Have you ever kept away from a hot or cold drink, fearing you may face a chill due to your sensitive teeth? Sensitivity is quite a common concern and occurs when the nerve endings in your teeth get exposed. If you are facing severe sensitivity, it may be high time you consult your orthodontist and get the condition treated.

What influences sensitivity?

• Brushing aggressively: Brushing the teeth too hard can have an abrasive effect on the teeth, due to which the enamel can erode. Brushing for too long, or using a hard-bristled toothbrush can have the same effect. Hence, it is recommended to use a medium-soft bristled toothbrush and brush at a 45-degree angle to remove the microbes and food debris without damaging the teeth or gums.

• Consuming acidic foods and beverages: Consuming a lot of soda, citric fruit juices, sugary carbs, sticky candies, etc. can damage the enamel. Instead, you may snack on fiber-rich food, milk or cheese-based foods, etc.

• Clenching the jaw: Clenching the jaw can damage the teeth and inflame the TMJ as well. Grinding the teeth consciously or subconsciously can erode the enamel and expose the nerve endings, which increases sensitivity.

• Bleaching too frequently: Bleaching the teeth or getting them whitened too frequently can increase sensitivity. Thankfully, sensitivity caused due to bleaching is temporary, and it is always advisable to consult your orthodontist before getting the whitening done.

• Gum diseases: Gum diseases such as gingivitis and periodontitis can lead to a receding gum line, which exposes the underlying root surface. The tooth roots are usually more sensitive than the tooth crowns, which can lead to a sharp chill when you consume hot or cold foods. It is best to get gum diseases treated at the earliest to avoid hypersensitivity and a lot of other oral concerns.

The Signs And Symptoms Of Tooth Sensitivity

To get right to the point, tooth pain happens when the nerves in your teeth become irritated. Normally, our teeth are covered in a protective layer of enamel. On the inside, there is a layer of material called dentin and then the pulp at the core of the tooth which is filled with connective tissue, blood vessels, and the nerve of the tooth. 

If enamel becomes too thin or there’s a breach exposing the dentin, the nerve is no longer protected. Tooth sensitivity is most commonly caused by any number of practices or conditions that erode or damage tooth enamel.

The many ways that tooth enamel can become damaged:

• Frequent consumption of acidic substances like citrus fruits, soda, wine, and coffee can erode enamel over time.

• Consuming acidic substances before bed can be particularly harmful, as saliva production decreases during sleep, leaving teeth more vulnerable to acid attack.

• Skipping routine tooth care including flossing!

• Brushing aggressively or using a hard toothbrush.

• Attempting to use professional dental tools at home.

• Health issues (like bulimia or acid reflux) that expose teeth to stomach acid.

• Untreated gum disease and gum recession.

• Damaged, cracked, or chipped teeth.

• Dental cavities (especially if left untreated).

• Using tobacco products, cannabis products, or vaping.

• Grinding or clenching your teeth.

• Overuse of some teeth whitening products.

What can you do about sensitive teeth?

The first and most important step to take after experiencing dental pain or discomfort is to see the orthodontist. We can rule out other possible underlying causes of your tooth pain and recommend treatments for any damage or decay detected during your appointment. With a formal diagnosis, you can feel confident that you’re moving in the right direction. Let’s break the whole process down:

Figure out the underlying cause

We won’t make any assumptions. During your examination, you will be asked to describe the sensitivity and how often it happens. You may require new X-rays and the orthodontist will closely examine your teeth and gums. Other diagnostic tests like the tap test or cold test may prove helpful in your diagnosis.

Treatment in the office

Teeth that are damaged or decayed can be treated with several restorative options from something as common as a filling to more complex procedures such as crowns. For worn-down enamel, you may be able to treat it at home but there are also in-office treatments that may be available. We’ll discuss all of your options with you and you get the final say.

Personalized Advice

As you’ve seen, there are a lot of different potential causes of tooth sensitivity. Upon the completion of a dental exam, your orthodontist will be able to narrow it down for you. We can give you tips and tricks tailored specifically to your needs that will continue to strengthen your enamel at home and prevent future tooth decay.

How to Eliminate Discomfort

Dental discomfort, whether it's tooth sensitivity, gum pain, or other issues, can significantly impact your quality of life. While there are many potential causes, a good dental routine and professional care can often alleviate these problems.

