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Sensitive Teeth? Dang, They Are A PAIN!

Sable DDS Tooth Sensitivity

Do you cringe at the thought of taking a bite of ice cream or a sip of hot coffee because it makes your teeth hurt? Does brushing or flossing your teeth cause pain? If so, you may have sensitive teeth. You may experience discomfort or pain when you eat or drink hot, cold, sweet, sour, or very acidic foods and beverages. You may also experience discomfort when breathing in cold air. Tooth sensitivity may come and go, or it may be continuous.

Tooth or dentin hypersensitivity is a harmless, but sometimes painful, condition that occurs in up to 60% of people.   While temporary tooth sensitivity may happen, if sensitivity lasts more than a week, you should call Sandy for an appointment, just so we can help determine the cause and ensure that it is nothing serious. There is no reason to suffer with tooth sensitivity when we can suggest treatments that can alleviate your discomfort.

So, What Exactly is Tooth Sensitivity?

Okay, just remember that YOU asked? A layer of enamel protects the part of your tooth above the gum line, known as the crown. (Yep, here we go with parts of the tooth – did you pay attention to our previous blog? It was riveting. So here’s the link just in case you can’t wait another second – https://wp.me/p84DRh-y) Underneath that gum line, there is a different protective layer called the cementum that protects the roots. And underneath both the enamel and the cementum, there is a less dense layer called dentin. When dentin loses its protective coating of enamel or cementum, hot, cold, acidic, or sticky foods can reach the nerves inside the tooth and cause pain.

Causes of Tooth Sensitivity

There are many possible causes of tooth sensitivity, and some are more serious than others. It is important to check in with us if you are experiencing any sensitivity so that we can help you find the source of the problem.  Causes include:

  • Tooth decay and cavities
  • Fractured teeth
  • Broken or worn fillings
  • Abscessed tooth – may have a nerve going “bad”
  • Brushing with abrasive toothpaste
  • Gum recession that exposes the tooth root surface, whether due to gum disease or naturally occurring with age
  • Grinding or clenching your teeth which opens the pores in the teeth
  • Tooth erosion from highly acidic beverages or foods, or due to bulimia or gastroesophageal reflux disease

So, How Do We Treat Tooth Sensitivity?

Depending on cause and severity of the sensitivity, in-home or in-office, we can recommend treatments that will alleviate your discomfort.  At-home treatments include:

  • Desensitizing toothpaste: A specially-formulated toothpaste that can help block the transmission of pain sensation from the tooth surface to the nerve, resulting in reduced sensitivity.
  • Desensitizing rinses: Usually developed with high levels of fluoride, desensitizing rinses can also help relieve pain.

In-office treatments include:

  • Fluoride gel or varnish: Your dentist can apply fluoride directly to your sensitive tooth to strengthen the enamel and decrease its sensitivity.
  • A crown, inlay, or bonding: These dental procedures can correct a flaw or decay in your tooth that may be causing pain.
  • Surgical gum graft: If you’ve lost gum tissue from the root, you can have  gum tissue taken from another area and attach it to the affected area, thus protecting the exposed roots and reducing pain.
  • Get your bite adjusted:  Some teeth may chew with more pressure or force causing trauma leading to teeth being more sensitive. We have patients who have had HUGE benefits from this treatment, for which Dr. Sable has trained for many years!

Okay, Your Teeth Don’t Hurt YET?  What Do You Do?

The first step to avoiding tooth sensitivity is to practice good oral hygiene. Gum recession, the leading cause of tooth sensitivity, can be stalled through proper brushing and flossing habits. However, while keeping your teeth clean is critical, harsh brushing or over-brushing can lead to increased sensitivity.  To avoid tooth sensitivity, practice the following habits:

