Dentine hypersensitivity can be described as a sharp and sudden pain caused by cold food and beverages. It’s present in more than half the population and result from receding gums that expose the root surfaces of your teeth.

That being said, hypersensitivity can be triggered by forceful tooth brushing, teeth whitening products, gum disease, and erosion from acid reflux, bulimia, or highly acidic foods. Symptoms can range from moderate to severe, depending on the cause and how quickly it’s treated.

Tooth sensitivity begins when the dentin develops some exposure. This layer that surrounds the nerve of the tooth is usually covered by gum tissue, but when recession takes place, the dentin can get exposed and the pain begins. The dentin contains numerous pores that run from the surface of the tooth inward. This direct connection to the nerve and blood supply of the tooth can be affected by external stimuli, such as the triggers cited above.

The good news is there are several different ways to treat dentinal hypersensitivity at Blair Ridge Dental.

Treatment of dentin tooth sensitivity begins by making an appointment with Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying. We encourage you to begin treatment sooner rather than later in order to figure out the cause and to reduce the pain you’re experiencing. In most cases, quick treatment options will solve the problem, including the use of desensitizing toothpaste, switching to a soft-bristled toothbrush, starting a daily fluoride rinse treatment, or minimizing teeth grinding with the help of a custom mouthguard.

For more serious cases, we may recommend you get crowns put on problematic teeth, start a gel or varnish fluoride treatment, or even schedule a surgical gum graft or root canal, depending on the cause and severity of your pain.

If you’re concerned about any tooth sensitivity you’re experiencing, please give our Hiawatha, IA office a call and schedule an appointment. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying and our team want to help you identify the cause of your pain, and give you the best possible treatment plan. We look forward to seeing you to help alleviate discomfort and solve your tooth sensitivity.

We know that the foods we eat and drink can have a definite impact on our smiles. Staining is an unhappy side effect of many of our menu favorites. That’s why we sip red wine through a straw, rinse with water after a slice of blueberry pie, and cut back on the coffee and tea after a single cup (or two—we’re not perfect!). And sugar is the fuel for cavity-causing bacteria, so we try to substitute water for soda, or replace the hot fudge sundae with grilled fruit. And we always brush carefully after indulging.

So far, so good. But while we’re saving our brilliant smiles from stains and decay, let’s not forget one other source of diet-related damage—acids. Acidic foods and beverages can actually erode the surface of our enamel, leaving our teeth more vulnerable to sensitivity and discoloration.

What Is Dental Erosion?

Enamel is the strongest substance in our bodies—stronger than bone—but it is not indestructible. And acids are one of the major causes of enamel damage. (In fact, it’s the acids produced by bacteria that lead to cavities.) Luckily, our bodies are designed to protect our enamel. Saliva helps clean the teeth by washing away food particles and it neutralizes acidity as well. But a diet that’s too heavy in acidic foods can undo all this good work and upset the healthy pH balance in our mouths.

Why is this a problem? Because acidic environments actually cause the minerals in our enamel to break down, a process known as “demineralization.” This weakening of the enamel leaves teeth more sensitive to heat and cold. It can even lead to discolored teeth, as thinner enamel allows the brownish-yellow dentin underneath the enamel surface to become visible.

Are You Aware of Acids?

We can immediately guess at some of the most acidic foods. Citrus fruits and juices, tomatoes in their many culinary forms, anything pickled in vinegar, coffee, tea, wine—these foods are certainly acidic, but also a regular part of many a healthy diet. You don’t need to avoid these foods altogether, but it’s best to enjoy them as part of a meal or enjoy them sparingly. And balance out some of these high-acidity foods at mealtime with low-acidity choices like bananas, bread, and dairy products.

Other sources of damaging acids might surprise you. Studies have linked sodas, energy drinks, and sports drinks to higher levels of tooth erosion. The combination of citric acid, phosphoric acid and/or carbonation raises acidity levels in the mouth. And because we tend to sip them all day long, it’s like a continuing acid bath for our enamel. Water is always a healthy alternative for hydration, but if you do indulge in a soda or sports drink, rinse with water after drinking. And don’t swish—just swallow.

Won’t Brushing Help?

Yes, but watch your timing. Because the acids in foods weaken enamel, brushing right after a big glass of orange juice or a soda can actually be even more abrasive for tooth surfaces. We recommend waiting anywhere from 20-60 minutes to brush. This gives your saliva the chance to not only wash away acids, but to “remineralize” your teeth, bathing them in the phosphate and calcium ions that strengthen enamel.

