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Sensitive Teeth

Sensitive teeth, also known as dentine hypersensitivity, are a very common dental concern. People with sensitive teeth often experience a short, sharp pain when eating or drinking something hot, cold, sweet, acidic, or even when breathing in cold air.

Tooth sensitivity can range from mild occasional discomfort to significant pain that interferes with daily life. Fortunately, sensitive teeth are often manageable once the underlying cause is identified.

Underneath the enamel of the tooth is a softer layer called dentine. Dentine contains microscopic tubules that connect to the nerve of the tooth. When dentine becomes exposed, certain triggers can stimulate the nerve and cause pain.

Common causes of tooth sensitivity include:

Enamel Wear

The enamel is the hard protective outer layer of the tooth. Over time, enamel can wear down due to:

    • Aggressive brushing
    • Acidic foods and drinks
    • Tooth grinding (bruxism)
    • Acid reflux
    • Tooth erosion

As enamel becomes thinner, the dentine underneath becomes more exposed.

Gum Recession

When gums recede, the roots of the teeth may become exposed. Unlike the crown of the tooth, roots are not covered by thick enamel and can be highly sensitive.

Gum recession may occur due to:

    • Gum disease
    • Brushing too hard
    • Smoking
    • Teeth grinding
    • Genetics

Teeth Grinding and Clenching (Bruxism)

Grinding or clenching teeth places excessive force on the teeth and can wear away enamel over time. This may lead to:

    • Tooth sensitivity
    • Cracked teeth
    • Jaw pain
    • Tooth wear

Tooth Decay or Cracks

Cavities, leaking fillings, or cracked teeth may expose the sensitive inner layers of the tooth and cause pain.

Recent Dental Treatment

Some patients experience temporary sensitivity after:

    • Teeth whitening
    • Dental fillings
    • Professional cleaning
    • Crown or restorative treatment

This sensitivity is often temporary and improves with time.

Desensitising Toothpaste

Special toothpastes for sensitive teeth can help block pain signals from reaching the nerve.

These products often contain ingredients such as:

    • Potassium nitrate
    • Stannous fluoride

Improvement may take several weeks of regular use.


Fluoride Treatment

Professional fluoride applications may help strengthen enamel and reduce sensitivity.

Your dentist may also recommend:

    • High-fluoride toothpaste
    • Fluoride mouth rinses
    • Remineralising products


Improving Brushing Technique

Brushing too aggressively can contribute to gum recession and enamel wear.

Helpful tips include:

  • Use a soft-bristled toothbrush
  • Brush gently rather than scrubbing
  • Hold the toothbrush at a 45-degree angle toward the gumline


Managing Teeth Grinding

If grinding or clenching is contributing to sensitivity, your dentist may recommend:

  • A custom night splint
  • Stress management strategies
  • Monitoring tooth wear

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