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Tooth Sensitivity Causes and Treatment Options

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Also called dentin hypersensitivity, tooth sensitivity impacts either the teeth or exposed surfaces of the roots. Such discomfort may be the result of the teeth’s protective enamel getting thinner or of gum recession. Aggressive oral hygiene or poor oral care can be problematic. When the dentin, or underlying surface, is exposed, the protection provided by enamel and gums is reduced. More than half of the population suffers from dentin hypersensitivity.

Symptoms of Sensitive Teeth

Certain triggers may cause discomfort or pain in people who have dentin hypersensitivity. This discomfort may occur at the roots and can be a sharp, sudden jolt. The most common triggers include cold foods, hot foods, hot beverages, cold beverages, cold air, acidic or sweet foods, acidic or sweet beverages, brushing or flossing, mouth rinses that are alcohol-based, and cold water, particularly during routine cleanings at the dentist. Symptoms may arrive or disappear over time with no noticeable reason; they may range from intense to mild.

Tooth Sensitivity Causes

Oral sensitivity has many potential causes. You may have worn down your tooth enamel with a hard toothbrush or by brushing too aggressively. Your teeth may have eroded because of the consumption of foods and beverages that are highly acidic. Erosion can also occur because of GERD, or gastroesophageal reflux disease, gastroparesis, or bulimia. These conditions cause acid to rise up from the esophagus and stomach, wearing down teeth.

According to the American Dental Association:

In healthy teeth, a layer of enamel protects the crowns of your teeth—the part above the gum line. Under the gum line a layer called cementum protects the tooth root. Underneath both the enamel and the cementum is dentin.
Dentin is less dense than enamel and cementum and contains microscopic tubules (small hollow tubes or canals). When dentin loses its protective covering of enamel or cementum these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede. The result can be hypersensitivity.

The gums may have receded and left the surface of the root exposed. This may due to periodontal disease. A habit at night of clenching or grinding your teeth may also be a culprit. A tooth may also be sensitive temporarily following such dental work as getting crowns or fillings or bleaching of the teeth. In this case, the condition should improve within several weeks or months. With persistent problems, a root canal may be necessary. Sometimes after a filling, the tooth that received the filling becomes sensitive when you bite down. A basic bite adjustment can fix this, or if the filling is too high, the dentist can lower it.

Decay, teeth that are broken or chipped, and fillings or crowns that are worn down can cause sensitivity. This will be localized in one certain tooth or area of the mouth, rather than in the majority of the mouth. Cracked teeth can be a problem as they can become bacteria-filled due to plaque, causing inflammation in the tooth’s pulp. In the most severe cases, abscess and infection can result.

Plaque buildup itself may be the root of the pain. Even long-term usage of acidic mouthwash can cause pain by exposing dentin and further damaging it. Gingivitis is sometimes at the heart of tooth pain because gum tissue that is sore and inflamed can expose the root of the tooth.

Diagnosing Tooth Pain

When you experience signs of dentin hypersensitivity, you should make an appointment at your dental local Brooklyn dental clinic. There, experts will examine your dental health and inspect for such potential problems as loose fillings, cavities, or recessed gums. Any of these can cause sensitivity. Your dentist may do this while in the process of your routine cleaning. In this procedure, they also clean your teeth, visually examining them. Dental instruments may be used to touch your teeth, checking for sensitivity, and X-rays may be called for to rule out cavities and other causes.

Treatment Options for Tooth Sensitivity

For mild sensitivity, over-the-counter treatments may be used. For hygiene, find a toothpaste that is labeled as specifically formulated for sensitive teeth. They will exclude irritating ingredients as well as potentially including ingredients to help desensitize and block discomfort from traveling to the tooth’s nerve. For a mouthwash, select one that is alcohol-free. It will be less irritating to a mouth prone to pain. Choose toothbrushes that are softer, and use them gently.

Sensitive teeth never truly disappear unless the initial reason for the pain is completely eliminated, but the symptoms can be reduced or even seem to vanish for some time. Each dentist favors a different treatment type following proper diagnosis. Some simple steps to take are avoiding foods that are highly acidic. When you use a desensitizing toothpaste, consider spreading a thin layer of it on exposed tooth roots just before you go to bed.

