Tooth roots contain sensitive nerve pulp and bony dentine, and they're covered by a substance called cementum. When tooth roots lose the protection of the gums, they're exposed to mouth contents like bacteria, plaque, acids, and also to extreme temperatures, causing tooth sensitivity. What's more, cementum isn't as hard as the tooth enamel that coats the teeth above the gumline, and so it can quickly decay or wear away with brushing. As a result, the teeth can become more sensitive and less stable.
Gum disease is a major cause of exposed tooth roots, but anything that breaks down the gums can have the same effect. Overzealous tooth brushing with a hard-bristled toothbrush also damages the gums and exposes tooth roots. Other possible causes of an exposed root include smoking and tobacco use, misaligned teeth, and tooth grinding. Finally, orthodontic work can sometimes expose tooth roots.
Tooth sensitivity is often the first noticeable symptom when you have exposed tooth roots. The Indian Dental Association suggests that tooth sensitivity is tooth discomfort in one or more teeth that is triggered by hot, cold, sweet or sour foods and drinks, or even by breathing cold air. The pain can be sharp, sudden and shoot deep into the nerve endings of the teeth. Other signs you might notice are your teeth looking longer or the appearance of the roots at the base of your teeth. Less obvious symptoms of an exposed tooth root are red, swollen or bleeding gums, which are signs of gum disease. In serious cases of gum disease, the gums recede and expose the roots of the teeth.
Managing the sensitivity can begin during your daily oral care routine. Brush with a sensitive toothpaste which contain a maximum strength FDA allowed anti-sensitivity active ingredient. Use a soft-bristled toothbrush and a circular brushing motion and avoid pressing too hard. Giving up tobacco to avoid its irritating effect on the gums also helps with sensitivity.
Additionally, speak to your dentist about the problem. They can apply desensitising agents or fluoride gels to the sensitive area, treat any gum disease, and, in severe cases of exposed tooth roots, recommend a dental surgeon to perform a gum graft to cover the exposed area. The Indian Dental Association notes that basic treatment are typically those treatments and procedures that are relatively straightforward in nature which includes composite fillings (white fillings), amalgam fillings and sedative fillings among others. A mouth guard may help prevent further damage from night-time tooth grinding.
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