What Can I Do About Sensitive Teeth?

Let’s talk about something that affects many of you and might even have you wincing at the thought: sensitive teeth. You know the feeling—a sip of hot coffee or an ice-cold lemonade sends a sharp, unwelcome twinge straight to your nerves. Not exactly the highlight of your day, right? But don’t worry, there are solutions, and I’m here to guide you through them.

Why Are My Teeth Sensitive?

First, let’s understand why sensitivity happens. Your teeth are covered by enamel, which is like the superhero shield protecting the softer layer underneath, called dentin. When the enamel gets worn down or your gums recede, the dentin becomes exposed. Dentin has tiny tubules that lead straight to the nerve, and that’s why you feel pain when something hot, cold, or sweet touches your tooth.

Common causes include:

• Brushing too hard (yes, your teeth aren’t a kitchen floor!)
• Grinding your teeth—a.k.a. the silent stress reliever
• Gum recession from periodontal disease
• Acidic foods and drinks that erode enamel
• Whitening products that can be a little too intense

Solutions That Can Help

Here’s the good news: you don’t have to suffer through tooth sensitivity forever. There are plenty of steps we can take to ease your discomfort and protect your teeth. Let’s dive into the solutions:

1. Desensitizing Toothpaste
   This is often the first line of defense. Desensitizing toothpaste contains compounds that block the tubules in the dentin or numb the nerve over time. It’s not instant relief, but with regular use, you’ll start noticing a difference. Pro tip: don’t rinse immediately after brushing—let the toothpaste work its magic!
2. Fluoride Treatments
   In-office fluoride treatments can help strengthen your enamel and reduce sensitivity. We can also recommend fluoride rinses or gels for home use.
3. A Softer Touch
   If you’re using a toothbrush with bristles that feel like a wire brush, it’s time for an upgrade. Switch to a soft-bristled toothbrush and practice gentle, circular motions. Your gums and enamel will thank you.
4. Custom Night Guards
   If you grind or clench your teeth, you’re not only making them sensitive but also putting them at risk for cracks and fractures. A custom night guard can save your teeth (and possibly your sleep).
5. Sealants and Bonding
   For more stubborn cases, we can apply a dental sealant or bonding material to cover the exposed dentin. It’s a quick and effective way to shield your teeth.
6. Diet Tweaks
   Cut back on acidic foods and drinks like soda, citrus fruits, and pickles. If you indulge, rinse your mouth with water afterward to neutralize the acid. And no, swishing soda doesn’t count!

When to See Me About It

If sensitivity is persistent or worsening, it’s time to come in for a visit. Sometimes, sensitivity can signal a deeper issue, like a cavity, cracked tooth, or gum disease. Together, we’ll figure out what’s causing your discomfort and tailor a solution that works for you.

Remember, you don’t have to avoid your favorite foods and drinks forever. With the right care and guidance, sensitive teeth can be managed effectively. So, let’s get you back to enjoying that ice cream without a second thought—because life’s too short to skip dessert!

Fanny Shaulov Vainer, DMD