Tooth SensitivitY


Tooth Sensitivity Causes and TreatmentS

Tooth sensitivity is a common dental problem that many people struggle with at some point or another. As a source of recurring or constant discomfort, tooth sensitivity can be painful, worsening, and extremely disruptive to your health and quality of life. 

At West Vancouver Dental, we routinely diagnose and treat tooth sensitivity issues in patients of all ages. We also regularly educate our patients about tooth sensitivity, so they can understand what’s going on when they experience tooth pain and when it’s time to book an appointment.

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What Causes Tooth Sensitivity

Why is my tooth sensitive?
If you’re asking that question, you could be dealing with one or more of the following issues.

Teeth Whitening AND Tooth Sensitivity

Teeth whitening products often contain peroxide-based bleaching agents that penetrate the enamel to remove stains. That can also temporarily expose the sensitive dentin layer.

With that, the chemicals in teeth whitening products can irritate the nerves in your teeth, increasing their sensitivity to hot, cold, and/or sweet stimuli.

Overusing these products or using high concentrations of whitening agents can exacerbate both enamel erosion and the tooth sensitivity that follows.

Cavities and Tooth Decay

Cavities and tooth decay create holes in the enamel, exposing the underlying dentin, which contains tiny tubules leading to the tooth's nerves.

This exposure allows hot, cold, or sweet substances to reach the nerves more easily, causing pain and sensitivity.

As decay progresses, it can burrow into deeper layers of decayed teeth, resulting in further discomfort and even more tooth sensitivity.

Crown Placement

Clenching and teeth grinding, also known as bruxism, can cause tooth sensitivity by wearing down the enamel and exposing the underlying dentin, which contains nerve endings.

The excessive pressure from grinding can also cause micro-cracks in the teeth, further exposing sensitive areas.

Additionally, this constant stress on the teeth can lead to inflammation and irritation of the nerves within the teeth, increasing sensitivity even more.

Teeth Infections

An infection in the tooth or surrounding gums can lead to inflammation, putting pressure on the nerves and tissues and, in turn, causing tooth sensitivity.

Bacterial infections, such as abscesses, can break down enamel and dentin, exposing the sensitive inner layers of infected teeth.

Additionally, the body's immune response to infection can exacerbate discomfort and sensitivity in the affected area.

Broken Fillings

Broken fillings can cause tooth sensitivity by exposing the inner layers of the tooth, including the dentin and pulp, which contain nerve endings.

This exposure allows hot, cold, sweet, and/or acidic substances to come into direct contact with the sensitive nerves, leading to pain and discomfort.

Additionally, a broken filling can create gaps that are vulnerable to bacteria, potentially causing tooth decay, infections and additional tooth sensitivity.

Gum Recession

Gum recession exposes the roots of the teeth, which are not protected by enamel and contain tiny tubules leading directly to the tooth's nerves.

This exposure makes the teeth more sensitive to temperature changes and certain foods.

Additionally, receding gums can be associated with gum disease, which can further irritate and inflame the affected area(s), making teeth even more sensitive.

How to Alleviate Tooth Sensitivity

If you’re suffering from tooth sensitivity, here are some simple steps you can take to try to minimize your pain.

Use Desensitizing Toothpaste

 Desensitizing toothpaste contains compounds that may help block the transmission of sensation from the tooth surface to the nerve.

Avoid Acidic Foods and Beverages

Limit your consumption of acidic foods and drinks, such as citrus fruits, soda, and wine, which can erode enamel and increase sensitivity.

Maintain Good Oral Hygiene

Brush your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste. Floss daily to remove plaque and food particles from between teeth and along your gumline.

Use a Soft-Bristled Toothbrush

A soft-bristled toothbrush is less abrasive on the enamel and gums, reducing the risk of wear and tear that can lead to sensitivity.

Avoid Aggressive Brushing

Brush your teeth gently to avoid wearing down the enamel and causing gum recession.

Rinse with Fluoride Mouthwash

Fluoride mouthwash can help strengthen enamel and reduce some sensitivity.

Wear a Mouthguard

If you grind your teeth at night, consider wearing a mouthguard to protect your teeth from enamel wear.