  • Don’t brush your teeth with abrasive toothpastes.  Tartar control and “whitening” toothpastes can be very abrasive, opening up the pores in the teeth. If you are concerned with whitening, speak to Dr. Sable about better options than these toothpastes.  Don’t do more damage than good!
  • Avoid foods and drinks high in acid or sugar. The foods and drinks your dentist warned you about as a child still apply. Foods or drinks such as soda, sticky candy (OH NO…JUST IN TIME FOR HALLOWEEN!), or anything high in sugar content can weaken your enamel. Reach for snacks like fruits, vegetables, and low-fat dairy products to keep your teeth and enamel healthy. Not only are these snacks healthier in general, but they also keep your enamel strong by helping you produce saliva – a natural defense against acid and bacteria.
  • Avoid clenching or grinding your teeth. Grinding your teeth can wear away your tooth enamel. If you clench or grind your teeth (or think you do!) while you sleep, let us know.  It is worth having this conversation to prevent longer term damage! We may recommend a custom-fit mouth guard.  In severe cases, muscle relaxants may be prescribed.
  • Stop bleaching your teeth. This popular cosmetic procedure might make your teeth brighter and whiter, but it can be the source of temporary tooth sensitivity. Consider taking a break from bleaching your teeth to see if it improves your sensitivity.

Don’t Live with Pain! 

If you have tooth sensitivity, give us a call today. Pain does not need to become part of your life. There are ways to mitigate your sensitivity and get you back to enjoying the foods and drinks you love.

We want you to breath easy and enjoy life with a natural, beautiful smile!

 

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For Heart Healthy Month, Get To The Dentist????? YES!

Sable DDS Heart Healthy

Heart disease is the leading cause of death in the United States. The month of February is dedicated to raising awareness about heart disease and increasing knowledge about prevention.

We are dedicated to educating our patients about the mouth/body connection. An increasing number of researchers are finding that there’s a link between common health conditions—like heart disease—and oral health. It’s becoming clear that the body can affect the health of your mouth and vice versa.

So, how is heart disease related to your mouth?

Several studies exist to explain the link between periodontal (gum) disease and heart disease

  1.  Oral bacteria can affect the heart via the blood stream and then attaching to fatty plaques in the coronary arteries (heart blood vessels) and contributing to clot formation.
  2. Another possibility is that the inflammation caused by periodontal (gum) disease increases plaque buildup, which may contribute to swelling of the arteries.

More Heart Disease/Gum Disease Connections 

  • The number one cause of death is inflammation.
  • The number one cause of inflammation is gum disease.
  • Researchers have found that people with gum disease are almost twice as likely to suffer from coronary artery disease.
  • One study has shown that gum disease, cavities and missing teeth are as good at predicting heart disease as cholesterol levels.
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Have You Ever Had Pain in Your Tooth…But You Are Not Even Sure Which Tooth It Is?

Sable DDS sore teeth

Does that make you feel crazy?  Well…you aren’t! There are actually several reasons why it can be difficult to pinpoint the origin of tooth pain.

Let’s take a step back and consider some of the possible reasons. Tooth decay can cause bacteria to infect the interior of the tooth and then trigger pain from changes in temperature or pressure.  This pain is coming from the nerve, but those nerves aren’t tied to one specific tooth. Therefore, it can feel like the pain is coming from a group of teeth or even from the sinus area. (who knew??) This type of pain may decrease over time, even without treatment, but the problem is simply hiding in the wings… and can lead to a root canal and eventually to gum disease.

Going the other direction, gum disease can lead to root canal infection.  Common periodontal disease caused by plaque along the gum line can lead to inflammation and infection of the gums.  The gum can then begin to detach from the tooth surface and form a “pocket.” As this worsens, the infection can spread to the root of a tooth and then into the tissue inside the tooth.   The resulting pain may feel like gum and tooth pain.  Since some of these roots can be in the proximity of roots of other teeth, the infection and pain can spread to nearby teeth and gum area.

THEN to confuse matters even more, a broken tooth can cause tooth AND gum pain depending on the location of the fracture in the tooth.

So, clear as mud??  We tried to simplify this as much as possible, but we also recognize that not every dental case fits carefully into one bucket. That is why we are here to help figure it out.   If you are experiencing tooth or gum pain, give us a call; we can work together to figure out what exactly is happening and create a treatment plan to make you feel better.

So, there…all better?

(Source:  Dear Doctor Dentistry & Oral Health, Issue 20)