Effective Solutions for Tooth Sensitivity: What You Need to Know - Dentistry

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How can dental sensitivity be improved?


Dear Doctor, my mother has been experiencing tooth sensitivity for some time now, and it has recently worsened.
The dentist mentioned that her teeth are fine, and the nerves are not damaged; it is purely a symptom of sensitivity.
Normally, she feels very uncomfortable whenever her teeth come into contact with anything, whether it's brushing, washing her face, eating, or even just being exposed to the wind.
My mother has tried many brands of desensitizing toothpaste available on the market, but none have been effective.
What other methods can help alleviate her tooth sensitivity? Additionally, aside from dentistry, are there other specialties that can address this issue of tooth sensitivity? I would greatly appreciate your time in answering my questions.
Thank you very much.

Mao Mao, 20~29 year old female. Ask Date: 2008/04/23

Dr. Wu Jinjun reply Dentistry


Hello: There are many causes of tooth sensitivity.
Based on your description, your mother may be experiencing excessive enamel wear.
She can come to our dental department for an examination, and we will provide further treatment based on her condition.
This type of sensitivity caused by dental issues cannot be addressed by other medical specialties.
Thank you! Dr.
Yang Zhiren, Dental Department, Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2008/04/23

More Info


Tooth sensitivity, often referred to as dentin hypersensitivity, can be a frustrating and painful condition for many individuals, including your mother. It typically arises when the protective enamel on the teeth wears down, exposing the underlying dentin, which contains tiny nerve endings. This exposure can lead to discomfort when the teeth come into contact with hot, cold, sweet, or acidic substances, as well as during routine activities like brushing or even breathing in cold air.

Given that your mother has been experiencing increasing sensitivity and has already consulted a dentist who confirmed that her teeth and nerves are healthy, it’s essential to explore additional strategies to manage her symptoms effectively. Here are some potential solutions and considerations:
1. Use of Desensitizing Toothpaste: While you mentioned that your mother has tried various brands of desensitizing toothpaste without success, it’s worth noting that these products often require consistent use over several weeks to see significant improvement. Look for toothpaste containing potassium nitrate or strontium chloride, as these ingredients can help block the nerve signals that cause sensitivity.

2. Fluoride Treatments: Professional fluoride treatments provided by a dentist can strengthen enamel and reduce sensitivity. These treatments involve applying a high-concentration fluoride gel or varnish to the teeth, which can help remineralize the enamel and decrease sensitivity.

3. Dental Sealants: In some cases, dentists may recommend applying sealants to the exposed areas of sensitive teeth. Sealants are protective coatings that can shield the dentin from stimuli that trigger sensitivity.

4. Avoiding Acidic Foods and Beverages: Encourage your mother to limit her intake of acidic foods and drinks, such as citrus fruits, soda, and wine, as these can erode enamel and exacerbate sensitivity. Drinking through a straw can also help minimize contact with sensitive areas.

5. Gentle Oral Hygiene Practices: It’s crucial for your mother to maintain good oral hygiene without being overly aggressive. Using a soft-bristled toothbrush and gentle brushing techniques can prevent further enamel wear and gum recession, which can contribute to sensitivity.

6. Mouthguards: If your mother grinds her teeth (a condition known as bruxism), a custom-fitted mouthguard can protect her teeth from wear and reduce sensitivity caused by grinding.

7. Consultation with a Specialist: If her sensitivity persists despite these measures, it may be beneficial to consult with a periodontist, who specializes in gum health, or an oral surgeon. They can assess whether gum recession or other underlying issues are contributing to her sensitivity.

8. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture or laser therapy, which may help alleviate discomfort associated with tooth sensitivity.

9. Regular Dental Check-ups: Continuous monitoring by a dentist is essential. Regular check-ups can help identify any changes in her dental health and allow for timely interventions.

In summary, while tooth sensitivity can be a challenging condition, there are multiple avenues to explore for relief. It’s essential to work closely with dental professionals to tailor a treatment plan that addresses your mother’s specific needs. If her symptoms do not improve with these strategies, further evaluation by a specialist may be warranted to rule out any underlying conditions that could be contributing to her discomfort. Thank you for your inquiry, and I hope your mother finds relief soon!

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