Posts for: December, 2013
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!”
Lots of people collect Beatles memorabilia, but one Canadian dentist took this hobby to new heights recently when he paid $31,200 for John Lennon's molar at auction. According to published reports, Lennon had given the extracted tooth to his housekeeper as a souvenir in the 1960s after coming home from the dentist's office. The molar was discolored and had a cavity, according to the dentist who purchased it after the housekeeper's family put it up for bids. “For the cavity to be this large he probably wasn't seeing a dentist that regularly,” the dentist said. His brushing and flossing routine may not have been that conscientious either!
For healthy teeth, it's important to have a good daily oral hygiene routine at home and regular professional cleanings here at the office. Our hygienist will scale your teeth to remove hard deposits (tartar), and polish them to remove stains for a wonderful, extra-clean feeling.
Dental hygienists are trained to do lots of other things to promote your oral health besides cleaning your teeth. They can check the skin in and around your mouth looking for any suspicious bumps, sores, etc., that may need further evaluation. They will also evaluate your periodontal health (“peri” – around; “odont” – tooth), checking for signs of gum inflammation and bleeding (gingivitis). And they monitor teeth for signs of decay, which is actually the world's most widespread disease.
Cavities, or dental caries as it is also known, are the most notable consequences of tooth decay. Left untreated, caries can lead to pain and tooth loss. John Lennon's dentist must have believed there was nothing more to be done for the badly decayed molar that later went on to fetch such a high price.
Unless you're a rock star, your teeth are worth a lot more in a healthy and functioning state — inside your mouth! So if it's been a while since your last appointment, please come in and see us. Remember: Good dental health is priceless.
If you would like more information on tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article, “Tooth Decay.” Dear Doctor also has more on the “Dental Hygiene Visit.”