Home Remedies and Over-the-Counter Options

• Dental Hygiene: Regular brushing, flossing, and using mouthwash are essential for preventing dental problems.

• Desensitizing Toothpastes: Products like Sensodyne and Colgate's Sensitive Pro-Relief can help reduce sensitivity by blocking exposed nerve endings.  

• Cold Compress: For temporary relief from pain, applying a cold compress to the affected area can be helpful.  

Professional Dental Treatments

If home remedies and over-the-counter options don't provide sufficient relief, an orthodontist can diagnose the underlying cause and recommend appropriate treatment.  

• Bonding: This procedure involves applying a resin material to the tooth's surface to seal exposed dentin, reducing sensitivity.  

• Gum Grafting: For receding gums, an orthodontist can graft tissue from the roof of the mouth or elsewhere to cover the exposed roots, preventing further sensitivity and gum disease.  

• Root Canal Therapy: In cases of severe tooth decay or infection, a root canal may be necessary to remove the damaged pulp and prevent further pain.  

• Bite Adjustment: If misaligned teeth are causing discomfort, an orthodontist can adjust the bite to alleviate pressure and pain.  

Preventing Future Discomfort

• Regular Dental Check-ups: Schedule regular dental exams and cleanings to catch problems early.

• Avoid Acidic Foods and Drinks: Excessive consumption of acidic substances can erode tooth enamel, leading to sensitivity.  

• Limit Clenching and Grinding: These habits can put excessive stress on the teeth and jaws, causing pain and discomfort.  

• Use a Mouthguard: If you grind your teeth at night, a mouthguard can protect them from damage

Before the Braces

The pre-existence of tooth sensitivity can be an enormous concern for those contemplating braces. Braces put pressure on the teeth and gums — which may exacerbate any pain or existing sensitivity— but they have to shift the teeth and obtain a perfect smile effectively. Fortunately, this type of sensitivity is a short-lived result, occurring only as teeth and gums begin to accommodate the adjustment process.

While it is normal for braces to cause some minor tooth sensitivity, they should not result in extreme or ongoing discomfort. If your teeth feel particularly sensitive while wearing braces, it is likely to be caused by one of the reasons outlined above.

Invisalign is a great alternative for people who suffer from extreme tooth sensitivity. It is a removable system that uses a series of medical-grade plastic aligners to gradually shift the teeth over time. Because there is less opportunity for mouth irritation and the development of bacteria that can often occur through exposure to the metal wires, brackets, and bands of traditional braces, Invisalign patients can maintain much better tooth hygiene. This ultimately reduces the likelihood of tooth sensitivity caused by braces.

Imperfections like tooth overcrowding, crooked teeth, and overbites can lead to tooth sensitivity, too. Many patients notice significant improvement over time by correcting these issues with orthodontic treatments like Invisalign or traditional braces. For this reason, having braces might work out to be the best long-term solution for tooth sensitivity.

Your teeth will become stronger and less prone to sensitivity by fixing your orthodontic issues now, and give you one more reason to show off your beautiful new smile. If you have questions about how Invisalign works with sensitive teeth, other treatment options available that minimize the discomfort caused by orthodontic problems, or if you are a patient who has noticed extreme sensitivity— come in and discuss it with Dr. Yucha & Dr. Kaye. They can recommend alternative solutions during your treatment, no matter what the cause. At MKY Orthodontics we are always here to help!

FAQs 

Are there any home remedies for teeth sensitivity? 

While home remedies may provide temporary relief, it's important to consult a dentist for a proper diagnosis and treatment. However, some people find relief from using a saltwater rinse or applying a cold compress to the affected area.

Can teeth sensitivity be a sign of a more serious dental problem? 

In some cases, teeth sensitivity can be a symptom of a more serious dental problem, such as a cracked tooth, gum disease, or tooth decay. If your sensitivity is severe or accompanied by other symptoms, it's important to see a dentist for a thorough examination.

Can teeth sensitivity affect my diet? 

Yes, teeth sensitivity can affect your diet. If you experience pain when eating certain foods, you may need to modify your diet to avoid triggers. This could involve limiting acidic foods and drinks, as well as hot or cold foods.

Can teeth sensitivity be treated permanently? 

While there is no permanent cure for teeth sensitivity, professional treatments and lifestyle changes can often provide significant relief. In some cases, more invasive treatments, such as root canal therapy or a dental crown, may be necessary to address the underlying cause of the sensitivity.