If dentin hypersensitivity is making eating difficult, speak to your dentist regarding a solution. Many kinds of toothpaste and mouthwashes are on the market over the counter, intended for painful roots. Prescription options are also available if these do not offer relief. Dentists should also be consulted for symptoms of root damage or cavities. Quick treatment of these conditions will prevent complications. Symptoms for these include spontaneous tooth pain with no obvious cause, sensitivity localized in a single tooth, sharper rather than milder pain, staining on teeth’s surfaces, and pain when chewing or biting down.

More serious causes may require dental procedures to stop the pain. The American Dental Association recommends the use of a fluoride gel, which strengthens tooth enamel, reducing the amount of sensations that are transmitted. The ADA also advises surgical gum grafts for situations where gum tissue has been lost at the root. This guards the root, reducing sensitivity. Finally, the ADA suggests root canals if the sensitivity is persistent and severe. In a root canal, the infected or inflamed inner pulp of the tooth is removed, the tooth’s inside is painstakingly cleaned as well as disinfected, then the tooth is filled and sealed.

If you grind your teeth, consider acquiring a mouthguard. You can also train yourself not to clench your jaw or grind at night. Be mindful of these activities during your waking hours. Reduce caffeine and stress before bed. If all else fails, the mouthguard will prevent any jaw-grinding from causing damage.

Treating Underlying Medical Causes After Tooth Sensitivity Diagnosis

Because some mouth pain has underlying medical conditions as its source, in such cases treatment must be sought for those conditions. GERD can receive treatment with the use of acid reducers, for example. A patient who vomits persistently because of bulimia should receive treatment with a supervising psychiatrist. A sinus infection may also result in pain in the teeth and jaw. The inflammation of your sinuses, which the infection fills with pressure, causes compression on dental nerve endings.

Home Remedies for Sensitive Teeth

A saltwater rinse can be used with dental pain as a home remedy. Salt is effective as an antiseptic and is capable of helping to reduce inflammation. To alleviate pain symptoms from sensitivity, use a saltwater rinse to gargle twice a day. This rinse should be made with 1/2 or 3/4 tsp of salt added to a glass of lukewarm water, the combination being well mixed together before you swish it in your mouth for up to half a minute. Then spit the solution out.

Hydrogen peroxide is another mild antiseptic as well as a disinfectant. While generally used for the sterilization of burns, cuts, and minor wounds to prevent infection, it can also be used as a mouth rinse for the healing of gums and prevention of inflammation. Using 3 percent solution of hydrogen peroxide, add two caps to equal parts of warm water. Swish this within your mouth for up to half a minute. Spit it out, then rinse with water to remove any remnant.

Turmeric is not only for cooking; it also has anti-inflammatory properties. It contains the compound curcumin which has this capacity. For oral health as well as relieving sensitivity pain, try massaging the ground turmeric into the gums and teeth. You can also make a paste from 1sp turmeric, 1/2 tsp mustard oil, and 1/2 tsp salt. Use this paste twice daily on gums and teeth.

With warm water, honey can be used as a mouth rinse. Honey can be used in wound management as it is antibacterial agent that reduces inflammation, swelling, and pain, speeding healing. Use a spoonful of honey added to warm water.

Green tea is also known for its health benefits. Make sure the tea you use is unsweetened and rinse your mouth with it twice a day. This reduces inflammation as well as offering prevention of infection.

When to See a Dentist About Your Tooth Sensitivity Issues and Pain

The first time you experience dentin sensitivity, you should consult your local Brooklyn Oceanview Dental Care dentist. Thereafter, there are certain warning signs that you should not ignore as treatment continues. A toothache that lingers for longer than 48 hours is one. Pain that is throbbing or sharp and aching and does not subside is another. Seek a dentist or other health professional if you have a thunderclap or migraine headache extending to your teeth. A fever that appears to coincide with a toothache should also not go ignored.

While there is a wide array of reasons why sudden pain may occur in a tooth or in a wider region of the mouth, most of them have a connection to the erosion of gums or enamel. Hypersensitivity that appears seemingly overnight should be brought to the attention of your dentist. Proper oral care is a must to avoid this and other complications.

