Dentist Questions Tooth Disorders

What is the reason behind tooth sensitivity?

I am suffering from severe tooth sensitivity in my last two teeth. What could be the reason for this sensitivity? Will I have to undergo a RCT?

24 Answers

Cavities.
There could be erosion, attrition or gum recession, need desensitization or laser treatment. If it's not going to work out, probably root canal treatment
Teeth sensitivity could be secondary to a deep decay or filling that may have affected the nerve inside the tooth. In this situation, you may need a root canal. However, there are other reasons why a tooth may be sensitive, like a decay or a faulty bite. The only way to assess the occlusion properly is the digital occlusal analysis with T-Scan. An examination will determine the reason or reasons why and allow the establishment of a proper treatment plan.
Too many possible reasons to list them all here. Best to receive a proper diagnosis from a dental professional. A few more common ones..a cavity in the tooth, a tooth that is being excessively ground on or clenched, gum recession at the root that can expose the root of the tooth which is much more porous than the crown of the tooth, etc. The solution to the problem depends on diagnosis the reason behind the sensitivity.
Need to see the dentist, take diagnostic X-rays, and establish a treatment plan.
Causes for tooth pain are many. You need to visit your dentist and have it diagnosed. They may require an X-ray to confirm the diagnosis. Generally, if the pain is described as constant throb, pain on pressure and keeps you up at night - a root canal may be needed. Thanks
The reason behind tooth sensitivity can be many:
1. Worn tooth enamel from using a hard toothbrush or brushing too aggressively.
2. Tooth erosion due to highly acidic foods and beverages.
3. Tooth erosion due to bulimia or gastroesophageal reflux disease (GERD).
4. Gum recession that leaves your root surface exposed.
I recommend you seek advice from one of the best dentists prior to undergoing an RCT (root canal therapy).
You could have a large cavity that is approaching the nerve in the tooth, thus requiring a root canal. You may have just temporarily traumatized the tooth (bit down on something hard, clinching your teeth at night), but actually not damaged the tooth, and this is reversible, meaning that your symptoms will resolve. I would recommend that you see a dentist.
Hope this helps.
Many different possibilities are behind tooth sensitivity. One may be neural pain that usually is continuous. Root canal therapy may be necessary. Occlusal trauma is also a possible cause of tooth sensitivity. Another reason could be that you have a loose or leaking old restoration. You need to see a dentist in order to determine the true source of your dental sensitivity.

Good luck!
Sensitivity can be caused by different things. Some as simple as the gums lowering to expose a more sensitive area of the tooth. It can also be a sign of a tooth with bigger issues. The only way to be sure is to have an x-ray to check the health of the tooth and check the tissue around the tooth. Sensodyne toothpaste can sometimes offer help.
No. Unless you have a severe pain that lasts more than five minutes you might not need a root canal therapy. Just a sensitive tooth could be reversed by removing the causes like decay or adding a fluoride or some composites.
It is not necessarily a root canal. There could be multiple reasons behind tooth sensitivity including but not limited to: Worn tooth enamel, Tooth erosion due to highly acidic foods and beverages, Tooth decay, worn leaky fillings and broken teeth, Gum recession, Grinding your teeth at night or it could be Post dental treatment sensitivity especially with procedures such as crowns, fillings and tooth bleaching. You need to see a dentist to find actual reason behind yours.
Sensitivity can come from any form of trauma. It could be something as simple as the teeth getting hit by their opposing counterparts too soon or too hard. This happens frequently with either misaligned teeth or new dental restorations that are not balanced correctly with the bite. If you feel like you are touching them sooner or harder when closing. they will need to be adjusted or aligned more properly.
Cavities can cause sensitivity as well. Depending on how deep the cavities are, the sensitivity can be reversible requiring only a filling or irreversible having reached the nerve chamber in the middle of the tooth which requires Root Canal Therapy to save the tooth. Irreversible infections usually will spontaneously hurt, take minutes to hours to calm down after being
irritated by heat, cold, sugar etc. They will get worse over time and can end up becoming a life-threatening hospital emergency if ignored and not taken care of properly at a dental office. Root sensitivity related to gum recession usually is caused by an imbalance in the bite as well.

