SensibilityIt is a very common problem that occurs in the form of sharp sudden pain caused by teeth against cold-hot, sweet, sour foods, tooth brushing and even touching.
CAUSES OF SENSITIVITY IN THE TEETH:
1-Fractures and cracks in tooth enamel
sudden changes in temperature
Enamel tissue may crack due to sudden temperature changes. Eating ice cream after a hot cup of coffee requires the enamel to expand and contract very quickly, and tiny cracks occur during this time. Cracks cause the teeth to become sensitive and can turn into fractures.
teeth clenching-grinding
Teeth grinding is a parafunction that we see in almost all of the stressed individuals living in the big city. Everyone clenches their teeth with different strengths, and this may increase or decrease from time to time. The root parts of the teeth are embedded in the jawbone and are in a fixed state. The area where the parts seen in the mouth (crown) meet with the gingiva is exposed to a serious force during this squeezing-grinding. Since the teeth cannot move from the fixed root part, they shake with tiny movements from the crown part and this movement causes the enamel tissue in the area closest to the fixed root to break and break. It is quite easy to diagnose individuals who grind their teeth from the loss of tooth tissue and color difference in this region. The only way to stop this problem is to use transparent plastic mouthpieces (bite guard), which are specially prepared and prevent clenching.
2-Abrasions on the enamel surface
Hard scrubbing and use of rough-whitening pastes:
The ideal for brushing teeth is to apply a medium hard brush with a smooth paste without pressing too much. However, it is inevitable for people who believe that their teeth are not completely cleaned when brushing without pressing with previously acquired habits or who think that it is beneficial to brush their teeth with baking soda etc. Over time, this wear on tooth enamel becomes visible with the eye.
Right-handed people usually apply the brush very strongly and horizontally to their left upper jaws. Depending on this hard brushing, there is a possibility of sensitivity in the left upper jaw teeth from time to time.
Some whitening pastes cause scratches on the enamel of the teeth due to the excessive and large granules in them. When these pastes are used in the long term, they really make the teeth more spotless and whiter, but when the person stops using this paste due to the scratches on the enamel surfaces, the teeth become stained much faster than before. They cause sensitivity and bleeding in the teeth, especially in cold and brushing in the gums.
3- Gingival recessions as a result of gum disease
In gingival diseases, the decrease in the bone tissue that keeps the teeth inside causes the gums to recede together with the bone. Some of the root surfaces of the teeth are therefore exposed. Since these exposed root surfaces are not covered with enamel tissue, they are naturally sensitive surfaces. This sensitivity, which is the result of gum disease, tends to go away with time. Sensitivity is also higher during the active periods of the disease.
4-Excessive consumption of acidic foods
As we all know, drinks such as cola and soda contain a lot of acid. In addition, lemon, orange, grapefruit are also extremely acidic foods. People who consume large amounts of lemon or drink orange juice frequently are the ones who can most easily experience enamel abrasions and sensitivities. We can also add plums, cherries, tomatoes and spinach to the foods to watch out for. These foods melt the protective layer covering the surface of the tooth and make the tooth surface unprotected. If you apply a vigorous brushing to this unprotected surface before half an hour, you will start to wear your teeth and it will progress faster after that. These slight abrasions on the enamel tissue of the tooth will cause sensitivity.
5-Sensitivity after treatment
Sensitivity after filling or prosthesis applications
It is the sensitivity that occurs after filling or prosthesis applications and becomes active especially with cold. It should be removed in about three to four weeks. It occurs when the fluid in the dentin tubes in the structure of the tooth is displaced due to the tools and materials used during these applications and sends pain stimuli to the nerve in the center of the tooth.
Sensitivity after dental scaling
Those who have a lot of calculus and have long intervals of cleaning may experience sensitivity to sweet-sour and hot, especially cold, after the cleaning session. Tartars accumulate in the area of the tooth closest to the gingiva and slowly grow by pushing the gingiva downwards. When the calculus increases and pushes the gingiva downward, the root surface of the tooth, which is not covered with enamel, is exposed, but they do not show sensitivity because it is covered by the calculus like a scab. After scaling, these residues are cleaned and the root surface starts to react naturally to all kinds of stimuli in the mouth. After 1-2 weeks, the sensitivity decreases and disappears. Not having tartar cleaning due to the possibility of sensitivity takes a lot from the health of your gums. It causes your gums to recede irreversibly and as a result, your tendency to gum disease increases. Today, tooth loss due to gum disease is far ahead of tooth loss due to tooth decay.
TREATMENT
Pay attention to your oral hygiene. If the brush is medium hard or the sensitivity is very intense, use specially prepared “sensitive” toothbrushes for these situations.
Avoid using rough pastes-cleaners
Do not use whitening pastes if they increase your sensitivity, use special pastes prepared for sensitive teeth. These pastes are highly effective in long-term use.
Avoid very hot and very cold foods, and especially avoid consuming them one after the other.
Consult your doctor if you have a clenching problem, take the necessary precautions
Minimize acidic foods and avoid brushing your teeth for at least half an hour after consuming them.
Use fluorine mouthwashes.
