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Why Are My Teeth Sensitive to Cold?

Why Are My Teeth Sensitive to Cold?

One question we get asked often is why teeth might feel sensitive. The answer to this question depends on the ailment, as will the treatment.

To understand the answer to this question, it helps to know a little about the structure of your teeth. Each tooth consists of the crown, which is the visible part of the tooth, and the root, which anchors each tooth into your jaw. Components of the crown include:

  • Tooth enamel– The hard, white-looking layer that protects the sensitive inner parts of each tooth. Tooth enamel is the hardest material in your body – even stronger than bone.
  • Cementum– A thin, protective layer of bone-like tissue under the gum line that protects the tooth root.
  • Dentin– A layer of softer tissue which contains tiny canals or ‘tubules’.
  • Pulp– The soft tissue deep inside each tooth that contains blood vessels, connective tissue and nerves.

If for any reason the enamel starts to wear way or erode, your tooth’s dentin is exposed. When this happens, nerve signals pass to the tooth root and from there to the brain – meaning that things like eating popsicles or drinking hot drinks, which normally don’t cause a reaction, can suddenly trigger pain.

What Causes Sensitive Teeth?

A range of factors can lead to tooth sensitivity, but there are two main underlying reasons: enamel loss and gum recession.

Causes of enamel loss include: 

  • Over-zealous brushing:Brushing too vigorously or too often.
  • Acid erosion:From acidic foods and drinks such as sugary sports drinks and sodas.

Causes of gum recession include:

  • Using a hard bristle toothbrush– This can injure the gum tissue.
  • Gum disease– A common oral health disease that can cause receding gums.
  • Your genes– Regardless of how you care for your teeth, you may be genetically susceptible to gum recession.
  • Smoking– Tobacco products increase plaque build-up on teeth which over time can lead to a greater risk of gum recession.

Professional and at-home teeth whitening (bleaching) treatments may cause temporary sensitivity, although this should disappear within a short time of stopping treatment.

Ways to Keep Your Mouth Healthy

If you’re wondering how to manage tooth sensitivity or how to soothe a sensitive tooth, there are a number of ways:

  • Start using an over the counter toothpaste such as Sensodyne or your dentist may give you a prescription fluoride toothpaste with other minerals that can help.
  • Brush twice a day, every day. Brush gently with a soft-bristled toothbrush for four minutes each time to keep teeth and gums clean and healthy. We often recommend the Philips Sonicare powerbrush to our patients as it is safe and effective in cleaning around both the teeth and gums.
  • Floss daily, or use interdental aides such as softpicks or proxabrushes.Making cleaning between your teeth a part of your daily tooth care routine helps maintain healthy gums.
  • Visit your dentist regularly. Schedule checkups for every six months or more often, as advised by your dentist.

How often should I see my dentist?

Many people are afraid or experience anxiety about going to the dentist, and because of this, some patients will try to go as infrequently as possible. The answer to how often you should see your dentist actually varies, depending on the state of your mouth.

If your teeth and gums are very healthy, you should visit your dentist at least twice a year for dental exams and cleaning. If you have a history of gum disease or other problems, you may need to visit your dental hygienist more often, often anywhere from 3 or 4 up to 6 times a year. Periodontal patients often see their dentist or periodontist every 3 months for hygiene visits, as many studies have shown that more harmful periodontal bacteria repopulate in the mouth in only 11 weeks time.

Frequent dental visits (particularly those for dental cleanings and periodontal maintenance visits) are in your best interest to prevent breakdown of the health of teeth and gums.

How Antioxidants Can Help Oral and Overall Health

Oxidative stress is a known contributing factor in the development of chronic inflammatory diseases, including periodontitis, or gum disease. Clearwater Periodontist Dr. Todd Britten explains that adding antioxidants to your diet or the use of natural topical antioxidants as part of an at-home care regimen can help improve oral health by preventing or helping repair oxidative damage.

Antioxidant products used in the oral cavity can promote homeostasis, enhance wound healing, and alter microbial flora during medical treatments such as chemotherapy and dental procedures, or by dental materials. Dr. Britten has found that antioxidant products can also have a healthy antimicrobial (germ-killing) effect. They can also be used to help heal ulcers and other types of tissue trauma or injury.

