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How to treat Sensitive Teeth

How to treat Sensitive Teeth, I am sharing detail to get rid of this problem. Dental hypersensitivity is broadly defined as a sharp sensation of pain or discomfort that occurs when a person eats or sips on to something hot, cold, sour or sweet. This sensation is triggered by change in osmotic pressure and fluid movement in very fine tubules present in dentin. Dentin is a yellowish layer present beneath the outermost, hard layer of enamel. Normally, dentin is not exposed to the oral environment. However, enamel might be decayed or worn off due to some reasons.

How to treat Sensitive Teeth

Causes of dental hypersensitivity (Sensitive Teeth)

  • Tooth decay caused by improper oral hygiene
  • Abrasion by tooth brush due to aggressive tooth brushing and use of hard tooth brush
  • Micro fractures in tooth structure due to tobacco and supari chewing habits
  • Excessive consumption of aerated colas and frizzy beverages
  • Night grinding/ stress grinding of teeth.
  • Frequent Gastric regurgitation
  • Gum disease involving recession of gums and exposure of cementum that covers the tooth root surface.
  • After tooth scaling and oral prophylactic procedures. However, this is temporary.
  • Biting onto something very hard accidently, leading to bruising in the periodontal region of the tooth.

Prevention and treatment of tooth sensitivity (Sensitive Teeth)

  • Chew your food slowly. Never eat in a hurry to avoid sudden accidental trauma to tooth.
  • Maintain proper oral hygiene by using a soft tooth brush to clean your teeth twice a day.
  • Use fluoridated tooth pastes.
  • Go for regular dental checkups.
  • Do not use excessive pressure while brushing. Use soft, firm circular strokes, away from the gums.
  • Use a mouthwash after meals to interrupt plaque build up and remove food debris.

There are mouthwashes and tooth pastes containing special substances like: potassium nitrate, sodium fluoride, stannous fluoride, silver nitrate, potassium oxalate, zinc chloride etc that help in dental hypersensitivity by different mechanisms of action. Some of these, help in desensitizing the nerve ending present in your dentinal tubules and blocking their pain carrying capacity. While others act by depositing in and blocking the dentinal tubules and protein precipitation.

Consult your dentist about use of a dental floss to clean the surfaces in between teeth.

If you have tooth decay, you need to go for restorations using filling materials that your dentist finds suitable as per the location of decay. Excessively decayed teeth with the infection reaching upto the tooth pulp and periodontal space might need root canal treatment followed by coverage with a dental crown.

If your problem arises out of grinding of teeth, you may be advised regarding use of night guards that prevent your upper teeth from contacting the lower ones at night and thus prevent wearing away of tooth structure due to grinding. Your dentist might place a layer of bonding agent on sensitive regions.

Fluoride application is another commonly carried out procedure to treat hypersensitivity. To improve your gum health, professional cleaning of teeth to remove sub gingival deposits and calculus might be necessary. In severe cases of gingival recession, you might need surgical flaps to cover the exposed surfaces of tooth root.

Rinse your mouth using luke warm water containing salt and potash alum/ fitkari. Ask your dentist regarding, Gum paints that are astringents and promote healing of gums. Consume lots of fresh fruits and vegetables. Limit the consumption of aerated beverages as they cause softening and erosion of your tooth material.

Consult your physician, if you suffer from frequent gastric reflux and vomiting as the acid from stomach also contributes towards erosion of enamel. Quit tobacco and supari nuts as they not only harm your teeth but also are detrimental to your overall health and are a major risk factor for oral cancers.

Hope, you found the article useful

About Dr. Apoorva Dhuper

Dr. Apoorva Dhuper
Dr Apoorva completed her graduation in Dentistry in 2012. Thereafter, she has practiced in Maulana Azad Institute of dental sciences and recently completef her Residency from Guru Tegh Bahadur hospital, Delhi. Currently, she is practicing at an elite Dental clinic in North Delhi and is looking forward to start her private dental practice, in near future.

One comment

  1. piyali toshniwal

    Very informative post ! Especially for me

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