Dealing with Tooth Sensitivity: Affordable Solutions for Dental Issues - Dentistry

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Molar sensitivity


For some time now, I have been experiencing sensitivity to hot and cold in my lower right molars, especially with ice.
I also have difficulty chewing on tough foods like meat.
Many years ago, I had crowns placed on the two molars in front, and the middle molar is filled with silver amalgam.
If this sensitivity is caused by gum inflammation, and since I do not want to spend a lot of money on dentures, can I treat the inflamed area and then reuse the crowns I previously had? If that is not possible, what is the most cost-effective way to address this issue?

A Gui, 40~49 year old female. Ask Date: 2012/04/07

Dr. Zeng Guanghui reply Dentistry


Hello: The lower right wisdom tooth is sensitive to hot and cold, especially ice, and I have difficulty chewing meat.
The lower right molar has a crown, and it is possible that the gum tissue around the crown is inflamed, which could be causing the sensitivity to temperature changes.
Additionally, I feel a lack of strength when biting down on hard objects.
If the fit of the existing crown is still acceptable, I can visit a dentist to remove the plaque from the gum sulcus and treat the inflamed area.
However, if the fit of the crown is poor, it is recommended to remove the old crown and take new impressions for a replacement crown.
Wishing you peace and happiness.

Reply Date: 2012/04/07

More Info


Tooth sensitivity can be a frustrating and uncomfortable experience, especially when it affects your ability to enjoy food and maintain oral health. Based on your description, it seems that your sensitivity may be linked to a few factors, including previous dental work, potential gum inflammation, and the condition of your existing dental crowns. Here’s a comprehensive approach to understanding and addressing your tooth sensitivity, along with affordable solutions.


Understanding Tooth Sensitivity
Tooth sensitivity often arises from exposed dentin, which can occur due to gum recession, enamel erosion, or dental work that may not have sealed properly. In your case, the sensitivity in your lower right molar, especially to cold stimuli, could be due to several reasons:
1. Gum Inflammation: If your gums are inflamed, it can lead to sensitivity as the roots of your teeth may become exposed. This inflammation can be caused by plaque buildup, poor oral hygiene, or even aggressive brushing.

2. Dental Work: The crowns and fillings you have may not be fitting properly, leading to gaps where bacteria can enter and cause further decay or sensitivity. If the silver filling is old, it might also be contributing to the problem.

3. Underlying Decay: If there is decay beneath the crown or around the filling, this can lead to increased sensitivity and pain, especially when chewing.


Affordable Solutions
1. Consultation and Diagnosis: The first step is to visit a dentist for a thorough examination. Explain your symptoms clearly, and ask for X-rays if necessary to check for underlying issues. Many dental clinics offer affordable rates for consultations, and some may even have payment plans.

2. Treating Gum Inflammation: If gum disease is diagnosed, your dentist may recommend a deep cleaning (scaling and root planing) to remove plaque and tartar buildup. This procedure can often be done at a lower cost compared to more invasive treatments.

3. Desensitizing Toothpaste: Over-the-counter desensitizing toothpaste can help reduce sensitivity over time. These products contain compounds that block transmission of sensation from the tooth surface to the nerve.

4. Fluoride Treatments: Your dentist may offer fluoride treatments to strengthen enamel and reduce sensitivity. This is a relatively inexpensive option that can provide immediate relief.

5. Temporary Measures: If you are not ready to invest in new crowns or fillings, you can use dental wax or temporary filling material to cover sensitive areas until you can afford a more permanent solution.

6. Dietary Adjustments: Avoiding extremely hot or cold foods can help manage sensitivity. Focus on a diet that is less likely to irritate your teeth, and maintain good oral hygiene to prevent further issues.

7. Consider Dental Schools: If cost is a significant concern, consider seeking treatment at a dental school. Students under supervision often provide services at a reduced rate.

8. Insurance and Payment Plans: Check if your dental insurance covers any of the treatments you may need. Many dental offices also offer payment plans that can make treatment more affordable.


Conclusion
While it may be tempting to continue using your existing crowns, it’s essential to ensure that they are not contributing to your sensitivity. If they are compromised, it may be more cost-effective in the long run to replace them rather than risk further complications. Always communicate your financial concerns with your dentist; they can often provide options that fit your budget while ensuring your dental health is prioritized. Remember, maintaining good oral hygiene and regular dental check-ups can prevent many issues from arising in the first place.

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