Good morning, Doctor Smith.
I'm happy that I could get an appointment with you so quickly.
Many of my teeth have become very sensitive at the gumline.
This is a problem I see in many patients.
When the gum has receded from a tooth, the root surface becomes exposed.
The root isn't covered with tooth enamel.
Is that the cause of the pain?
Yes, that's why it might be sensitive to cold, heat, sweet foods or to the touch.
The degree of sensitivity will change from time to time.
Sometimes the pain will disappear and come back again at a later time.
If the tooth isn't kept clean by toothbrushing and dental flossing, the pain will be more severe.
However, sometimes toothbrushing is painful, Doctor.
Please brush your teeth very thoroughly in spite of the discomfort.
That will help to reduce the pain.
Try to brush without toothpaste for three days.
Try using a different brand of toothpaste.
Don't use chemical mouthwash.
Teeth may also be sensitive because of irritation to the tooth pulp from habits of clenching (clamping) or grinding.
If you find yourself grinding or clenching your teeth when you're awake, please stop doing it.
Incorrect brushing causes gum recession and abrasion (wearing away of the soft root surface at the gum line).
All of this can prevent gum recession, Doctor?
Yes, be careful to brush your teeth correctly to lessen the chances of causing gum recession.
Furthermore, don't use toothpastes or tooth powders that advertise greater "whitening" ability.
Sometimes they contain rough abrasives that cause increased abrasion of the teeth at the gum line.
Do you recommend endodontic treatment for this?
No, I don't recommend endodontic treatment for this condition.
I don't place fillings in these teeth unless the abrasion is very deep.
Both of these procedures sacrifice normal, healthy dental tissues.