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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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