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What causes sensitive teeth can be a tricky answer. There are many different factors that go into what causes sensitive teeth. The different senses involved are temperature, sweets, touch, and pressure. When pain and discomfort is what causes sensitive teeth it is usually a sign of a dental factor happening. This can include tooth decay, trauma to teeth, or even overall wear. below we will answer what causes sensitive teeth in more detail.

What Causes Sensitive Teeth?

There are two very different types of what causes sensitive teeth:

-Sensitivity Of The Dentin. This type of teeth sensitivity occurs when the dentin layer of a tooth is exposed. Dentin is supposed to be covered by enamel above the gum line and by cementum (bone like connective tissue covering the root of a tooth) below the gum line. The dentin is made up of tiny openings called tubules. Inside each tubule there is a nerve branch Marielaina Perrone DDS what causes sensitive teeth las vegasthat comes from the tooth’s pulp (the nerve center of the tooth). When the dentin is exposed, these nerve branches can be affected by hot, cold, or certain foods. This causes tooth sensitivity. Dentin exposure is a major factor in what causes sensitive teeth.

When the outer protective layers of enamel or cementum wear away the dentinal tubules becomes exposed to external factors. This dental sensitivity can affect one tooth or multiple teeth. Dentin exposure can be be what causes sensitive teeth in multiple ways. These can include:

– Overly Aggressive tooth brushing. The enamel layer can be worn away from brushing too hard or even using a toothbrush that is too hard over a long period of time.

– Dental plaque build up. The presence of plaque along root surfaces can cause tooth sensitivity.

-Tooth Wear. This type of wear occurs over time from teeth clenching and teeth grinding (bruxism).

-Untreated Tooth Decay.

Recession of Gum Tissues. When the gums recede they expose the tooth’s uncovedred roots. Receding gums are often caused by periodontal disease or by overly aggressive brushing. Receded gums are very common and approximately 80% of all people have some form of gum recession by the time the age of 65. Gum recession is a major factor in what causes sensitive teeth in many people.

-Periodontal surgery (gum surgery) that exposes the tooth’s roots.

Teeth Whitening.

-Frequently eating acidic foods or liquids.

-Pulpal sensitivity. This is a reaction of the tooth’s pulp. The pulp consists of blood vessels and nerves in the center of each tooth. Sensitivity of the pulpal tissue tends to affect only one tooth. Causes of this type of sensitivity can include:

-Tooth Decay or dental infection.

-Placement of a recent dental restoration.

-Excessive pressure from teeth grinding or clenching your teeth.

-A cracked or broken tooth. If you feel a sharp pain upon biting, you may have a broken or cracked filling. Pain when you release your bite is a sign of a cracked tooth.

Your dentist will be able to diagnose what causes the sensitive teeth for you.

Dental Treatment For What Causes Sensitive Teeth

Once what causes sensitive teeth for you is determined treatment can begin. If it is due to a dental infection or trauma the course of action will be direct dental treatment in form of a root canal or dental crown or treatment of gum recession. If what causes sensitive teeth for you is not as easy to detect your dentist will recommend products to protect your teeth and seal the dentinal tubules and reduce or take away tooth sensitivity.

Desensitizing Dental Products

When the causes of sensitive teeth are not so obvious, there are still many dental treatments to help contain what causes sensitive teeth for you. These can include:

-Fluoride Gel. This will help to strengthen the tooth’s enamel and reduce discomfort and pain from tooth sensitivity.

-Sensitive Teeth Toothpastes. These are recommended as well to help seal up exposed dentinal tubules. These have been known to produce excellent results in as little as 2-3 weeks. Excellent brands include sensodyne, colgate, crest, and Tom’s of Maine.

