Understanding and Treating Sensitive Teeth at Dental Nook
What are sensitive teeth?
Sensitive Teeth Alert!
Common symptoms of sensitive teeth
Bring any of the following to your dentist’s attention:
- Unexplained toothache with no obvious cause
- Sharp or stabbing pain when consuming acidic, hot, cold, sweet foods, ice cream, or chocolate
- Discomfort during brushing or flossing
- Persistent unpleasant breath
- Pain when biting down or chewing, particularly through the affected teeth
Why are my teeth sensitive?
Dentinal Hypersensitivity
Here is where the sensitivity story really begins. Dentin is not a solid mass — it is filled with thousands of microscopic fluid-filled channels called tubules that run directly toward the nerve at the centre of the tooth. When enamel is intact, these tubules stay protected and the nerve stays quiet. When enamel wears away and dentin becomes exposed, those channels open up — and suddenly, temperature, pressure, and acid can travel straight through to the nerve. The result is that sharp, fleeting pain that defines tooth sensitivity.
The real question then is: what is stripping the enamel away in the first place?
What causes sensitive teeth?
Do you brush your teeth too harshly?
Brushing is essential, but technique matters just as much as frequency. Many people scrub their teeth with far more force than necessary, particularly along the gum line, and often with a medium or hard-bristled brush. This abrasive combination gradually grinds away the enamel surface and pushes the gum line upward — both of which expose the dentin underneath.
The fix is simpler than you might think: switch to a soft-bristled toothbrush, hold it at a 45-degree angle to the gum line, and use slow, gentle circular motions rather than vigorous back-and-forth strokes. You will clean just as effectively without the collateral damage.
You may be consuming too many acidic foods and drinks
Could teeth grinding be behind it?
Do you have gum recession?
The roots of your teeth are not covered by enamel — they are naturally shielded by the gum tissue that surrounds them. When gums pull back and recede, those root surfaces become exposed, and exposed roots are far more sensitive than enamel-covered crowns. The root area has no protective outer shell, making it highly reactive to temperature and touch.
Gum recession can happen gradually for a number of reasons — gum disease, overly aggressive brushing, ageing, or simply genetic predisposition. The problem is that it tends to be a slow, silent process until sensitivity or visible changes in the gum line make it noticeable. Receding gums are not something to manage at home; left unaddressed, they can lead to more serious structural and periodontal complications.
Could it be gum disease?
The health of your gum tissue is just as important to your overall oral health as the condition of your teeth themselves. Gum disease develops when plaque accumulates along and below the gum line, triggering a chronic inflammatory response that gradually destroys the soft tissue and bone supporting each tooth. Plaque that is not cleared through daily brushing and flossing hardens into tartar — a calcified deposit that only a professional clean can remove.
When gum disease takes hold, the symptoms can include:
- Tooth sensitivity
- Persistent bad breath
- Loose or shifting teeth
- Visibly receding gum tissue
- Bleeding or tender gums
- Tooth loss in advanced, untreated cases
It may be a cracked tooth, decay, or a failing filling
Could cosmetic dental treatment be the cause?
Are you using whitening toothpaste?
How to treat sensitive teeth
Treatment approaches your dentist may recommend include:
- Switching to a desensitising toothpaste formulated to block the dentinal tubules over time
- Changing to a genuinely soft-bristled toothbrush and refining brushing technique
- Easing up on pressure during brushing, particularly around sensitive areas
- Reducing consumption of acidic foods and drinks to limit ongoing enamel erosion
- Addressing bruxism with a custom night guard to stop grinding from causing further wear
- Applying a professional fluoride gel to reinforce and remineralise weakened enamel
- Using bonding material or a filling to cover exposed root surfaces
- In cases where sensitivity has reached the nerve and other treatments have not resolved it, root canal treatment may be the most appropriate next step
Are your teeth sensitive and you are not sure where to start? Contact the team at Dental Nook — our experienced dentists will identify what is causing your sensitivity and put a targeted treatment plan in place to get you back to eating and drinking comfortably.