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cosmetic dental veneers brooklyn ny

Thinking About Getting Veneers? Here is What You Should Know About This Popular Dental Procedure

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Do you want to achieve a perfect smile but have flaked teeth, big gaps in your teeth, or even stained teeth? Dental veneers are the best cosmetic dental solution to help you achieve that smile. They are thin covers of tooth-colored ceramic cement that adhere to the front of the teeth to give it a more traditional shape, size, color as well as length. Our Brooklyn dental clinic offers many types of cosmetic dental procedures, including veneers. Learn more about veneers below and contact our Brooklyn dental office for your free consultation.

Types of Veneers

Veneers are made up of either composite resin or porcelain material. Your dentist can help you choose one that suits you best since every type has its own benefits.

  • Porcelain veneers

    Porcelain is a temporary fix to improve the smile of patients. They are made up of resilient, high-grade ceramic that can be modified to match the shape of your surrounding teeth for a unified and natural look. The full procedure needs two appointments, one to prepare the tooth to take the impression that will aid in making the porcelain veneer. The next dental appointment, your dentist will grind or use other materials to prepare your teeth for the porcelain application. The dental porcelain is then placed to leave you with a dazzling smile.

  • Composite resin veneers

    Also known as bonded veneers, are economical and a less destructive way to improve your look. Composite veneer application needs least tooth preparation hence maintaining the natural tooth structure. Although composites can help you get that perfect smile, they are susceptible to chipping and staining than porcelain veneer. Like all your dental care, make sure to talk about all your anticipations and treatment choices with your dentist. According to the ADA, resin-based veneers should be your dentist’s first choice due to the fact less tooth structure removal is needed, if any at all.

  • Lumeneers

    Lumeneers are a very traditional cosmetic treatment that needs minimum tooth preparation. They are typically composed of porcelain that can be placed without drilling. They are the thinnest and the most durable dental, which can last to over 20 years. This cosmetic procedure is entirely pain-free.

  • Non-permanent veneers

    These types of dental are usually used before the application of porcelain veneers. Non-permanent veneer is made from an elastic type of resin material or plastic.

    The cost of your veneer is subject to various factors like the kind of veneer, the existing brand, the cost of living in your region and the proficiency of the dentist.

Benefits of Veneers

It is essential to know the pros and cons of dental veneers. Some pros of dental veneers include;

  • Whiten Your Smile

    Years of smoking cigarettes, drinking tea or coffee, and eating pigmented foods can stain your teeth. While you can bleach the stained enamel at home or schedule a consultation at your dentists’ office, it will become stained again. Dental veneers are a better and more permanent solution to whiten your smile. According to the National Institutes of Health, veneers are stain-resistant. Therefore, you won’t worry about discoloration or having them whitened by your dentist.

  • Can Replace Your Damaged Enamel

    Although the enamel is the most substantial part of the tooth, it can still get damaged. Routine teeth care like brushing, and the acids in our foods and drinks can wear down your enamel. Additionally, stomach acids can also damage your enamel. Keep in mind that lost enamel cannot be repaired. However, you can have it replaced. Veneers are a permanent solution if your teeth have suffered enamel erosion or abrasion.

  • Correct Some Cosmetic Problems

    You can repair your slightly gapped or crooked teeth with braces or other cosmetic procedures. However, veneers are also a perfect solution to these problems. Your cosmetic dentist will attach the veneers to the front part of your teeth to camouflage the minor orthodontic problem without changing the position of your teeth. This means that your teeth will remain crooked, but no one else apart from you and your cosmetic dentist will know.

  • Easy Application

    The dental veneer application process may sound complicated, but that is not the case. Depending on the nature of your teeth, this routine process can take just a few appointments. After your dentist has installed the veneers, they’ll be just like your natural teeth, no discomfort, wriggling, or altered speech.

Whiten Your Smile Today By Applying Dental Veneers

Confidence in your smile is enough reason for you to consider dental veneers. You don’t have to hide your smile anymore. Dental veneers will improve your smile and also boost your oral health. All dental procedures have their pros and cons; however, the pros outweigh the cons. If you’re ready to undergo this simple cosmetic procedure, or you have any questions, contact our friendly Brooklyn team today to schedule a consultation.