A product that Dr. Todd Britten recommends regularly in his periodontal practice is PerioSciences AO Provantage Gel [www.periosciences.com]. “It is a gel that can be used up to 5 times a day for many conditions. PerioSciences also makes a toothpaste and a rinse which can be used in addition to the gel to improve periodontal health.” Dr. Britten goes on to explain that the essential oils in the mouthwash (menthol and thymol) have an anti-plaque and anti-gingivitis effect without damaging tissue cells and antioxidants (phloretin and ferulic acid) have beneficial effects on the cells and tissues found in the mouth.
“Your dental professional can recommend specific regimens for each type of surgery or any acute conditions requiring antioxidant products. A maintenance program after that is often recommended.”

Dr. Britten also goes on to explain that anti-inflammatory foods incorporated into the diet are also beneficial for oral and overall health. According to the American Heart Association, some foods high in antioxidants or have a high degree of anti-inflammatory effect would be fatty fishes, dark leafy greens, tea, whole grains, nuts, ginger and even dark chocolate.

“Since we know that periodontal disease is connected to variety of other diseases, including heart disease, diabetes, and rheumatoid arthritis, treating inflammation by using antioxidants both in our diet and/or topically may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions.”

How is gum disease linked to cardiovascular disease?

Research has shown that periodontal disease may increase the risk for developing cardiovascular disease. Both periodontal disease and cardiovascular disease are chronic inflammatory diseases, so researchers believe that inflammation may account for the association between the two. Untreated periodontal disease can increase inflammation in the body, which may increase the risk for development of more severe health complications, including cardiovascular disease. However, more research is needed to determine the exact relationship between the two conditions.

–Perio.Org

Mountain Dew Mouth?

The beverages Americans are consuming daily are a MAJOR contributor of tooth erosion and decay. SOFT DRINKS, ENERGY DRINKS, and SPORTS DRINKS have an extremely high amount of processed sugar. Both the sugar levels in these drinks and acid levels are a cause for alarm for dentists.

Clearwater, Florida Periodontist Dr. Todd Britten warns that soft drinks, energy drinks and sports drinks are causing tooth erosion and tooth decay, particularly in younger patients.

“While diabetes is now a well-publicized national epidemic that is gathering more and more attention, most media coverage ignores the root cause of this epidemic – dietary SUGAR.” And Dr. Britten says the increase of sugars is not only found in foods, but he has noticed the beverages that Americans are consuming daily to be a MAJOR contributor of tooth erosion and decay. He goes onto explain that “SOFT DRINKS, ENERGY DRINKS, and SPORTS DRINKS have an extremely high amount of processed sugar!” While Dr. Britten recognizes that sugar is causing a major increase in Diabetes in both the older and younger population, he says it is also a cause for alarm for dentists with its’ negative affect on patients’ dental health.

Dr. Britten says, “Most sodas have 30 grams, or approximately 8 teaspoons, of pure sugar per 12 ounce serving. It is common to get a “super-sized” soft drink at a convenience store or fast food restaurant that provides even more. Additionally, these drinks have a pH of 3.0, which is very acidic!” He explains that the combination acid and sugar attack can cause rampant tooth decay that sneaks up on the drinker before they recognize it. “Most dentists would even agree that Mountain Dew and Dr. Pepper are two of the most potent decay-causing sodas on the market.” So much so that there is a term for it… “Mountain Dew Mouth.'”

Dr. Britten cautions, “It is important for parents, teenagers and young adults to limit their soda and energy drink intake, brush and floss carefully, use fluoride toothpaste, and have regular dental checkup visits.” And, he says, if your drink has more than 6 grams of sugar on the label, consider something else. “Diet soda is not a recommended alternative as the pH is still very acidic and some evidence suggests certain ingredients to be carcinogenic (cancer-causing) over time. “As you could probably guess,” he says, “the most healthy drink available for your teeth is natural spring water! (pH = 7.0, perfectly neutral).”

Britten Periodontics & Implant Dentistry is a periodontal practice offering patients personalized dental care in implant dentistry in Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science & Doctorate of Dental Surgery from University of Florida, a Master’s Degree and Certificate in Periodontology and Implant Dentistry; and completed extensive training at the Institute of Advanced Laser Dentistry. He is one of the only board-certified periodontists in Pinellas County. He is a member of the American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Upper Pinellas County Dental Association, Hillsborough County Dental Association, Hillsborough County Dental Research Association and Florida West Coast Dental Association.

To learn more about Dr. Britten and his dental implant or periodontal services, call (727) 586-2681 or visit https://brittenperio.com.

Pictured is an x-ray of a 35 year old with healthy teeth, and a 29 year old after a Mountain Dew addiction.

