Tooth Sensitivity: Causes and Solutions for Pain - Dentistry

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Toothache?


I usually don't have tooth pain, but when I bite down on hard objects and clench my teeth, I experience tooth sensitivity.
Could this be a sign of something?

Xiao Dai, 10~19 year old female. Ask Date: 2006/08/16

Dr. Lin Qingye reply Dentistry


Mr.
Xiao Dai: There are many reasons why biting down on something can cause pain.
Sometimes, it can be due to cracks in the teeth or temporomandibular joint disorder (TMJ).
Since I have not seen your dental condition, I cannot make a differential diagnosis.
I recommend that you visit a dental clinic for an examination.
(Prevention is better than treatment) Don't delay! Dr.
Lin 20060718

Reply Date: 2006/08/16

More Info


Tooth sensitivity and pain can be quite distressing, especially when they arise unexpectedly during normal activities like chewing. Your description of experiencing discomfort when biting down on hard objects suggests that there may be underlying issues that need to be addressed. Let's explore the potential causes of your symptoms and the appropriate steps you can take to find relief.


Possible Causes of Tooth Sensitivity and Pain
1. Dental Caries (Cavities): One of the most common reasons for tooth pain is the presence of cavities. If a tooth has a cavity, it can become sensitive to pressure, temperature, and certain foods. The decay can weaken the tooth structure, making it more susceptible to pain when biting down.

2. Cracked Tooth: A crack in a tooth can lead to sensitivity and pain, especially when pressure is applied. Cracks may not always be visible, and they can cause discomfort when chewing or biting down on hard foods.

3. Gum Recession: If your gums have receded, the roots of your teeth may be exposed. This exposure can lead to increased sensitivity, particularly to temperature changes and pressure.

4. Dental Work: If you've had recent dental work, such as fillings or crowns, the sensitivity could be related to the procedure. Sometimes, fillings can be too high, causing discomfort when biting down. Additionally, the materials used in dental work can sometimes lead to temporary sensitivity.

5. Bruxism (Teeth Grinding): If you grind your teeth, especially at night, it can lead to tooth sensitivity and pain. The constant pressure can wear down the enamel and cause microfractures in the teeth.

6. Sinus Issues: Interestingly, sinus infections can also cause tooth pain, particularly in the upper teeth. The pressure from sinus congestion can mimic dental pain.


Recommendations for Relief and Diagnosis
1. Visit Your Dentist: The first step in addressing your tooth sensitivity is to schedule an appointment with your dentist. They can perform a thorough examination, including X-rays, to identify any underlying issues such as cavities, cracks, or gum disease.

2. Desensitizing Toothpaste: In the meantime, consider using a desensitizing toothpaste. These products contain compounds that help block the transmission of sensation from the tooth surface to the nerve.

3. Avoid Hard Foods: Until you can see your dentist, it may be wise to avoid hard or crunchy foods that could exacerbate your discomfort.

4. Good Oral Hygiene: Maintain a good oral hygiene routine, including brushing twice a day with fluoride toothpaste and flossing daily. This can help prevent further decay and gum issues.

5. Consider a Mouthguard: If you suspect that bruxism is contributing to your sensitivity, discuss the possibility of a custom mouthguard with your dentist. This can help protect your teeth from grinding and reduce sensitivity.

6. Monitor Symptoms: Keep track of when the sensitivity occurs and any other symptoms you may experience. This information can be helpful for your dentist in diagnosing the issue.


Conclusion
Tooth sensitivity and pain can arise from various causes, ranging from dental caries to gum recession or even bruxism. It's essential to consult with your dentist to determine the exact cause of your discomfort and to receive appropriate treatment. In the meantime, practicing good oral hygiene and using desensitizing toothpaste can provide some relief. Remember, early intervention is key to preventing more severe dental issues in the future.

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