Tooth sensitivity can sneak up on you – one sip of iced coffee or a spoonful of hot soup, and suddenly you’re cringing in pain. But is tooth sensitivity something that warrants an emergency trip to the dentist, or can it wait until your next scheduled visit? The answer depends on the cause, severity, and persistence of your symptoms.
What Causes Tooth Sensitivity?
Tooth sensitivity occurs when the layer beneath the enamel called dentin becomes exposed. When this occurs, stimuli like heat, cold, sweetness, or acidity can reach the nerves inside your teeth, causing a quick, sharp pain. This can happen for a number of reasons, including:
- Worn enamel from aggressive brushing or acid erosion.
- Receding gums that expose the tooth roots.
- Tooth decay or cavities.
- Fractured or cracked teeth.
- Recent dental procedures, such as cleanings, whitening, or fillings.
- Grinding or clenching your teeth at night (bruxism).
When is Tooth Sensitivity an Emergency?
Most cases of sensitivity are not automatically considered dental emergencies. If your sensitivity is mild and happens occasionally – like when eating something cold – it’s probably not urgent. However, there are a few red flags that indicate you should seek emergency care, like:
- Sudden, severe pain that doesn’t go away.
- Sensitivity combined with swelling, fever, or a bad taste in your mouth.
- Pain when biting or chewing.
- Visible damage to the tooth.
- Bleeding or pus around the gums.
These symptoms could point to more serious issues like an abscess, advanced decay, or a broken tooth, all of which require prompt attention. In this case, contact your dentist for an appointment as soon as possible.
What Can I Do if It’s Not an Emergency?
If your sensitivity is manageable and doesn’t involve the aforementioned warning signs, there are steps you can take at home to decrease discomfort. Use a toothpaste for sensitive teeth and brush gently with a soft-bristled toothbrush. Avoid exposure to extreme temperatures in food and drink, and steer clear of acidic foods and beverages.
You may also want to consider a nightguard to wear if you suspect you grind your teeth at night. Having headaches and jaw pain upon waking up may indicate the need for one.
Keep track of when the sensitivity occurs and what seems to trigger it. This information can be helpful when you speak with your dentist.
Tooth sensitivity isn’t always a cause for panic, but it’s also not something to ignore. If your discomfort is persistent, grows severe, or comes with other symptoms, it may be a sign of something more serious, and it’s best to err on the side of caution. When in doubt, call your dentist. A short conversation could save you from a long-term problem.
About the Author
Dr. Quintarias Lester is a graduate of the Meharry Medical School of Dentistry in Nashville. After finishing his degree, Dr. Lester completed an Advanced Education in General Dentistry residency at the University of Tennessee. In the ensuing years, he completed hundreds of hours of continuing education in endodontics, clear aligner therapy, surgery, and dental implants. If you’re suffering an emergency because of tooth sensitivity, our team at Hilltop Dental will schedule a same-day appointment and provide first-aid guidance over the phone. Visit our website today to make your appointment or call our Maplewood office at (651) 488-2541.