
Dr. Michelle Jorgensen
November 5, 2024
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Finding the Best Toothpaste for Sensitive Teeth: Relief and Solutions

Tooth Sensitivity: Why Sensitivity Happens & How to Fix It
Have you ever felt a sharp, shooting pain in your teeth when eating ice cream or drinking something cold? Today, I’m going to share why tooth sensitivity happens, the underlying causes, and effective treatments.

Understanding Tooth Sensitivity
Tooth sensitivity, also known as dentin hypersensitivity, is a common dental issue that affects millions of people worldwide. It manifests as a sharp, temporary pain or discomfort in one or more teeth when exposed to certain stimuli.
These triggers can include hot or cold temperatures, sweet or acidic foods and drinks, or even routine activities like brushing and flossing. Sometimes it’s just the cold air that makes teeth sensitive. The pain occurs because the underlying layer of the teeth, called dentin, becomes exposed.
Dentin contains tiny tubules that lead directly to the tooth’s nerve center, making it highly sensitive to external stimuli. Understanding the causes and mechanisms of tooth sensitivity is crucial for effective prevention and treatment.
How Are Your Teeth Made?
Understanding the structure of a tooth can help us see why some people experience pain from cold foods or drinks. Each tooth has three main layers:
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Enamel: This is the outer, mineral-rich layer.
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Dentin: The middle layer filled with tiny tubes that reach toward the inner part of the tooth.
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Pulp: The innermost layer, where blood vessels and nerves reside.
In addition to enamel thinning, a cracked tooth can also expose the dentin, leading to increased sensitivity and pain.
These tiny tubes in the dentin act as highways, carrying nutrients from the pulp throughout the tooth. They also transmit sensations, like temperature, from the outside to the tooth’s center. Problems arise when this enamel layer thins, allowing sensations to travel through these tubes and reach the nerve.
Causes of Tooth Sensitivity
There are several factors that can wear down enamel, making it easier for cold or hot sensations to trigger pain. Here’s a breakdown of the main culprits:
Sensitive tooth pain can sometimes be temporary, but if it persists, it is crucial to consult a dentist to identify any underlying issues.
Acidic Foods and Drinks
If you regularly consume acidic foods, like citrus fruits, tomatoes, and sodas, you might be pulling minerals from your enamel. The acid essentially strips minerals from the tooth, allowing cold or hot sensations to pass through to the nerve.
Tooth Wear from Grinding or Clenching
When you grind or clench your teeth, you can wear down the enamel, exposing those tiny tubes and allowing sensations to reach the nerve more easily. This is especially common in those with sleep bruxism. Grinding and clenching your teeth is a sign of a greater issue that could be related to your airway. If you have cracked teeth, sensitive teeth, exposed tooth roots, and experience teeth grinding, check your airway! These symptoms could be a result of you not getting enough air when you are sleeping.
Gum Recession
When gums recede, the gum line is affected, exposing the roots of your teeth, which lack an enamel coating. This gives sensations direct access to the dentin, leading to heightened sensitivity.
While the suggestions in this blog post can help your sensitivity due to gum recession, please try to find the root cause. A lot of dentists will recommend you get a gum graft. This can be great, however, if you don’t find the root cause for your gum recession, your gums will continue to recede. Find the root cause of the recession then move on from there.

Tooth Decay
This can be a cause of sensitive teeth. If the decay has past the tooth enamel and is entering into the dentin or towards the nerve your teeth may act up and you might experience some sensitivity. Look down below for good treatment options if this is the case.
Diagnosing Sensitive Teeth
Diagnosing sensitive teeth requires a thorough examination by a dentist.
During your visit, the dentist will ask detailed questions about your symptoms, medical history, and oral hygiene habits. They will perform a visual examination of your teeth and gums to identify any signs of decay, gum disease, sensitive teeth, or other conditions that might be contributing to your sensitivity.
The dentist may use a dental explorer to gently probe your teeth and gums, checking for any signs of wear or damage.
In some cases, X-rays may be taken to rule out underlying conditions that could be causing the sensitivity. (I give all of my new patients a Cone Beam CT scan because they are very thorough. This way we can look at airway and bone density. If you’re interested in this, call around to see if you can find a dentist that will provide you with one, or click here to check out my biological dentist directory.
This comprehensive approach ensures that the root cause of your sensitive teeth is accurately identified and appropriately treated.
Treatments for Tooth Sensitivity
If your teeth are sensitive, there are effective ways to reduce the pain and protect your teeth. Here’s what I recommend based on the root cause of the sensitivity:
In severe cases of persistent sensitivity, a dentist might recommend a root canal to address underlying dental issues and manage pain. Please try to avoid this! There are extremely rare circumstances where I will recommend a root canal. Root canals typically lead to infection and cause other issues. As I always say, find the root cause of the sensitivity and then go from there.
Rebuilding Tooth Enamel and Minerals
Using hydroxyapatite products, like tooth powder or mouthwash, can help replenish lost minerals. These products mimic the minerals found naturally in enamel, making them highly effective at restoring tooth strength.
This is the best toothpaste for sensitive teeth…my personal favorite. It has hydroxyapatite in it that can prevent cavities and protect your teeth, but it also has a specific sensitive teeth ingredient that can help your sensitivity towards hot or cold.
Boosting Minerals from the Inside
It’s essential to boost your mineral intake through diet or supplements. I recommend the tooth and bone mineral formula and Vitamin D3 and K2, which help your body absorb and use minerals effectively. This internal support, combined with hydroxyapatite, strengthens enamel from the inside out.
Seeking Professional Help
If your sensitivity is intense, consult your dentist. They can check for cavities or other dental issues that might be worsening your sensitivity. At our clinic, we offer:
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Desensitizing Treatments with Ozone: Ozone helps clear out tube openings in the dentin and seals them, reducing sensitivity immediately.
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Protective Bonding Materials: These resins or bonding agents cover sensitive root surfaces, sealing the tubes to block sensations.
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Gum Grafting: If gum recession is causing sensitivity, grafting can cover exposed roots and protect dentin from temperature changes.
Additional Home Treatments for Sensitivity Relief with Desensitizing Toothpaste
Besides using hydroxyapatite, there are some natural methods that can help reduce sensitivity:
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Oil Pulling: Oil pulling may help remove bacteria from the mouth and seal areas where enamel is thin.
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Green Tea: With its high antioxidant levels, green tea can support oral health and protect teeth from sensitivity.
Preventing Tooth Sensitivity
By understanding the causes of tooth sensitivity, you can make choices that protect your teeth from further wear. Avoid acidic foods and drinks when possible, limit tooth grinding, and maintain good oral hygiene.
Building a Protective Routine
For added protection, using hydroxyapatite products and mineral-rich supplements can help restore and maintain strong, sensitivity-free teeth.
For anyone struggling with sensitivity, remember you don’t have to live with tooth pain. With a few key treatments and preventive measures, you can enjoy your favorite foods and drinks without worry.
Conclusion
Tooth sensitivity is a common and treatable condition that can arise from various factors, including tooth decay, gum disease, and worn-down tooth enamel. By understanding the causes and mechanisms of tooth sensitivity, you can take proactive steps to prevent it. Practicing good oral hygiene, avoiding acidic foods and drinks, and visiting your dentist regularly are essential preventive measures. By taking these proactive steps, you can enjoy a healthier, happier smile without the discomfort of sensitive teeth.