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TMJ (Temporomandibular Joint Disorder) Relief Options

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Temporomandibular Joint Syndrome

Temporomandibular joint disorder (TMJ) is also known as the TMJ joint. This connects the upper and lower jawlines. The joint is found at the base of the skull. This joint is different than the majority of joints in the body due to the unique structure. The composition of the joint is a protrusion of the mandible against a skull indentation and a structure of cartilage located between the articular discs or bones.

Ligaments from different areas of the neck and head hold the joint together. This guides the movements of the jaw while providing support. The lower jaw’s motion is assisted by the muscles connected to the ligaments. The joint opens the mouth in two different ways. The joint is similar to a hinge in the way the mouth is opened and closed.

The lower jaw moves upwards and downwards in a sliding motion. This is referred to as translation. Some of the most common actions include eating, singing and yawning.

Quick Tips: Are you feeling the effects of TMJ damage or believe your pain is related to TMJ? Contact our Brooklyn dental office today to schedule your appointment and meet with a dentist to see if it’s a TMJ related issue.

The Potential Causes of TMJ Damage

Temporomandibular joint disorder results when there is damage to the TMJ. When the joint is fractured, it can become sore and swell. This limits the movement of the lower jaw. Severe pain will radiate to the neck and head. Fracturing the articular disc or arthritis of the TMJ is rare. This condition is unable to be treated with just anti-inflammatory drugs. In some cases, sore muscles and ligaments can be relieved with ice.

The Signs and Symptoms of TMJ

There are numerous signs of temporomandibular joint disorder. It is difficult to be certain if the individual has this condition because the majority of the signs can also indicate other issues. A proper diagnosis can be made by a dentist through a complete dental and medical history. The appropriate x-rays must be taken and a clinical examination performed for a diagnosis. The most common signs include:

• Headaches, earaches and pressure in the back of the eyes
• Difficulty biting or chewing
• An out of place, locked or stuck jaw or tenderness in the muscle
• Severe aching in the ear, jaw or face
• Facial swelling
• A popping or clicking sound when the mouth is opened or closed
• A sudden change in the way the individuals lower and upper teeth fit together (a dental occlusion)

Diagnosing TMJ Symptoms and Causes

There are numerous different causes of temporomandibular joint disorder. The individual needs to visit either a medical or dental professional for an examination. This is when the jaw will be examined and potential causes discussed. In most instances an examination involves the following:

• Feeling and listening to the joint when the mouth is opened and closed
• Pressing on areas near the jaw to identify the cause of the discomfort or pain
• Observing the jaw’s range of motion

If an issue is suspected, the following may become necessary.

• An examination of the jaw and teeth through x-rays
• Revealing issues with the surrounding soft tissue or joint disc through an MRI
• Detailed images of all the bones required for the joint through a CT scan

According to the American Dental Association:

Diagnosis is an important step before treatment. Part of the dental examination includes checking the joints and muscles for tenderness, clicking, popping or difficulty moving. Depending on the diagnosis, the dentist may refer you to a physician or another dentist.

A temporomandibular joint disorder can sometimes be diagnosed with an arthroscopy. A small, thin tube called a cannula is inserted by a doctor into the joint space. An arthroscope or small camera can then be inserted so the area can be viewed. This can assist in the determination of a diagnosis.

TMJ Treatment

In some instances, the symptoms of a temporomandibular joint disorder will go away with no treatment necessary. If the cause is unknown and the symptoms continue, there are numerous treatment options. Sometimes, more than one is used simultaneously. Medications combined with a non-surgical treatment can offer relief from the pain of a TMJ disorder.

If over the counter medications such as anti-inflammatories and pain relievers do not provide relief, the dentist or physician may prescribe pain relievers for a short period of time including prescription strength ibuprofen. Tricyclic antidepressants including amitriptyline are sometimes prescribed for depression.

In low dosages, these medications are effective for pain relief, sleeplessness and bruxism control. Muscle relaxants can be used for a few weeks or just a few days for the pain resulting from muscle spasms due to TMJ.

In many cases, the NIDCR also recommends a “less is often best” approach in treating TMJ disorders

TMJ Therapies

The therapies not involving drugs used for TMJ disorders include:

Physical Therapy: Exercise is important for treating Temporomandibular joint disorder. In addition to exercise, strengthening and stretching the jaw muscles is important. The treatments may include ultrasound, ice, moist heat and exercise.