What Causes Sensitive Teeth Conclusion

Coping with and figuring out what causes sensitive teeth can be quite frustrating for patients. Many times the causes of sensitive teeth is easily diagnosed and treated and other times it need smore investigation and time to pinpoint the reason for the tooth sensitivity. As soon as you experience any dental sensitivity that causes pain and discomfort contact your dentist. This will give them a chance to diagnose quickly what causes sensitive teeth for you. The sooner the sensitivity is addressed by your dentist the happier you will be in the long run.

 




Root canal and pain go hand in hand in many people’s minds. Generally our fears and anxiety stem from others telling us their experiences and not from our own. A root canal (also referred to as RCT or root canal therapy) is a dental procedure where the damaged nerve (also called the pulp) of a tooth is removed. Following removal of the nerve, the canals of the tooth are cleaned and sterilized. Following this cleaning process the canals are filled and sealed permanently to avoid future dental infection. If treatment is not undertaken, the dental infection will affect the tooth along with surrounding oral structures (like gums and bone tissues) and a dental abscess can form in the area as the infection looks to escape.

The reason for the removal of the tooth’s nerve is because these nerves (along with associated blood vessels) is responsible with providing hydration and nutrients to our teeth. They also give us the ability to sense hot and cold.

Surveys year after year find that root canal therapy is considered the most feared of all dental procedures. These surveys also found people’s views on root canal therapy is based on what others have told them and not their own individual experiences. This leads to people believing mostly inaccurate stories about root canals. It is the fear of the unknown as I like to call it.

Is Root Canal Painful Or Can It Be Painless?

A root canal is necessary when the nerve of a tooth develops inflammation or becomes infected. This inflammation or dental infection can develop in a number of different ways:

Tooth decay that pushes into the area of the nerve or pulp chamber.

Fracture or chip in the tooth that gives bacteria a pathway to spread into the tooth’s nerve canal.

Trauma. Traumatic injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to a dental abscess.

A tooth causing pain of this type is irreversible. To save the tooth a root canal must be performed.

Signs and symptoms that a root canal is probably necessary can include pain, extended sensitivity to temperature (either hot or cold or both), tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes, bone and surrounding gingival tissues. In some cases, no outward dental symptoms are present at all

A root canal usually requires one or more visits to the dentist and can be performed by either a general dentist or a specialist called an endodontist. An endodontist is a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the human dental pulp or the nerve of the tooth. Your dentist will generally make the call on who should perform the root canal. You will be referred to endodontist if any of the following are needed:

-Degree Of Difficulty. Some teeth have anatomy that is slightly abnormal which makes the canals of the tooth harder to access.

-Re treatment of a previous root canal.

-Patient’s preference.

You and your dentist will discuss who is best suited to complete this root canal for you and make the best, informed decision for your dental treatment.

Root Canal Procedure

Is Root Canal Painful marielaina Perrone DDS Las vegasTake an X-ray if one has not already been taken. This will give your dentist a chance to evaluate the anatomy and shape of the tooth’s canals. It can also show the presence of a dental infection.

Anesthetic. Your dentist will use a local anesthetic to numb the surrounding areas to give you pain relief and also allow the procedure to be completed pain free. Some patients do not require any anesthetic but it will make it more comfortable.

Cleaning Of Tooth Canals. Tiny instruments are used to slowly clean out and debride bacteria, decayed nerve tissues, and bacteria from inside the tooth’s canals. Sterile water, peroxide, or sodium hypochlorite are used periodically to flush away the debris and kill any bacteria present.

Filling of Canals. Each canal is filled to the end of the tooth with a rubbery compound called gutta percha and permanently sealed. The process essentially is like a cork to prevent bacteria and fluid from re-entering the tooth, and keep it sterile. Many dentists prefer to wait a week or so before sealing the tooth. This will give the inflammation that has developed a chance to decrease back to normal levels. Others prefer to seal the tooth the same day it is cleaned out. If the root canal is not completed on the same day, a temporary filling is placed to keep out contaminants like saliva and food until the next appointment.