Do you believe in Magic? Kids that believe in the tooth fairy found to take better care of their teeth!

What role does the tooth fairy play in teaching children oral hygiene habits?

A new study by Delta Dental surveyed parents who “allow” the tooth fairy into their homes, had a pleasant surprise that the tooth fairy’s visit inspires kids to create and maintain good oral hygiene habits.

The same study found 80% of households with children receive visits from the tooth fairy, and the average payout by the fairy for a tooth is $4.03, up 9% compared to last year.

This a study and story we are happy to report!

How Cleaning Between Your Teeth Can Change Your Life & Other Dental Hygiene Tips :)

Here at Britten Periodontics, Dr. Britten and his dental hygiene team work together with our patients to tailor home oral care recommendations, focusing on a very personalized approach to treatment and prevention.

Home oral care is such an important contributor to oral health, and can help lessen the need for extensive dental problems. Here are some of our top tips to good oral hygiene!

Our last Blog Article Covered the Importance of Proper Toothbrushing.  Now, let’s talk about how and why to clean well between your teeth – daily!

The areas in between the teeth cannot be reached with a toothbrush. This is the primary cause for most gum disease and dental decay!!  This is why it is so important to clean between your teeth every day.  Traditionally, floss has been used to remove this disease producing bacteria, but softpicks and interdental brushes (also known as proxabrushes) are available in sizes and gaining in popularity because they are easy to use, and for some patients, even more effective than flossing alone!

Softpicks are also a great tool for daily use between the teeth, for tighter spaces. They come in Original, Advanced (With a curved, longer handle) and a bigger size for Wider Spaces


LINK FOR PRODUCTS WE LOVE:  https://mailchi.mp/85b2a6a889d6/britten-perio-homecare-products-we-love

How Proper Toothbrushing Can Change Your Life :)

Here at Britten Periodontics, Dr. Britten and his dental hygiene team work together with our patients to tailor home oral care recommendations, focusing on a very personalized approach to treatment and prevention.

Home oral care is such an important contributor to oral health, and can help lessen the need for extensive dental problems. Here are some of our top tips to good oral hygiene!

Part 1: PROPER TOOTHBRUSHING

  • A proper toothbrushing technique is essential for keeping your teeth and gums healthy.
  • Brush gently, thoughtfully and thoroughly twice a day to minimize the debris and bacteria in your mouth.
  • Bristle selection: Bristles that are too hard, or an incorrect technique of brushing can cause your gums to be damaged during the toothbrushing process and can cause them to recede (gum recession) or cause destruction (abrasion) to the teeth and roots.
  • We recommend changing your toothbrush at least every 90 days or after an illness.
  • Hold the toothbrush at a 45° angle so that the filaments reach the gum line. Brush with light pressure using small circular or vibrating movements. Brush the inside, outside and biting surfaces of the teeth.
  • Brush twice a day for at least four minutes if using a manual toothbrush.

We recommend the Sonicare Power Toothbrush for our patients.

  • Divide your mouth into four quadrants. This can help ensure that you brush each section of your teeth and mouth cavity.
  • Hold your toothbrush at a 45 ­degree angle to your gum line with a Sonicare or 90 degrees with an oscillating brush such as the Oral B.
  • Apply gentle pressure, keeping the bristles in contact with your tooth surface and gum line, which can help ensure you get the most effective result possible.
  • Stay on each area for 30 seconds, moving the brush only when it is time to go to the next area. Once you’ve completed this procedure for a quadrant, move to the inner surfaces of your teeth and repeat the same procedure.
  • To brush behind your front teeth, tilt the brush vertically using only the front half of your brush.
  • Clean biting surfaces, your tongue, and soft palate. This can help remove debris and other odor ­causing bacteria.

Stay Tuned for Our Next Blog Article – Where We Will Talk About How To Take Care of Your Teeth In Between and Other Oral Hygiene Aids!

How to Clean Off Dentures

From Colgate.com

“In addition to your regular daily brushing, it’s necessary to use a deep-cleaning solution periodically to soak off food deposits from the denture. These solutions typically come in the form of effervescent tablets, which are specifically formulated to clean dentures.

Avoid using abrasive materials such as brushes with stiff bristles, whitening toothpastes or products containing bleach, according to Mayo Clinic, because these can damage the dentures. Also keep in mind that hot or boiling water can warp your dentures, and soaking items that have metal fittings in any solution containing chlorine can cause the metal to tarnish.

