Hypersensitivity as the main cause of aching teeth
What could an unpleasant ache in your teeth mean? In fact, there are quite a few possible causes, and many of them are not related to the condition of the enamel. Often the cause of the problem is inflammation of the trigeminal nerve, and in this case the person experiences not just discomfort, but full-blown pain, which can radiate to the ears, temples, eyes and jaws. Treatment of such pathological phenomena is within the competence of a neurologist. The diagnosis is quite serious, so if such symptoms appear, it is better to see a specialist as soon as possible.
But most often, teeth cramp due to hypersensitivity of the enamel (hyperesthesia), in particular when it thins. In this case, it begins to react sharply to cold and hot temperatures of foods and drinks, cold wind, sweet and sour foods, and minor mechanical irritation, for example, during daily cleaning. The reaction of each organism is individual, and many identify pain during hyperesthesia as aching in the teeth.
Teeth sensitivity may be the cause of jaw aches
If unpleasant sensations are caused by thinning of the enamel, it matters how they are localized - in the area of 1 crown or spread over the entire row. In the first case, the cause may be injury or caries. If the pain is generalized, that is, it covers the entire row or even both the upper and lower jaws, the prerequisites may lie in more serious disturbances in the functioning of the internal organs and systems.
What is hyperesthesia?
Hyperesthesia is an extreme sensitivity to external stimuli, such as sudden temperature changes, chemical exposure or ordinary touch. Such irritating factors can lead to short-term but severe pain. At the first stage, the teeth react to the temperature of the food, but later pain also arises from simply touching the tongue or exposure to certain substances. There is short-term pain that goes away quickly. Sometimes it doesn’t go away until 10-30 seconds.
If the tooth structure is so damaged that the nerve endings are exposed, then the person will experience pain from simply touching the area with a tongue or finger. Tooth enamel is the most durable tissue in the human body. It allows you to protect dentin from any external irritants. If the enamel is damaged, then any external factors will cause severe discomfort. If the dentin seal is broken, even the lightest touch will cause severe pain.
Special studies have been conducted that have shown that every third person suffers from hyperesthesia in the modern world, regardless of their location, social status or lifestyle. However, statistics have shown that women are more likely to suffer from this disease than the male population.
Why the jaw and teeth often cramp – possible reasons
Usually they say that teeth are cramping when they want to describe discomfort when the enamel is suddenly exposed to temperature - if a food or drink is too cold or hot. Weakened enamel can give an acute reaction even if the temperature difference is not so significant, as well as to spicy, sour and sweet foods, that is, to chemical irritants.
But there are other possible causes, some of which are pathological disorders that require appropriate therapy. The most common causes of the symptom are listed below.
Thinning enamel
Enamel is a durable coating that protects the internal tissues and structures of the tooth from external aggressive factors. When it becomes thin and noticeably weakened, it leads to increased sensitivity. A person begins to experience attacks of acute pain from hot and cold, spicy, sweet and sour. Discomfort also occurs during hygienic cleaning or when biting into hard foods. There are quite a few reasons for this phenomenon, so to find out the etiology you will have to undergo examination by a specialist. Among the common prerequisites, dental experts identify the following phenomena and conditions:
- genetics,
- acute deficiency of vitamins and microelements,
- abnormalities of the jaw system, including malocclusion,
- Bruxism is an involuntary clenching of the jaws at night during sleep, which inevitably leads to pathological abrasion,
- Frequent whitening using aggressive agents, violation of the technique of performing the procedure are common causes of hyperesthesia of the anterior incisors.
Frequent teeth whitening can lead to sensitivity.
The above factors gradually lead to abrasion of the enamel. Over time, this can cause aching teeth and other unpleasant sensations.
Cracks on the enamel surface
Chips and cracks usually occur due to injuries and impacts, as well as constant excessive mechanical stress, for example, as a result of the habit of chewing the tip of a pencil or biting off a thread. Damage to enamel often occurs when brushing too vigorously with a hard-bristled brush. Temperature changes in food and drinks also negatively affect the condition of hard tissues and can lead to the formation of cracks.
Cracks in teeth can cause this symptom
On a note! If it cramps some time after tooth extraction, the cause often lies in accidental nerve damage, which can happen both during the procedure itself, if it was complex, and during the administration of anesthesia. If the symptom does not go away for a long time, it is better to consult a specialist for advice.
Bruxism, jaw surgery and even inaccurate yawning - all this can lead to frequent attacks in which the jaw also cramps. Here you will need the help of a neurologist. To correct chips and cracks, aesthetic restoration is carried out, and to strengthen the enamel, remineralization and fluoridation are carried out.