Occlusal Appliances: Appliances are used for TMJ such as mouth guards or oral splints. Individuals experiencing jaw pain often benefit from a firm or soft device placed over the teeth.

Counseling: Counseling and education enable the individual to understand the behaviors and factors triggering the pain so they can be avoided. This includes grinding or clenching the teeth and biting fingernails.

Surgical TMJ Procedures

When standard treatments are ineffective, the physician may recommend the following procedures.

Arthrocentesis: This procedure is minimally invasive. Small needles are inserted into the joint. This enables the irrigation of the fluid through the joint. Inflammatory byproducts and debris can then be removed.

TMJ Arthroscopy: In certain instances, arthroscopic surgery can treat different types of temporomandibular joint disorders as well as open-joint surgery. There are fewer risks and complications associated with TMJ arthroscopy than open-joint surgery. This procedure also as limitations.

Injections: Certain individuals will benefit from corticosteroid injections directly into the joint. Injections of (Botox) botulinum toxin type A directly into the muscles of the jaw may provide relief from the pain resulting from TMJ disorders.

Open-Joint Surgery: This is generally only an option if there is a structural issue diagnosed within the joint or if conservative treatments have been ineffective. The dentist or physician may recommend (arthrotomy) open-joint surgery to replace or repair the joint.

There are more risks with open-joint surgery than any of the other treatments. This procedure requires careful consideration. The individual should be aware of the pros and cons.

Modified Condylotomy: This is a way of indirectly addressing the TMJ. Surgery is performed on the mandible as opposed to the actual joint. This treatment is helpful for both locking and pain.

Contact our Brooklyn dental office today to schedule your appointment and meet with a dentist to see if it’s a TMJ related issue.

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Wisdom Teeth: What Your Should Know

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What are Wisdom Teeth and Why Do We Get Them?

Between the ages of seven and ten, four new teeth begin to form in the back of the mouths of children. One begins to develop behind each of the molars on both the top and the bottom.  They will not come through the gums and become known to the young person for several more years.  Between the ages of 17 and 25 is usually when some tenderness is felt behind the back molars as the new molars start to emerge through the gums.

No one knows for sure why people get them as they seem to have no purpose, and they don’t fit in the human mouth.  The only known idea is that these four molars were a kind of reserve from thousands of years ago when human jaws were bigger. This was before people had created eating and cutting utensils. In those days people gnawed and chewed their food from leaves, roots, and chunks of meat. All this chewing wore their teeth down, and these new ones would have replenished their chewing ability.

These new teeth are called wisdom teeth and are the last or third molars.

What are the Symptoms and Problems of Emerging Wisdom Teeth?

In most cases, there isn’t enough space in the mouth for them.  As they try to emerge, they may become impacted. This means they are blocked by the molars already there and are stuck under your gums or in the jaw.  A wisdom tooth becomes impacted when it remains completely in the jawbone, or when only a part of the tooth emerges from the jawbone, or after the tooth has pushed through the jawbone but not yet completely through the gums.

Food can get trapped in the gums around the emerging tooth, which possibly causes a dental infection.  The new tooth may grow out of alignment and begin to crowd and force the displacement of an existing back molar.  If a wisdom tooth does not emerge through the mouth tissues, sometimes a cyst forms around the wisdom tooth which can damage the bone, the surrounding teeth and expand the jawbone.

According to the American Dental Association, here’s when you should speak with your favorite Brooklyn dentist:

Every patient is unique, but in general, wisdom teeth may need to be removed when there is evidence of changes in the mouth such as:

  • Pain

  • Infection

  • Cysts

  • Tumors

  • Damage to neighboring teeth

  • Gum disease

  • Tooth decay (if it is not possible or desirable to restore the tooth)

What Are the Dental Treatments for Complications of Wisdom Teeth?

As they begin to emerge, your Oceanview Dental Care dentist needs to monitor them closely. The dentist watches for misalignment allowing trapped food particles and bacteria to grow. Your dentist will observe the spacing and determine if the new molars are growing straight or applying force to nearby molars. Is there enough space for you to floss? Is there any pain, swelling or jaw stiffness that requires treatment? The dentist will watch for any symptoms of complications requiring extraction. For instance, the growth of a cyst can cause damage to your permanent molars, including their roots, and even cause bone destruction.