If you notice any of the symptoms of dental erosion, including pain, sensitivity when you eat or drink something hot, cold or sweet, or yellow discoloration, talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying during your visit to our Hiawatha, IA office about what you can do to help protect and strengthen your teeth. Unfortunately, our bodies can’t produce new enamel. By avoiding foods that stain, by reducing sugars that lead to decay, and by limiting the acidic foods that erode our enamel, we give ourselves the best opportunity for a lifetime of beautiful, healthy smiles.

Sometimes people feel a tiny bit nervous when they sit in the dental chair. And sometimes it’s more than a tiny bit. If your anxiety over visiting the office leads you to skip regular checkups and cleanings, or, worse, if you would rather suffer tooth or gum pain than give us a call—give our Hiawatha, IA office a call! Sedation dentistry might be just the procedure you need to make dental anxiety a thing of the past.

Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying and our team are trained to administer sedation and to monitor your responses throughout. And we want you to have all the information you need to decide on any dental treatment, including sedation. We will tell you of any risks, and describe the procedure in detail. If you have any health conditions or take any medications that might interfere with sedation, we can discuss your options with you and your doctor to make sure you are a good candidate. We will explain any preparations you should take, and let you know if there is a window of recovery time needed in our office while the sedation wears off.

Don’t let yourself suffer dental pain because you suffer from dental anxiety! Please call us to discuss sedation. We are trained to administer the treatment you choose gently and safely. Above all, we want to help you keep your smile the heathiest it can be, and that only happens when you have regular dental care. Let us work with you to make that care as comfortable and stress-free as possible.

When we don’t keep up with our dental hygiene, plaque buildup can result in three kinds of cavities. Pit and fissure cavities are found on the tops of molars, where food particles get stuck in the irregular surfaces. Smooth surface cavities are located on the smooth sides of teeth.

Wait. Top, all around the sides—what’s left for plaque to attack?

Our roots. The roots of our teeth are generally protected by their concealed position in the jaw. Sitting securely in alveolar bone, held firmly in place by connective tissue, with gum tissue snugly surrounding them, roots are generally not cavity prone.

But these cozy conditions can change. Due to gum disease, abrasive habits, or simply the passage of time, gums can recede and expose root surfaces. And this exposure can lead to root cavities.

If you look at a complete tooth, it looks like enamel is covering the entire tooth surface. In fact, enamel, the strongest substance in the body, only covers the visible part of the tooth, called the crown. The roots are covered by a substance called cementum, which is softer than enamel. And if enamel can’t stop decay, cementum is even more vulnerable when it’s exposed to plaque, bacteria, and acidic foods.

How do we protect our roots from decay? Protecting our gums is the first line of defense.

• Gum Disease

Receding gums caused by periodontitis can be treated by Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying. Deep cleaning procedures such as scaling and root planing can remove accumulated plaque and tartar, and help gum tissue reattach to teeth. For serious recession, gum grafts can replace lost tissue.

Early treatment can prevent recession. If you notice any signs of early gum disease, including bleeding, swelling, tenderness, or persistent bad breath, it’s time for a visit to our Hiawatha, IA office.

• Gum Abrasion

It’s not just gum disease that can lead to gum recession. Some personal habits are hard on gums and teeth, and can leave roots exposed. If you bite your nails, grind your teeth, irritate your gums with oral piercings, you are at risk for gum recession. Talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying about preventing abrasive damage.

A surprising cause of receding gums? Over-vigorous brushing. Use a soft-bristled brush—and don’t use a heavy hand when brushing—to protect your delicate gum tissue.

• Aging

As we age, our gums recede. So it’s no wonder that older adults are especially at risk for root cavities. That’s why it’s very important to keep up with brushing (at least two minutes twice a day) and flossing (once a day, or more often if needed) to prevent the buildup of plaque and tartar.

And it’s more important than ever to schedule regular dental exams and cleanings. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying can help stop small problems from becoming major ones, and suggest brushing and flossing techniques, fluoride treatments, or other procedures to encourage gum and dental health.

If a cavity develops, no matter what kind, it should be treated as soon as possible. And time is especially important for a root cavity.

Because cementum is weaker than enamel, cavities can progress more quickly in roots. A cavity which has reached pulp tissue might require a root canal and a crown to restore tooth function. Serious decay could lead to extraction.

Don’t let root cavities undermine your dental health. If you notice any sign of gum disease or recession, it’s time for a visit to our Hiawatha, IA office. After all, even though they go unnoticed, strong roots are the foundation of a healthy, attractive, life-long smile.