Pathologies of gum and periodontal tissues
Inflammatory diseases of the gums and periodontium, both acute and chronic, often lead to frequent attacks of aches, including in the jaw. This symptom is especially common in pathological conditions aggravated by purulent processes. The waste products of pathogenic microorganisms accumulate in the thickness of the mucous membrane, provoke inflammation, gradually destroy healthy tissues and at the same time create excessive pressure on them. In addition, with gum disease, the root region of the molars is often exposed, making the enamel especially susceptible to sudden temperature changes and chemical irritants.
Periodontitis causes pain and discomfort
Malfunctions of the digestive system
The condition of the gastrointestinal tract has a direct impact on the health of our teeth and enamel in particular. When digestion fails, hard tissues quickly weaken, become sensitive, and the acid-base balance in the oral cavity is disrupted, which leads to the formation of a favorable environment for the proliferation of bacteria and the development of caries.
Frequent stress
Neuroses, stressful conditions, severe overexcitation - all these factors can lead to rather chaotic symptoms, behind which it can be difficult to identify the true cause. A strong emotional outburst can even provoke inflammation of the facial nerve, and the pain also spreads to the jaw. In neurotic conditions, pain can wake a person right during sleep1. In such a situation, the help of a neurologist and psychotherapist is required.
Stress has a detrimental effect on health
Colds
The answer to the question of whether teeth may be coming together due to reasons not directly related to the state of the enamel is already obvious - there are quite a few potential prerequisites, and not all of them are related to the current state of the enamel. So, for example, sinusitis and laryngitis often negatively affect the tissues of the oral cavity, and with influenza and sore throat, the infection can even penetrate the dental nerves, provoking quite severe attacks.
Hormonal imbalances
Hyperesthesia is a common occurrence during pregnancy, especially in the first trimester. Serious changes occur in a woman’s body, particularly hormonally. At first, there is often a sharp decline in vitamins and microelements, which causes the enamel to weaken and become hypersensitive. A similar situation occurs in women during menopause. Preventive remineralization sessions, as prescribed by the dentist, will help protect the enamel until hormonal levels normalize.
Pathologies of the cardiovascular system – angina pectoris
Attacks of angina are sometimes accompanied by discomfort in the jaw and drying out of the mucous membrane. In such cases, teeth often come together, and the provoking factor can be simple fatigue, sitting in one position for too long, headaches, migraines, or increased nervous excitability. In such a situation, it is important to relax and unwind. If an attack causes serious discomfort, it is better to seek medical help.
Joint diseases - arthritis
Inflammation of the temporomandibular joint provokes quite severe pain, which can occur for no apparent reason. With age, the joints in our body wear out, and constant physical activity leads to their deformation and the development of pathological processes. Here you will need the help of a rheumatologist or orthopedist.
The cause of the pathology can also be joint disease
Carious processes
If the pain and aches are localized in a limited area, it may be due to caries. Usually, a whitish spot first appears on the surface of the enamel, which quickly darkens and gradually turns into a cavity. Pathological processes destroy hard tissues, causing them to lose their protective functions. All this leads to the appearance of discomfort and moderate aching pain at first, which only becomes stronger over time. In this case, the pathological focus can be localized in the root region and remain hidden under the gum - cervical caries. The dentist can detect the problem during a visual examination.
Tooth decay causes discomfort and pain
Why does a dead tooth react to cold?
Increased tooth sensitivity is the result of irritation of nerve endings. Accordingly, after removal of the nerve, the tooth should not react in any way to cold or hot. However, in practice the opposite occurs - a “dead” tooth aches, hurts and causes the patient a lot of discomfort. There may be several reasons for this:
- In fact, one of the neighboring, “living” teeth reacts to the cold, although it may seem that it is the pulpless one that hurts. In this case, you need to contact a specialist to figure out why this healthy tooth reacts to cold (damaged enamel, caries, pulpitis, etc.).
- The “dead” tooth was poorly healed. There are times when even an extremely experienced doctor, who has the most modern equipment at his disposal, cannot completely cope with pulpitis in one go due to the banal non-standard structure of the tooth canals. As a result, the nerve is not completely removed, and when you eat cold or hot food, the tooth begins to hurt. To eliminate the sensitivity of such a tooth, it is necessary to take an x-ray and consult a dentist for complete removal of the nerve.
- It also happens that the dental nerve is completely removed, but the canals are poorly sealed - in this case, an inflammatory process begins under the filling, which causes a reaction to cold.
You should also not miss the fact that the cause of a pulpless tooth’s reaction to cold or hot may be an infectious viral disease or hormonal imbalance.