Damage to neighboring permanent teeth, pain, decay, infection, cysts, gum disease or a tumor causes the necessity of dental surgery to remove the wisdom tooth.

Some local Brooklyn residents never see problems from these third molars.  In those rare cases, they can help that person’s chewing. About 85 percent of people do have problems that will require extraction of them.  It is best to get removal of a wisdom tooth when you are young because younger people have a lower risk of surgery complications and shorter healing periods.  Removal is easier before the roots have fully formed.

If you are the rare person who does not experience difficulty with wisdom teeth, remember your Oceanview Dental Care dentist needs to monitor them regularly as there is a risk of problems later, possibly even other health problems.

Think you may have issues with your wisdom teeth or molars? Maybe it’s time to speak with your favorite Brooklyn dentist: Oceanview Dental Care! Contact our team today to schedule your appointment at our convenient Brooklyn office.

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Oral Care for Pregnant Women

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Six Dental Care Tips for Pregnant Women

Oral health care during your pregnancy is vitally important because many women have changes that occur in the mouth during this time. While a woman is pregnant, her hormone levels can change, leading to problems with excess saliva or a dry mouth. Both of these issues can affect the tender gums of the mouth or the teeth that are located in the gums. In addition, some women have extreme nausea that changes the acids in the mouth, and other women will vomit frequently during pregnancy, causing damage to the dental enamel on the teeth.

Schedule a Dental Checkup while Planning a Pregnancy

If a woman is planning a pregnancy, then it is a good idea to visit your local Brooklyn dentist for a checkup beforehand. A dentist will examine a woman’s mouth along with collecting X-rays to find any problems that require a repair. It is better to have the dental cavities fixed and the teeth cleaned professionally before becoming pregnant. When a woman has a major oral health issue that includes having gingivitis or an infected tooth, a dentist can treat these conditions with surgery or medications without worrying about the pregnancy. Here are some of the best oral health tips recommended for pregnant women.

Key Points from the American Dental Association:

Preventive, diagnostic and restorative dental treatment is safe throughout pregnancy.

Local anesthetics with epinephrine (e.g., bupivacaine, lidocaine, mepivacaine) may be used during pregnancy.

Special considerations should be given to pregnant dental personnel whose job duties can involve direct exposure to nitrous oxide and radiation.

Tip 1: Using Toothpaste That Contains Fluoride

There are no safety concerns about the use of fluoridated toothpaste during pregnancy, and this substance can increase the strength of the enamel on your teeth to prevent decay. You should brush at least twice a day to remove food debris, but it is okay to brush more often than this.

Tip 2: Flossing At Least Once a Day

If a pregnant woman want to have fresh breath and healthy gums, then using floss at least once a day is essential. Drugstores have dental floss that is in small containers, but it is also possible to find flossing picks that are easy to take with you to work or to restaurants. Flossing can also prevent cavities and gum disease so that a woman won’t need to visit a dentist during her pregnancy.

Tip 3: Drinking a Lot of Water Each Day

A woman who is pregnant will need a lot of water to remain hydrated. In addition to needing additional water for proper blood circulation, some women become dehydrated from the vomiting that occurs from morning sickness. By drinking water throughout the day, you can avoid having a dry mouth that makes it easier for bacteria to thrive.

Tip 4: Using an Oral Irrigator

By using an oral irrigator, you can remove additional food debris and plaque from your mouth. An oral irrigator blasts a strong stream of water to eliminate the bacteria from your gums and your teeth.

Tip 5: Consuming a Nutritious Diet Each Day

During pregnancy, women should consume a nutritious diet that includes foods that will keep the soft oral tissues and teeth healthy. These foods include low-fat dairy products, whole grains, lean meats, fruits and vegetables. Some pregnant women prefer eating more than three meals a day to avoid having indigestion. These smaller meals are necessary to protect a woman’s oral health while also ensuring that an infant is receiving enough nutrients.

Tip 6: Professional Dental Health Care

Despite the best planning, it is possible that you will need to visit a dentist while you are pregnant. First, make sure to inform the dental office about your pregnancy so that they are prepared to offer the proper care. Today, there are fewer safety concerns about using dental treatments or special medications throughout a pregnancy.

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