-Dr. Bishop
Sensitivity is almost always caused by gum recession. The standard of care is to correct the recession, we offer the latest invasive treatment called the pinhole technique for this condition.
The teeth will need to be tested to diagnose if the nerve or pulp inside the sensitive teeth are simply swollen and reversible or swollen and irreversible or if the nerve has died. Some people feel the sensitivity more than others, so vitality testing and a dentist exam with xrays will give a better answer. If it is the simplest case of sensitivity, then use a fluoride mouthrinse every night and sensodyne toothpaste everyday and should start feeling better in a few days to a week. Also, a person may need some type of night guard if clenching/grinding your teeth during the day and/or night....
You have to get it checked to find out the reason. It could be many reasons.
You could have a fractured tooth/teeth, or need a bite adjustment in the area, or, if there is an irreversible problem with a particular tooth, a Root
Canal procedure may indeed be needed.
Or you could have a cavity in the area, or you could have root sensitivity that could’ve been treated with a desensitizer. Your dentist should check An X-ray and determine the best course of treatment.
The most common reason for sensitivity is poor home care. The plaque left on the teeth will result in etching of the teeth, inflamed gum and gingival recession, which will expose the root surface of the teeth, which is much more sensitive. Unless the poor homecare is resolved, decay will occur where the plaque is left. Soft drinks can increase sensitivity, as they are full of acid that also etches the teeth. If you combine poor homecare and bad habits, like sipping soft drinks, keeping sugary candy in the mouth, it compounds the problem resulting in increased sensitivity and decay. Simple fact: every time you put something sweet in your mouth, take a sip of soda, etc. you have fed the plaque, which will produce acid for 20 minutes. Take a sip every 20 minutes and you are constantly bathing your teeth is acid. NOT GOOD! Nursing on a sweet beverage over a long period of time is the worst way to enjoy a soft drink, but very common. You would be better to have a soft drink with a meal, drink it all, and brush you teeth after the meal to break the acid production cycle. Between meals drink water! Diet drinks are not an answer to this problem as they have more acid in them than do the sugary version, but the sugar adds to the decay process. If the sensitivity is recent and severe it is also possible that you have cracked a tooth. Go get it checked out to know for sure.

what the problem is. Great homecare is the daily investment in your teeth that will pay off for life. FLOSS First then brush!


Dr. Lieblong
Different factors may be causing tooth sensitivity.

1. It could be from hard brushing and recessions

2- Grinding will also cause recessions and abfractions ( which is a loss of enamel loss at the gum line}

3- Check for decays

different treatments will be recommended for each of the above.
This cannot be determined by me or anyone until you are clinically examined and methods of the way you brush and how you brush will show possibly abrasions along the junction of the enamel and the lining of the root along the gum line. This abrasion accumulates over years and actually from the bristles on your toothbrush being too stiff. A soft brush is recommended in a rolling motion, not a back and forth motion when you brush your teeth. If this is just abrasion, a sensitivity toothpaste can be prescribed which will give you immediate relief and avoid a root canal or costly gun procedures done by periodontists. It could also be some separation of attachment of the gum from the neck of the tooth from over-aggressive trauma when flossing and/or some calcium deposits along the gum line, all of which can be determined clinically with you in the chair very quickly.
Tooth sensitivity can due to dental caries or exposure of dentine. Best to have a dentist to check that out, as caries left untreated will result in nerve infection and the tooth will need RCT (root canal therapy) or extraction.
There are many reasons for tooth sensitivity. Depending on the history and type of sensitivity as well as what makes it worse or better will determine a correct diagnosis. Basically irritation of the tooth nerve is reason for the pain. If the nerve has irreversible damage it will need a root canal
http://kencaryldentistry.com/reasons-your-teeth-are-sensitive/
There are many reasons for sensitivity. What is making it hurt? Hot, cold, chewing? Have the gums receded in the area, exposing the root (which tends to be sensitive)? Are they top teeth that hurt? Could the roots be into your sinus so that any sinus congestion would put pressure on the roots and cause pain? Is there a space between your teeth that you're getting a lot of food stuck between them, causing pain in the area? Do you have cavities in one or both teeth? Does the pain you get go away soon after you stop doing whatever causes it, or does it linger for a long time after? Best bet - see a dentist. Good luck.