What to do if your jaw and teeth are cramped - symptom treatment
If the reason is the density of the upper protective layer, therapy will be aimed at restoring it, and for this, the patient is usually prescribed a course of remineralization and fluoridation. The essence is to apply concentrated fluoride-containing pastes, solutions and varnishes with a high content of nutritional components to the enamel surface.
“After whitening, my enamel became very sensitive, to the point of pain. It was simply impossible to drink cold food. To be honest, I was very scared then. I went to another doctor who prescribed me a course of mineralization. He said that apparently the solution had been overexposed, in general, this should not have happened. After several sessions I felt better, of course, but I won’t risk whitening my teeth again.”
Nata87, from correspondence on the woman.ru forum
As part of the diagnosis, the patient must be sent for an X-ray examination. In some cases, a blood test is prescribed to detect infection. Based on the premises of the problem, the doctor chooses the appropriate direction of therapy:
- if the jaw is dislocated, a specialist will straighten the joint,
- pain on one side along with the appearance of swelling and heat may indicate poliomyelitis, tonsillitis or an abscess - here you need the help of a surgeon,
- in case of pathological phenomena of a dental nature, for example, with pulpitis or periodontitis, the canals are treated and filled. If a purulent formation occurs, it may require not only its removal, but also resection of the root apex, as well as antibiotic therapy. You will have to visit the dentist several times for a complete cure, but the discomfort should disappear after the first visit,
- if the pain is on one side and radiates into the eye, such a symptom may indicate inflammation of the temporal artery, in which case the patient will be referred to a surgeon,
- if the discomfort is localized in a limited area where there are signs of caries, appropriate treatment is carried out - removal of damaged tissue, antiseptic treatment, filling,
- Since the most common cause of the symptom is the thinning of the enamel and a decrease in its density, in almost all cases remineralization and fluoridation are prescribed - a course of strengthening hard tissues by applying preparations with a concentrated content of fluorine and calcium to them.
Only a specialist can determine the cause of the problem.
To choose the optimal treatment tactics, you need to correctly determine the cause of the aches and other associated symptoms. To do this you will have to undergo appropriate diagnostics. For the same reason, you should not try to get rid of the symptom on your own, with the help of traditional medicine and without first consulting a dentist.
Preventive actions
To reduce the risk of dental diseases, you should follow these rules:
- Brush your teeth twice a day.
- Visit the dentist twice a year.
- Preventative professional cleaning of units once a year.
- Avoiding foods that are too hot or cold.
- Carry out enamel whitening only in trusted dental centers.
- Treat your teeth in a timely manner.
- Be more attentive to your health and avoid complications such as otitis media.
- Get rid of bad habits.
- Choose a paste without abrasive particles.
- Additionally, use an antibacterial mouthwash, dental floss and irrigator.
What does traditional medicine offer?
When pain becomes a consequence of hyperesthesia, traditional medicine also comes to the rescue. But we must remember that the thoughtless use of such recipes is fraught with even more serious complications, and, moreover, without examination by a specialist, it is most often impossible to establish the cause and eliminate it. Therefore, the use of the above-described decoctions and infusions in practice is allowed only after their approval by the attending physician.
Decoctions of oak and sage bark
Oak bark helps quickly relieve pain and has disinfectant properties. A decoction from it is prepared in a water bath - there is no point in pouring boiling water over it and insisting, since the beneficial components can only be removed by slow heating. Before use, the product must be filtered and cooled. The resulting solution is used to rinse the mouth.
Gargling with a decoction of oak bark will help in treatment
Sage also has pronounced antiseptic properties. Just pour boiling water over a pinch of herb and let it brew. After this, the product should be filtered and used for rinsing. The decoction perfectly relieves discomfort and provides disinfection of oral tissues.
Products containing chamomile, baking soda and salt
Pharmaceutical chamomile is often recommended for inflammation of the gums. A pinch of dried flowers should be brewed in a glass of boiled water, left for a little while and then strained. Room temperature product is used for rinsing as needed.
Soda-saline solution is also widely popular as an effective remedy for relieving acute inflammatory processes in the oral cavity. It is used for diseases of the gums and periodontal tissues, to relieve symptoms of periostitis and other purulent-inflammatory processes. To prepare the solution, just mix a teaspoon of salt and soda in a glass of warm water. The finished product is used for rinsing the mouth.
Chamomile decoction helps relieve symptoms
Symptoms accompanying mobility
In fact, there is only one symptom - when you touch a tooth with your finger, tongue or any object, as well as during eating, its mobility is clearly felt. As a rule, horizontally, that is, a shift to the right-left or forward-backward. Other symptoms are mainly associated with the underlying disease and, as a rule, we are talking about inflammation of the gums, exposure of the roots, the formation of copious amounts of deposits under the soft mucous membranes, even rotting of the contents of periodontal pockets.