Following treatment, your tooth may feel sensitive for a few days to a week. This is especially true if there was pain or dental infection before the procedure. This discomfort can be relieved with over the counter or prescription pain medications or an antibiotic may be necessary if an infection was present. Follow directions given to you very carefully and feel free to ask your dentist questions if an issue comes up.

Your tooth may continue to feel slightly different from your other teeth for some time after your root canal treatment is completed. However, if you have severe pain or pressure or pain that lasts more than a few days, call your dentist immediately.

Restoration of Tooth. Generally but not always a tooth that needs a root canal often is one that already has a large dental restoration or extensive tooth decay. Even when tooth decay was not a factor, the tooth treated with a root canal is weaker than a “live” tooth. Therefore, a crown, crown and post, or other extensive dental restoration often needs to be placed on the tooth to protect it, prevent it from breaking, and restore it back to full function again. After a completed dental restoration, you will not be able to notice any difference in its function or form or feel. You and your dentist will discuss this need further and make an informed decision together the best course of action for your dental care.

Is A Root Canal Painful Conclusion

A dental root canal is extremely successful with a more than a 95% rate of success. Many teeth with a completed root canal can last a lifetime with no issues.

Most root canals are completed to relieve the pain of toothaches caused by pulpal inflammation or dental infection. With modern advancements in techniques, dental materials, and anesthetics, most patients state that they do not feel any pain once the procedure is underway. Root canal procedures have an undue reputation of being painful. Usually most patients report that the procedure itself is no more painful than having a routine dental restoration placed. The misconception has developed because the majority of the pain stems from the dental infection and pulpal inflammation that has developed. This can be tricky to get good anesthesia but a good dentist will be able to make you comfortable during the procedure.

As noted above, the pain from root canals in modern dentistry is mainly from the dental infection that presents to the dentist and the actual procedure should be pain and worry free. The best defense against developing a toothache and the need for a root canal is to see your dentist regularly, maintain proper oral hygiene, and call your dentist at the earliest signs if you have any pains or discomfort.




Dentist Vs Orthodontist – Which To Choose?

There are many misconceptions between dental specialties as the lines become blurred. Many services that were only done by specialists are now routine in a family dental office. These procedure include dental implants, root canal therapy, and orthodontics. A family dentist vs orthodontist begin with same basic training in dental school and then the paths diverge following graduation from dental school. Read below for further clarification on dentist vs orthodontist.

Dentist Vs Orthodontist Education And Training

Following 4 years of dental school, a dentist has multiple paths to go forward into their future career. They can enter private practice or they can complete a dental residency for advanced training or they can go on to further schooling to specialize in a particular specialty branch of dentistry. These specialties can include oral surgery, periodontics, or orthodontics.

Those who choose to specialize will apply to graduate programs in the field of their choice. Between 6 and 8% of all dental school graduates go on to become orthodontists. Orthodontic training continues from the basics learned in dental school and narrows the focus to a branch of dentistry dealing with irregularities of the teeth (such as malocclusion) and their correction (as by braces). That definition comes directly from Merriam Webster. Both are extremely important to ensure your mouth functions properly when eating and chewing. If your teeth are crooked or your jaws are misaligned this can cause digestive problems  and dental hygiene issues, such as gingivitis (gum disease). It can also make it difficult to clean your teeth properly.The extended training takes between 2-3 years and adds about 5,000 hours of orthodontic training. Orthodontists have many techniques and dental materials at their disposal Marielaina Perrone DDS Dentist Vs Orthodontist Las Vegas NVto help them move the teeth and jaws into proper alignment, including traditional braces, lingual braces (attached on inside of teeth) and clear aligners (like Invisalign), among other orthodontic appliances. Because every patient has their own unique alignment issues, orthodontists use X-rays and pictures of the teeth to create personalized treatment plans. These plans can be simple to very extensive depending on the issues with your smile.

