Tooth Sensitivity: Why Your Teeth Feel Sour Without Cavities - Dentistry

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The teeth do not have cavities, but sometimes they feel sensitive or sour?


Hello, I occasionally experience a slight sensitivity in one or two of my upper back teeth when eating.
However, my dentist has said there are no issues and no cavities during my biannual cleanings.
I regularly floss and only feel sensitivity with smoother foods like corn and peas; rough surfaces and temperature changes do not trigger it.
This started about a year ago, a few days after my cleaning.
I had a cleaning yesterday, and the dentist again said everything is fine, but I still feel sensitivity when eating today.
Thank you for your response.

Xiang Gu, 20~29 year old female. Ask Date: 2015/12/24

Dr. Zeng Guanghui reply Dentistry


The above situation may indicate wear of the enamel or dentin, resulting in symptoms of thermal sensitivity.
It is recommended to consult a dentist for further diagnosis and treatment.

Reply Date: 2015/12/24

More Info


Tooth sensitivity can be a perplexing issue, especially when there are no visible cavities or signs of decay. The sensation of sourness or discomfort in your teeth, particularly when consuming certain foods, can be attributed to several factors that do not necessarily involve cavities.
Firstly, it’s important to understand that tooth sensitivity often arises from the exposure of the dentin, the layer beneath the enamel. This exposure can occur due to various reasons, including gum recession, enamel erosion, or even aggressive brushing techniques. When the dentin is exposed, the tiny tubules within it can transmit sensations to the nerve endings, leading to discomfort when consuming certain textures or temperatures.

In your case, the fact that you experience sensitivity primarily with foods that have a rough surface, like corn or peas, suggests that the mechanical action of chewing these foods may be stimulating the sensitive areas of your teeth. This is particularly true if there is any gum recession or if the enamel has thinned in those areas. Even though your dentist has confirmed that there are no cavities, it’s possible that the enamel has worn down over time, making the underlying dentin more susceptible to stimuli.

Another potential cause of your symptoms could be related to the health of your gums. If there is any inflammation or irritation in the gums, it can lead to a heightened sensitivity in the adjacent teeth. Conditions such as gingivitis or periodontal disease can cause the gums to recede, further exposing the sensitive areas of the teeth. Regular dental cleanings are essential, but if you notice persistent sensitivity, it may be worth discussing with your dentist the possibility of gum health assessments or treatments.

Additionally, dietary factors can also play a role in tooth sensitivity. Acidic foods and beverages can erode enamel over time, leading to increased sensitivity. If your diet includes a lot of acidic foods, it might be worth evaluating and moderating your intake.
To manage your sensitivity, consider the following steps:
1. Use Desensitizing Toothpaste: These products contain compounds that help block the transmission of sensation from the tooth surface to the nerve. Regular use can significantly reduce sensitivity over time.

2. Gentle Brushing Technique: Ensure that you are using a soft-bristled toothbrush and employing a gentle brushing technique. Brushing too hard can exacerbate gum recession and enamel wear.

3. Fluoride Treatments: Your dentist may recommend fluoride varnishes or treatments that can help strengthen enamel and reduce sensitivity.

4. Avoid Acidic Foods: If you notice that certain foods trigger your sensitivity, try to limit their consumption. Rinse your mouth with water after eating acidic foods to help neutralize the acids.

5. Regular Dental Check-ups: Continue with your regular dental visits, but don’t hesitate to bring up your sensitivity concerns. Your dentist may want to take X-rays or conduct further examinations to rule out any underlying issues.

6. Consider a Mouthguard: If you grind your teeth at night, a custom mouthguard can help protect your teeth from wear and reduce sensitivity.

In conclusion, while your dental check-ups indicate no cavities, the sensitivity you are experiencing can stem from various factors such as enamel erosion, gum health, and dietary influences. It’s essential to maintain open communication with your dentist regarding your symptoms, as they can provide tailored advice and treatment options to help alleviate your discomfort.

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