Prevention measures
If, due to genetics, you are not prone to problems with enamel, you can try to prevent other causes. Experts in this regard recommend maintaining hygiene, monitoring oral health, and regularly visiting the dentist for preventive care. It would also be a good idea to review your diet and diversify it with foods high in vitamin A: eggs, carrots, liver, dried fruits and fresh apricots.
Calcium and fluoride are important microelements for the health of hard tissues of the oral cavity. The first is found in high concentrations in hard cheeses, fish, dairy products, cabbage, and leafy greens. Fluoride is found in seafood, seaweed and nuts. But you will have to give up carbonated sweet drinks - they have an extremely negative effect on the condition and density of the enamel. It is also worth limiting the consumption of too acidic fruits and juices, sweets and simple carbohydrates.
To strengthen your teeth, you should eat foods rich in calcium and fluoride.
When teeth come together with a certain frequency, especially for no apparent reason, it is better not to ignore the symptom, but to immediately consult a dentist for advice. The phenomenon may be pathological in nature and indicate certain dental problems, diseases of the soft tissues of the oral cavity, or even disturbances in the functioning of internal organs and systems. The sooner you seek qualified help, the easier and faster it will be possible to stop the pathological process.
- Fadneva O.V. Clinical manifestations of increased sensitivity of hard dental tissues, 2001.
Reaction to cold after dental procedures
Often the cause of a sudden reaction of teeth to cold or hot is recent dental procedures:
- Whitening. In order to understand how this very popular procedure today affects tooth sensitivity, let us recall that whitening (especially done at home or in a suspicious clinic by an inexperienced doctor) can cause severe thinning of tooth enamel. Needless to say, abuse of the procedure invariably leads to damage to the enamel and, accordingly, causes hyperesthesia.
By the way, frequent use of highly abrasive whitening toothpastes can lead to teeth reacting to cold or hot temperatures. If you prefer to use whitening pastes, choose gentle and gentle preparations.If increased sensitivity is the result of excessive whitening, you should first stop using abrasive pastes and contact your dentist to undergo a fluoridation or remineralization procedure.
- Sealing . Most often, after conventional therapeutic treatment of deep caries or pulpitis, patients experience increased tooth sensitivity. The reason for this is the effect on the pulp and nerve endings, after which it is not recommended to drink cold or hot for a few more days. As a rule, there is no acute pain, so the patient can easily cope with the discomfort. If it suddenly turns out that after 2-3 days the sensitivity does not disappear, the discomfort gradually turns into pain, you need to urgently consult a doctor - perhaps an inflammatory process has begun, which needs to be eliminated as soon as possible.
- Prosthetics . During the installation of fixed or removable dentures, tooth enamel can also be damaged.
It is rarely possible to avoid hypersensitivity after dental procedures, so it is recommended to minimize the consumption of cold or hot drinks, ice cream, hot food, etc.
Do teeth hurt with coronavirus?
Dental problems do not disappear just because Covid-19 is rampant in the world. Toothache can affect either one unit or the entire jaw. The pain can radiate to the temple, ear, or eye socket, and provoke a migraine. At the same time, the catalyst for such feelings is not necessarily the coronavirus.
However, SARS-CoV-2 cannot be ruled out as the cause of toothache. The entry points for coronavirus are the mucous membranes of the mouth, nasopharynx, eyes, and respiratory tract. The virus attacks mucosal cells, disrupts microcirculation in blood and lymphatic vessels, and in the presence of inflammation immediately penetrates into the blood. This causes an active immune response in the body, which explains the high percentage of Covid complications in patients with periodontal diseases.
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How to treat tooth sensitivity?
If the patient does not have caries or other pathologies, then enamel hyperesthesia is treated with an in-office remineralization procedure. It goes like this:
- The doctor removes accumulated plaque and tartar using ultrasound or an Air Flow device.
- The surface of the teeth is thoroughly dried and coated with a remineralizing composition.
- After 20-30 minutes, the remaining gel is cleaned off, and to improve the effect, a special varnish based on sodium fluoride is applied to the enamel.
The office procedure may not be enough, and then the doctor prescribes an additional course, which includes:
- Applications with Remodent suspension 3-4 times a day for 15 minutes.
- Applying Fluocal gel after morning brushing.
- Rinse with compositions containing 10% calcium gluconate.
A number of drugs “take root” better with the help of physiotherapy. Electrophoresis has proven itself well, when the active substance is attached to the gum on an electrode and catalyzed by microcurrents. This method will give additional tone and improve blood circulation.