Family dentists treat patients’ overall oral and dental health. Through routine checkups, dentists can detect and treat cavities, periodontal disease, and oral hygiene problems, and they can also extract teeth as necessary. Dentists also can improve the function and cosmetic appearance of teeth with the following services: tooth bonding, porcelain or composite veneers or dental crowns to teeth that are broken, chipped, misshapen or have been affected severely by tooth decay. Your dentist will also evaluate the tissues inside your mouth for signs of oral diseases (such as oral cancer) and gives advice on how to maintain your oral health. If your dentist notices a problem beyond the scope of their education, they will refer you to a dental specialist or physician as they see fit. An orthodontist is one of those specialists your dentist may refer you to for further treatment.

Choosing Between Dentist Vs Orthodontist

When choosing dentist vs orthodontist there will be some overlap between dental services offered. Many family dentists will also offer some orthodontic services to their patients. Orthodontists are only able to offer services that fall under their specialty. A dentist can perform orthodontics but an orthodontist cannot treat periodontal disease or fabricate a dental crown. This is a major difference in the dentist vs orthodontist debate.

Dentist Vs Orthodontist Treatments Offered

Family dentist services can include but not limited to the following:

-Treatment and Restoration of Tooth decay

-Root Canal Therapy

-Treatment of Periodontal Disease

-Dental Crowns and Dental Bridges

-Porcelain and Composite Veneers

Teeth Whitening

Dental Implants (placement and restoration)

-Basic Orthodontics

Orthodontists provide services related to:

-Misaligned Teeth

-Crowded Teeth

-Overbite

-Underbite

Dentist Vs Orthodontist Conclusion

A dentist should be your go to for all your dental needs. An orthodontist will be necessary when your dentist decides treatment behind their scope is needed. An orthodontist is someone you will see for a fairly short time while a dentist will be someone you will see for a lifetime to maintain healthy teeth and gum tissues. The dentist vs orthodontist question is not a battle but a partnership. They work hand in hand to deliver high quality dental care to their patients.

 




Dental urgent care is not exactly like it is in medicine. There are not stand alone businesses just to handle a dental emergency. There are however, dental offices in Las Vegas and across America ready and able to handle your dental emergency. What types of issues are considered a dental emergency that you would need dental urgent care? When you experience an abnormal dental issue, sometimes it can be hard to know if it is a true dental emergency in need of dental urgent care. For a general rule dental urgent care is needed if you are experiencing sudden or prolonged extreme pain or profuse bleeding or both, you should seek dental urgent care right away. In some cases where you may be experiencing mild pain you may be able to put off a visit for dental urgent care a few days before visiting your dentist.

Dental Urgent Care Needs

Broken or Fractured Tooth – This definitely falls in the category when dental urgent care is needed. This type of trauma can become extremely painful in a short amount of time. If the fracture or break causes nerve of the tooth to be exposed just the simple act of breathing will send shock waves through your body. Depending on where the fracture is this can also be considered a cosmetic dentistry emergency. That would be one where the tooth being affected is in a cosmetic area like a front tooth. Unfortunately, broken or fractured teeth cannot be repaired at home and will need immediate attention by dental urgent care. For a tooth in the back of the mouth, your dental urgent care specialist may recommend you place a medicated Marielaina Perrone DDS Dental urgent Carefilling may be placed to cover the exposed nerve and hopefully calm it down until you can come to the office. A product sold over the counter at your local drug store called Dentemp can be mixed and placed by you, to help temporarily cover the hole. Whether or not the tooth can be saved depends on how severe the fracture is. Until you are able to get to dental urgent care, rinse your mouth with warm water, apply a cold compress outside the affected area, and keep the area as clean as possible from debris and foods. You may consider taking an anti-inflammatory medication to keep the swelling down as well as take the edge off the pain before it develops. Aspirin is not suggested to be taken, it will cause difficulties in blood clotting if the tooth needs to be removed at dental urgent care.

