sensitivity After Dental Work: Causes and Solutions

Hello, Doctor. In late July of this year, the filling between my upper left first and second molars, which had been done a long time ago, fell out. I went to the dentist and had it refilled. Since then, those two teeth (and even the adjacent one) have become extremely sensitive; ...

Dr. Yang Zhiren reply Dentistry
Hello: If the dental filling is made of light-cured resin, many patients may experience sensitivity issues after the procedure. In some cases, this may improve over time. However, if gum recession leads to exposed tooth roots, patients may experience sensitivity and pain. Sensody...