Dental sensitivity

As the gums recede, tooth sensitivity to temperature changes appears.

Tooth sensitivity is an intense and acute dental pain that affects 1 in 7 of the population. It appears when the dentin (tissue inside the tooth) is exposed to the oral cavity. Dentin can be exposed for multiple reasons, but the most frequent are: periodontitis, which produces the loss of the gum surrounding the tooth exposing the root of the tooth, dental fracture, bruxism or dental clenching, caries and anatomical anomalies of the tooth surface. Dental dentin has hundreds of microtubules (dentin microtubules) that connect the nerve endings inside the tooth to the outside. When dentin is exposed, hot/cold, acidic or sweet drinks reach these nerve endings causing the intense and sharp pain of tooth sensitivity. The treatment of tooth sensitivity includes the following actions.
  1. Correct dietary habits by eliminating acidic, sweet or hot/cold drinks until tooth sensitivity is corrected.
  2. Teaching of tooth brushing techniques especially aimed at eliminating tooth sensitivity.
  3. Prescription of medications designed to reduce tooth sensitivity, such as toothpastes, gels or specialized mouthwashes.
  4. Application of professional products (fluorides, resins, etc….) on the root surface with the intention of sealing the microtubules that expose the nerve endings inside the tooth.
  1. Application of the laser on the tooth surface.
  2. Treatment of periodontitis, with the objective of stabilizing gum loss.
  3. Treatment of bruxism by means of an occlusal splint or the elimination of traumatic dental contacts.
  4. Treatment of caries or dental fracture.

Real clinical cases

Before and after treatment

The present case report is of a 45-year-old female patient undergoing periodontal maintenance. Part 36 had a bone defect and a periodontal pocket 10 mm deep. Conventional periodontal disinfection treatment did not solve this problem and occasionally the gingiva would fester. We proposed to treat it by microsurgery with the help of a biomaterial and we regenerated the lost bone around this molar.

Book your first visit

In your first visit we will make a rigorous examination of 1 hour, where we will do a dental and gum examination as well as conventional x-rays in order to offer you a complete diagnosis and service.

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