Temperomandibular Joint (TMJ) or Jaw Injury – If you believe you may have broken your jaw, apply a cold compress to the area to maintain swelling to the face and immediately go to dental urgent care or to the hospital emergency room. This type of injury would be beyond simple dental urgent care and the hospital would be the better place. If your jaw has become locked or dislocated, you will need to have the jawbone re-positioned back into your Temperomandibular Joint (TMJ) socket.

-Swelling With Pain. This is most definitely a true dental emergency and you should call your dental urgent care immediately for advice. Swelling in this area is due to a dental infection called an abscess. This can progress very quickly to an infection that affects your entire body and in rare cases can even lead to death. Tips to attempt to relieve some of the pressure include: apply cold compresses to the area, rinse with saltwater, and try to keep your head elevated. Once a dental infection gets to this point, most over the counter medications will not work very effectively in easing the pain. Antibiotics will be required along with drainage of the infection to relieve pressure and build up. This type of dental emergency will require you to be seen by dental urgent care.

-Biting Lip or Tongue w/ excessive bleeding – Accidentally biting your lip, tongue, or other part in your mouth is something that can happen at any time. It is important clean the area and apply a cold compress to help limit swelling to the area. If the bleeding is extensive, or will not stop quickly (a few minutes is a good guide), call dental urgent care or go to the hospital emergency room.

-Loose Tooth – If one of your teeth begins to become loose, see your dental urgent care right away. Your dentist may be able to save the tooth depending on why it has become loose. Until you are able to get to dental urgent care, take tylenol (ibuprofen) or aleve (sodium naproxen) and apply a cold compress to the affected area to relieve any associated pain or discomfort.  If the tooth became loose due to trauma, dental urgent care will most likely recommend splinting the loose tooth (using tooth bonding) to an adjacent tooth or two to allow time for the tooth to re stabilize in the bone. A loose tooth can also be caused by progressive periodontal disease which will develop over a period of years. In the case of periodontal disease causing the loose tooth or teeth, your dental urgent care may not be able to save the tooth and it may be recommended to remove the tooth. A dental implant may placed instead once the area has healed and the periodontal disease has been brought under control. If you have a loose tooth, try to “baby” it…..chew on other side and do not wiggle it with your tongue.

Pericoronitis. This is a dental infection that generally happens in young adults as your molars erupt into your mouth, a flap of gum tissue will remain over the back of the tooth, becomes irritated and swollen, and can be extremely painful especially upon chewing. If you experience symptoms of pericoronitis, which may include swollen and irritated gums, a bad taste or malodor in your mouth, or you are not able to fully open your mouth, call dental urgent care right away.

-Sudden Onset Toothache. If your tooth begins aching, rinse out your mouth with warm water and gently floss around the tooth to make sure there is nothing lodged between your teeth that could be causing the issue. Call your dental urgent care immediately for an appointment. This could range from simple gum irritation, a full on dental infection.

-Knocked Out Tooth (also called avulsed tooth) – The main tip here is to clean off the tooth immediately to remove any dirt and debris that has gathered when hitting the floor. Do not scrub the tooth clean, just a gentle rinsing is all that is necessary. If the tooth can be re implanted dental urgent care will instruct you to do so. This is may not always possible if there is bleeding and swelling in the area where tooth was displaced. The next best option is to place the tooth in a milk solution. The milk acts as a preservative and can significantly increase the long term chances of a successful re implantation. You should call or see dental urgent care immediately even if you are able to re implant the tooth. The tooth will probably need to be splinted to another tooth (using tooth bonding) while it heals. Dental urgent care will also check that it is in proper alignment with the adjoining teeth. The tooth will also need to be monitored over time to gauge the success of the re implantation as well as any long term affects that might happen due to the trauma. This tooth may still be lost in the future or it may need  further treatment like root canal therapy.