After soaking, check the inside of the denture for any remaining food particles, and brush or scrub using a soft-bristled toothbrush whose shape is conducive to denture care.

Ultimately, ensure that you rinse the dentures exceptionally well afterward; even the gentlest cleansing solution can contain chemicals that are harmful to your mouth’s natural tissues.

Just because you wear dentures doesn’t mean you can’t enjoy the pleasure of freshly-brushed teeth. Complete your denture-cleaning procedure with a thorough brushing of your gums using a soft-bristled toothbrush and everyday, fluoridated toothpaste. If you notice any mouth sores, rinsing with a mouth sore rinse will help to heal them and protect against bacteria in the long term.”

Britten Perio COVID-19 Safety Information

As we continue to face uncertainty as a community due to COVID-19 and the social distancing guidelines passed down from the federal, state and local leadership, our team at Britten Periodontics & Implant Dentistry has realized the continued importance of strong and ongoing relationships.

We want you to know that we are here for you!

Where We’ve Been

When we think about the individuals that bring us joy in fulfilling our vision for health and well-being, we immediately think of you, our patients and friends. We miss you greatly and are continuing to find ways of connecting with you regularly and being available for you in any way possible as we get ready for opening the practice beyond emergency appointments.

The original goal of the reduction to Emergency Care only was to suppress the spread of the virus and reduce the use of protective masks, surgical gowns, and other personal protective equipment (PPE) that hospitals and clinics found in short supply. This also gave us an opportunity to reinforce what we have always done when it comes to sterilization and infection controls, as well as implement additional steps to make sure that every patient can be assured a safe dental experience.

Where We’re Going

We are very excited to announce that our practice reopened on May 18, 2020, for a wider spectrum of dental care. We have been working diligently to replenish our supplies, so that we are ready with a new schedule in place that ensures the safety and comfort for both team and patients, as we return to full care and service.

Our team has worked hard to reach out to patients who have had to cancel their appointments due to the shut down as well as patients who are currently scheduled in the up-coming months to confirm new appointments that promote social distancing mandates and protect our most vulnerable. Our new scheduling options are designed to address individual oral healthcare needs and maintain a safe and sterile environment.

If you have NOT gotten a text or email from us to reschedule, or are confused about your appointment status, please call (727-586-2681) or email us at 

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff that we wanted to share.

We know things will be different, but one thing that will never change is our commitment to your safety, comfort and dental health! We’ve missed you and are excited to see your smiling faces again!  Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

We have made the following changes to help protect our patients and staff that we wanted to share.

  • We have developed a system in the office to maintain the highest level of sterility and disinfection. This includes treatment areas as always, but we have elevated our infection protocols to also include increased and frequent cleaning of all common areas in the building of all surfaces, including door handles, faucets and countertops.
  • Our office will communicate with you beforehand to ask some screening questions. You’ll be asked those same questions again when you are in the office.
  • We are screening all patients for recent travel, fever or signs of respiratory illness. If travel has occurred or symptoms are present, please do not schedule a visit in our office until 2 weeks has passed.
  • Our reception area (waiting room) will be temporarily CLOSED; please honor our NO VISITOR POLICY. Visitors will be permitted for extreme exceptions only, which must be pre-approved before arriving.
  • We have a touchless hand sanitizer at the front desk that we will ask you to use when you enter the office. You will also find some in the reception area and other places in the office for you to use as needed.
  • Please bring a MASK of face covering with you to wear in all common areas of the building. If you do not have one, we will provide one prior to your entry into the building. Please let us know if you need one.
  • When you arrive to the office PLEASE STAY IN YOUR CAR and CALL 727-586-2681 to “Check in”.
  • We will be taking all patient TEMPERATURES.
  • A pre-rinse of hydrogen peroxide will be performed with your care provider at your appointment to reduce microbial numbers, as recommended by the ADA.
  • All staff members will be wearing CDC and OSHA recommended personal protective equipment, even our administrative staff to some degree. Don’t worry; your favorite faces are still here behind those masks! This measure is to protect you as much as possible while in our care. Please know that our administrative staff is as friendly and eager to talk to you as always and ALWAYS available for longer discussions or question & answer sessions over the phone or by email.
  • If possible, please pay for your visit over the phone prior to your appointment. Otherwise, we are able to accept payment in a contact-less manner.

If you have any questions about any of the above changes or guidelines, we will be happy to discuss them further and answer any questions

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