Tooth Sensitivity: Is It Just Tartar Buildup? - Dentistry

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My teeth feel strange?


Hello Dr.
Chuang,
I have a lower front tooth that has been feeling strange.
I asked my doctor about it, and they reviewed an X-ray taken about four to five months ago, which showed no issues.
The doctor mentioned it might be due to a higher amount of calculus.
However, I occasionally experience a slight tingling sensation that radiates to my chin, although it’s not very intense.
I would like to know if this could also be related to the calculus, or if there might be another underlying cause.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2015/01/05

Dr. Zhuang Suhui reply Dentistry


Hello, stones can potentially cause localized inflammation, which may feel uncomfortable.
It is recommended to remove them first and then see if there is any improvement.

Reply Date: 2015/01/05

More Info


Tooth sensitivity can be a frustrating and uncomfortable experience, and it often raises questions about its underlying causes. In your case, the sensitivity in your lower front tooth, which you've described as a slight discomfort radiating to your jaw, could indeed be related to tartar buildup, but there are several other factors to consider as well.


Understanding Tooth Sensitivity
Tooth sensitivity, also known as dentin hypersensitivity, occurs when the underlying layer of your teeth, called dentin, becomes exposed. This exposure can happen for a variety of reasons:
1. Gum Recession: If your gums recede, the sensitive root surfaces of your teeth can become exposed. This can lead to discomfort when consuming hot, cold, or sweet foods and beverages.

2. Enamel Erosion: The enamel is the hard outer layer of your teeth. If it wears down due to factors like acidic foods, aggressive brushing, or grinding your teeth, the dentin underneath can become exposed, leading to sensitivity.

3. Tartar Buildup: Tartar, or calculus, is hardened plaque that can accumulate on your teeth if not removed through regular brushing and professional cleanings. If tartar buildup is significant, it can irritate the gums and lead to gum disease, which may also contribute to sensitivity.

4. Dental Issues: Conditions such as cavities, cracked teeth, or dental abscesses can also cause sensitivity. Even if your X-rays did not show any issues four to five months ago, it's possible that new problems could have developed since then.

5. Sinus Issues: Sometimes, sinus infections or pressure can cause referred pain to the teeth, particularly the upper teeth, but it can occasionally affect lower teeth as well. This could explain the sensation radiating to your jaw.


Recommendations
Given your symptoms, here are some steps you can take:
1. Dental Evaluation: Since you have experienced sensitivity for some time, it would be wise to schedule a follow-up appointment with your dentist. They can perform a thorough examination and possibly take new X-rays to check for any changes or new issues that may have developed.

2. Professional Cleaning: If tartar buildup is suspected, a professional dental cleaning can help remove it and may alleviate some of the sensitivity.

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

4. Good Oral Hygiene: Maintain a good oral hygiene routine, including brushing twice a day with fluoride toothpaste and flossing daily. Be gentle when brushing to avoid further gum recession.

5. Dietary Considerations: If you consume a lot of acidic foods or beverages, consider reducing their intake, as they can contribute to enamel erosion.

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
While tartar buildup could be a contributing factor to your tooth sensitivity, it is essential to consider other potential causes as well. A thorough evaluation by your dentist will help determine the exact cause of your discomfort and the best course of action to alleviate it. Don't hesitate to reach out to your dental professional for further assistance, as they can provide tailored advice based on your specific situation.

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