-Lost Dental Filling or Dental Crown or Dental Bridge – Unfortunately, this type of dental emergency can happen at any time even with routine dental care. If your dental crown does come off call dental urgent care immediately for detailed instructions. Most local drug stores sell fixodent, or temporary cement to place it back on until you are able to be seen by dental urgent care. This will limit the chances of the development of tooth decay or tooth sensitivity in the interim. The same can be done for a lost filling, most drug stores sell a temporary filling material (mentioned earlier called dentemp) that can be applied at home. Either way, you will need to seek dental care ASAP to prevent any other damage from occurring to your smile.

-Orthodontic (Braces) Damage – If you believe that you have broken your braces in some way, you should call dental urgent care as soon as possible. In most instances, they will want to see you right away (especially if the break is causing pain or discomfort). But in some cases they may recommend waiting until your next dental appointment.

-Food Or Debris Stuck Between Your Teeth – If food or debris gets lodged between your teeth, try to swish aggressively, then attempt to gently remove it with dental floss. Be careful not to cause trauma to the area by being too aggressive. If the object still will not come free, call dental urgent care for more detailed instructions.

Urgent Dental Care Emergency Kit

The following are items to have ready in the house at all times in case a dental urgent care emergency arises:

Pain Medication. Includes Motrin or Aleve or Tylenol. Just have something on hand to relieve the pain until you can see dental urgent care for more advanced pain relief. Avoid aspirin as this will inhibit blood clotting and have a possible effect on further dental treatment.

Gauze or Cotton pads. These will be necessary if there is any bleeding from a traumatic injury or even to have the patient bite down on to relieve some of the pressure from a dental infection. It can also be useful if you have tissue irritation from your orthodontic braces, orthodontic appliance, or removable denture. You can place the cotton or gauze in between the appliance and the sore to relive some of the discomfort.

Dental Wax. This can be used to cover up areas of irritation like orthodontic brackets or broken orthodontic wires.

Dental Floss. This can come in handy to remove food debris that gets lodged between teeth and beneath the gums that cause pain and discomfort.

“Save A Tooth” System. This is ideal for transporting avulsed teeth. This system will give you have a better chance for long term survival once re implanted.

-Generic Teabags. These are helpful for stopping bleeding following oral surgery or even a trauma in the mouth. Research suggests that bags containing tea from the plant camellia sinensis is better than herbal tea for this purpose. Tea bags have also been shown to be soothing if you bite your lip, cheek, or tongue.

Denture Adhesive. This can be handy even if you do not have a denture wearer in the house. In addition to using it to fix dentures in place, it can also be used to temporarily secure a crown or bridge that has fallen out. Fixodent is a good example of a denture adhesive.

Dentemp or Temporary Filling Material. This is an excellent material to cover up open holes in teeth until you can see dental urgent care.

Dental Mirror and Flat Spatula. These can usually be found at any drug store or even online. The dental mirror can be used if the dental urgent care emergency is back in the mouth and the spatula will be useful for using temporary filling material in the mouth.

Marielaina Perrone DDS COlgate Wisps Dental Urgent CareInstant Ice Packs. Perfect for quick application of cold to maintain swelling from trauma or dental infection.

Topical Anesthetic. This can give temporary relief for denture sores, gum irritation, cold sores, canker sores, or sores from simply biting your lip, tongue, or cheek.

-Packets of Salt. Salt water helps clean and irrigate out wounds.

Package of Colgate Wisps. These tools acts as a mini toothbrush as well as a toothpick. These can be very helpful removing foreign objects or debris lodged between your teeth.

Orabase. A paste used for healing canker sores or sore mouths. Dental urgent care will have a stronger prescription medicine called debacterol as well.

Dental Urgent Care Contact Information. Most dentists should be able to be reached after hours using an emergency telephone line.

Dental Urgent Care Conclusion

Dental urgent care is a term used for a dental emergency. As we said earlier there are no “dental urgent care” facilities, just call your dentist as soon as a dental emergency arises. The faster you get in front of a dental issue the easier it will be to treat for you and your dental urgent care Las Vegas team. Remember maintaining good dental health is not just about dental urgent care but should include regular dental visits as well!