Posts for: November, 2014
An icy cold beverage on a hot day or a steaming cup of cocoa on a frigid day are some of the simple pleasures in life. So why do they sometimes seem to turn against you and send sharp, sudden pain shooting through your teeth?
When pain affects your teeth, it's because the nerves within the very center portion, the “pulp,” are reacting to a stimulus such as temperature, pressure changes, or acidic or sugary substances. In healthy teeth, the pulp is protected from stimuli. Above the gum line, a layer of enamel encases and protects the visible portion of tooth (crown). Below, the gums (gingiva) and a thin layer of “cementum” protect the root portion. Neither of these contains nerves. However, directly under the enamel and cementum, surrounding the interior pulp, is the “dentin.” This layer contains nerve fibers that can relay sensations to the nerves in the pulp, which respond as they are designed to — with an unpleasant feeling that tells you something's wrong.
That feeling can range from a momentary pang, to prolonged dull throbbing, to downright excruciating distress. The nature of the pain depends on the type and degree of stimulus. The only way to be certain of what's causing the pain is with a professional dental examination. However, your symptoms can hint at some possible sources.
Fleeting sensitivity triggered by hot and cold foods generally does not indicate a serious problem. It may be due to any of the following:
- a small area of decay in a tooth,
- a loose filling,
- an exposed root surface resulting from gum recession (often due to improper or excessive brushing), or
- temporary pulp tissue irritation from recent dental work.
To help alleviate root sensitivity, make sure the tooth is free of dental bacterial plaque by brushing gently no more than twice a day. Fluoride-containing toothpaste made for sensitive teeth might help. Fluoride and additives such as potassium nitrate or strontium chloride help relieve sensitivity. Try using the toothpaste like a balm, gently rubbing it into the tooth surface for about 10 minutes. If the sensitivity is related to recent dental work, it should resolve within a few days to a week or two, depending on the extent of the work you had done. A mild over-the-counter pain reliever may help in the meantime.
No matter what the reason, if the sensitivity persists or worsens, please come see us. Together we'll get to the root of the underlying problem and resolve it so you can get back to enjoying the foods and beverages you love, no matter what the temperature!
If you would like more information about tooth sensitivity and ways to prevent or treat it, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Sensitive Teeth” and “Tooth Pain? Don't Wait!”
Life lessons are learned in the most surprising places. This is no different for celebrities. Take, for example, Florence Henderson, an actress, singer, philanthropist, author and star of the hit television series, The Brady Bunch. As she told Dear Doctor magazine, her experience with having four impacted wisdom teeth removed — at the same time — “...only made me more aware of how important dental care is.” She continued, “This is why I have always gone every six months for a check up.”
Another important lesson we want to share is the fact that even if your impacted third molars (wisdom teeth) are not bothering you or causing any pain, you may still need to have them removed.
Why? Having a tooth submerged below the gum, pressing on the roots of other teeth is problematic; the tooth should be removed so that you can avoid major dental problems before they occur. For example, it is not uncommon for us to find an impacted third molar pressing against the roots of the adjacent second molar. Furthermore, because the enamel crown of this impacted tooth is trapped below the gum, we sometimes find an infection, gum disease or even cyst formation occurring.
Often, the best time to remove a wisdom tooth is when it is not causing any problems. This is because a painful wisdom tooth or pain in the area of the wisdom tooth may be a sign that significant damage has occurred or is occurring. It is also better to remove wisdom teeth when you are young, as young healthy people with no prior infections at the site provide the best opportunity for us to remove the tooth with no complications.
To learn more about impacted wisdom teeth, continue reading the Dear Doctor magazine article “Removing Wisdom Teeth.” Or if you suspect or already know that you have an impacted wisdom tooth, contact us today to schedule an appointment so that we can conduct a thorough examination that includes x-rays. During this private consultation, we will also address any questions you have as well as your treatment options. And if you want to read the entire article on Florence Henderson, continue reading “Florence Henderson.”