Tooth Sensitivity

Although the sensitivity felt in the teeth gives the feeling that it will pass at first, when it turns into a pain that increases over time, the situation is serious. Tooth sensitivity, which is not like a toothache but makes people uncomfortable in daily life, can occur for different reasons.
The most common tooth sensitivity is the sensitivity that occurs with cold or heat. It is a common problem that teeth ache especially with cold. Although it is referred to as cold-hot sensitivity in articles, hot does not actually cause sensitivity. It is the pain felt with heat and the pain of the teeth in hot contact is a sign of infection of the dental pulp called pulpitis. It requires root canal treatment. However, cold sensitivity makes people very uncomfortable. However, tooth sensitivity to cold is usually harmless. It passes without the need to remove the nerve of the tooth.

Causes of cold sensitivity:

– Advanced tooth decay
– Destruction of gum and bone tissue due to dental calculus
– Enamelabrasion (Acidic foods and drinks, reflux)
-Exposure of the root surface with gingival recession
– Cutting the tooth for dental crown
– Deterioration of gingival harmony on the edges of the tooth crown over time
-Abrasion of tooth surfaces by grinding
– Tooth cracks and fractures caused by trauma
– Sensitivity after filling
-Incorrect tooth brushing
– Toothpastes used to whiten teeth that abrade the tooth surface
– Infection around extracted teeth

Sıcak hassasiyetinin nedenleri:

· Diş çürüğü nedeni ile pulpa odasında başlayan enfeksiyon
· Eski dolguların alında ikincil diş çürüklerinin başlaması
· Diş kaplama ve köprülerinin altındaki dişlerde diş eti uyumsuzluğu nedeni ile açılan bölgelerde çürük oluşması
· Ani ısı değişiklikleri (Soğuk suyun arkasından çay içilmesi)

Contact tooth sensitivity

Apart from the effect of heat, tooth sensitivity caused by contactcan sometimes make people very uncomfortable. These usually occur due to deterioration of the tooth enamel. Enamel protects the tooth like armor. As a result of the wear of the enamel layer, the dentin layer underneath is exposed. Dentin has a structure with micro tubes and channels. When the fluid balance in these channels is disturbed, tooth sensitivity occurs. For example, when you touch the edge of your fingernail, the fluid in the micro-channels in the dentin layer of the tooth moves and stimulates the living tissues of the tooth called receptors. This situation, which makes the person extremely uncomfortable, is most common:
It is seen around the enamel cementum line at the border of the tooth and gum junction. Incorrect tooth brushing, incorrect toothbrush selection,
sensory nerves that work as the insurance of the teeth respond with pain to temperature changes that the tooth enamel and vascular nerve structure cannot tolerate.

Often there is no obvious cause for tooth sensitivity .

Your dentist can give you a fluoride gel in his or her office to block exposed dentinal nerve endings, strengthen tooth enamel and reduce the painful condition.
You may only notice the effect of desensitizing toothpastes after about two weeks. For best results, the toothpaste should be used regularly. Your dentist can also teach you the correct brushing technique. For teeth that have started to discolor, it may be necessary to use toothpaste sooner rather than later.

What is good for sensitive teeth?

Ways to relieve tooth sensitivity:
– Daily regular tooth brushing: It can help reduce the likelihood of tooth sensitivity. Abrasives can cause high levels of sensitivity. Brushing at least twice a day for two minutes with a desensitizing and preventive toothpaste is recommended.
– Flossing– Recommended to remove plaque that builds up between the teeth. Dental floss containing fluoride can especially help reduce the problem of tooth sensitivity.
– Preferring acid-free foods and drinks: Acidic foods and drinks cause tooth sensitivity. Therefore, proper eating habits can help people avoid this problem.

If you are concerned about sensitive teeth, do not delay your visit to the dentist. The dentist will determine the cause of the problem.

Your dentist can recommend these:

• Toothpaste. After various treatments, the use of toothpaste for sensitive teeth can sometimes help prevent the onset and spread of pain.
• Fluoride. Your dentist can apply fluoride to sensitive areas of the teeth to strengthen the enamel and reduce pain. In some cases, he or she may recommend the use of fluoride at home.
• Desensitizers. Sometimes, exposed root surfaces can be treated by applying resin to sensitive root surfaces.
• Root coverage with a surgical graft. If the tooth root has lost gum tissue, a small amount of gum tissue can be taken from elsewhere in your mouth and attached to the affected site. This can protect exposed tooth roots and reduce sensitivity.
• Root Canal Treatment. It is a procedure used to treat problems with the soft core of the tooth (dental pulp), the sensitive teeth that cause severe pain. If other treatments are not effective, your dentist may recommend root canal treatment. This is a risky treatment. It is considered the most successful technique to eliminate tooth sensitivity.

To prevent tooth sensitivity, here are our recommendations as a dentist:

• Brush your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste.
• Floss daily.
• Avoid hard brushing, scrubbing, abrasive toothpaste and excessive brushing.
• Have tartar removed regularly
• Have broken or cracked teeth examined regularly. Broken teeth can also cause tooth sensitivity.