Persistent Tooth Sensitivity After Dental Cleaning: Causes and Solutions

Q: Persistent Tooth Sensitivity After Dental Cleaning: Causes and Solutions

Hello： Dental scaling is a common term; in medical terminology, it is referred to as subgingival scaling. <br>The dentist uses hand instruments or ultrasonic devices to remove calcified deposits from the root surfaces beneath the gums. <br>Since the procedure involves contact wit

It has been three to four days since I had my teeth cleaned?

On February 17, I experienced soreness in my lower front teeth, and the dentist performed a dental cleaning.
However, since the cleaning until today, February 21, I have been experiencing persistent soreness in both the front and back of my teeth.
Today, I am unable to bite down with my lower front teeth, and even closing my mouth causes pain.
Is this due to gum injury, or is it a normal occurrence after a dental cleaning? The dentist mentioned that my gums are slightly receding; is there a connection? (I have been using desensitizing toothpaste since the cleaning.)

Zhen, 20~29 year old female. Ask Date: 2016/02/21

Dr. Huang Zhicheng reply Dentistry

Hello: Dental scaling is a common term; in medical terminology, it is referred to as subgingival scaling.
The dentist uses hand instruments or ultrasonic devices to remove calcified deposits from the root surfaces beneath the gums.
Since the procedure involves contact with the tooth roots, it can lead to increased blood flow in the dental pulp, resulting in swelling, which should resolve within a week.
During this time, it is advisable to consume softer foods and avoid extreme temperatures.
There is indeed a correlation with gum recession and excessive root exposure.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/21

More Info

Persistent tooth sensitivity after dental cleaning can be a common concern for many patients. The symptoms you are experiencing—ongoing pain in your lower front teeth, discomfort when biting, and sensitivity to pressure—can be attributed to several factors related to the dental cleaning process and the condition of your gums and teeth.

Causes of Tooth Sensitivity After Dental Cleaning
1. Gum Recession: Your dentist mentioned that you have some gum recession. When gums recede, the roots of the teeth become exposed. The roots do not have the protective enamel that crowns do, making them more sensitive to temperature changes and pressure. This exposure can lead to discomfort, especially after a cleaning, when the gums may be temporarily inflamed or irritated.

2. Dental Cleaning Process: During a dental cleaning, plaque and tartar are removed from the teeth and gum line. If there was significant buildup, the cleaning can leave the teeth feeling sensitive afterward. The process can also irritate the gums, leading to soreness or bleeding, which may contribute to the discomfort you are feeling.

3. Underlying Dental Issues: If there are existing issues such as cavities, cracks, or worn enamel, these can be exacerbated by the cleaning process. If the cleaning revealed any underlying problems, they could cause sensitivity that was not previously noticeable.

4. Use of Sensitive Toothpaste: While using a desensitizing toothpaste is a good step, it may take time to see results. These toothpastes work by blocking the transmission of pain signals from the tooth surface to the nerve, but they may not provide immediate relief.

Solutions and Recommendations
1. Continued Use of Desensitizing Toothpaste: Continue using the desensitizing toothpaste as recommended by your dentist. It may take several applications to notice a significant reduction in sensitivity.

2. Avoid Certain Foods: Try to avoid very hot, cold, or acidic foods and beverages that can trigger sensitivity. Stick to a diet that minimizes discomfort until your symptoms improve.

3. Gentle Oral Hygiene: Be gentle when brushing your teeth. Use a soft-bristled toothbrush and avoid aggressive brushing, which can further irritate sensitive gums and teeth.

4. Follow-Up with Your Dentist: Since your symptoms have persisted, it is essential to follow up with your dentist. They may want to conduct further examinations, such as X-rays, to rule out any underlying issues that may be contributing to your sensitivity. If there are cavities or other dental problems, they may need to be addressed.

5. Consider Professional Treatments: If sensitivity continues to be a problem, your dentist may recommend professional treatments. These can include fluoride varnishes, dental sealants, or even more advanced options like laser therapy, which can help reduce sensitivity.

6. Gum Health: Since you have some gum recession, your dentist may also discuss options to improve gum health, such as deep cleaning (scaling and root planing) or even surgical options if the recession is severe.

Conclusion
In summary, persistent tooth sensitivity after dental cleaning can result from a combination of gum recession, the cleaning process itself, and any underlying dental issues. It is crucial to maintain good oral hygiene practices and follow up with your dentist for further evaluation and treatment options. With the right approach, you should be able to manage your sensitivity effectively and improve your overall dental health.

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