Visit Your Dentist Regularly

Regular dental check-ups can help identify and address any dental issues early, preventing them from worsening and causing severe tooth sensitivity.

Please be aware that these tips may not be enough to address moderate to severe tooth sensitivity that won’t go away.

If that’s what you’re experiencing, book an appointment with Dr. Jared Hawthorne, a trusted dentist in Vancouver, WA.

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Tooth Sensitivity Treatment Options

Fluoride Treatments

In -office fluoride treatments can help strengthen the enamel and reduce sensitivity. Your dentist may apply fluoride gel, varnish, or foam to the sensitive areas.

Bonding Agents

Dentists can apply bonding agents or dental sealants to cover exposed dentin and protect the nerves from stimuli.

Gum Grafting

For patients with gum recession, a gum graft can cover exposed roots and reduce sensitivity. This procedure involves taking tissue from another part of your mouth and attaching it to the affected area.

Root Canal Therapy

If tooth sensitivity is severe and related to nerve damage or decay, your dentist may recommend root canal therapy. This procedure removes the damaged or infected nerve and pulp, relieving pain and sensitivity.

Crowns, Inlays, or Onlays

If a tooth is cracked or damaged, your dentist may use a crown, inlay, or onlay to restore its structure and protect it from further damage.


FAQs About TOOTH SENSITIVITY

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What Is Tooth Sensitivity and Pain?

Tooth sensitivity, also known as dentin hypersensitivity, occurs when the protective enamel on the teeth wears down or the gums recede, exposing the underlying dentin layer. Dentin contains tiny tubules that lead to the nerve center of the tooth. When exposed to certain stimuli, such as temperature changes or acidic foods, these tubules allow the stimuli to reach the nerve, causing pain or discomfort.

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HOW CAN I PREVENT TOOTH SENSITIVITY?

Here are some common ways to prevent tooth sensitivity: 

1. Practice Good Oral Hygiene: Brush and floss daily to keep your teeth and gums healthy and free from plaque and bacteria.

2. Use Fluoride Toothpaste: Fluoride toothpaste helps strengthen the enamel and protect your teeth from decay and sensitivity.

3. Avoid Acidic Foods and Beverages: Limiting your intake of acidic foods and drinks can help prevent enamel erosion.

4. Use a Soft-Bristled Toothbrush: Gentle brushing with a soft-bristled toothbrush can prevent enamel wear and gum recession.

5. Wear a Mouthguard: Protect your teeth from grinding and clenching by wearing a mouthguard, especially at night.

6. Regular Dental Check-Ups: Visit your dentist regularly for professional cleanings and examinations. Early detection and treatment of dental issues can prevent sensitivity.

7. Stay Hydrated: Drinking plenty of water helps rinse away food particles and bacteria, reducing the risk of decay and sensitivity.

8. Avoid Whitening Products: If you experience sensitivity after using whitening products, consider using a gentler whitening method or consult your dentist for alternatives.

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When Should I See a Dentist for Tooth Sensitivity?

If you experience persistent or severe tooth sensitivity, see a dentist ASAP. An experienced dentist, like Dr. Jared Hawthorne, can diagnose the underlying cause(s), recommending appropriate treatments after. 

Do not ignore tooth sensitivity because it can be a red flag of more serious underlying dental issues. Also, tooth sensitivity may not “disappear” by itself. If not, it can get worse over time. In fact, the longer you wait to see a dentist, the more treatments you may need to resolve the issue(s).

At West Vancouver Dental, we offer personalized treatment plans tailored to address the root causes of tooth sensitivity, such as enamel erosion, gum recession, and tooth decay. Using advanced diagnostic tools, we can accurately identify the problem areas and apply effective treatments to address tooth sensitivity and promote optimal oral health.

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Can I treat tooth sensitivity without Insurance?

Yes. At West Vancouver Dental, we understand that not every patient has dental insurance, and we believe that a lack of insurance coverage should not prevent you from getting the dental care you need. That's why we offer cash-only dental care, so anyone without insurance in Vancouver, WA, can still get treatment for tooth sensitivity.