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Oral Health

Tooth Sensitivity: Why Do My Teeth Hurt with Hot and Cold?

Wincing at ice cream or hot coffee? Learn what causes tooth sensitivity and when it is time to see a dentist.

Home of Smiles Dental Clinic logo Home of Smiles Dental Clinic 4 min read

Does a sip of iced water or a bite of ice cream make you wince? You are not alone, and it is more common than many people think.

Here is what tooth sensitivity is, why it happens, and what you can do about it:

What Is Tooth Sensitivity?

Tooth sensitivity is a short, sharp discomfort when a tooth meets something hot, cold, sweet or acidic. It can also show up when you breathe in cold air or brush your teeth.

The discomfort usually fades within seconds. Even so, it is your tooth telling you that something has changed, and it is worth paying attention to.

Why Does It Happen?

Each tooth has a hard outer layer called enamel. Under the enamel is a softer layer called dentin, which has tiny channels that lead toward the nerve. When enamel wears thin or the gums pull back, those channels are exposed, and hot or cold reaches the nerve more easily.

Common causes include:

  • Brushing too hard or using a stiff brush
  • Gums that have receded, which exposes the roots of the teeth
  • Acidic foods and drinks that slowly wear down enamel
  • Grinding or clenching your teeth, especially at night
  • Tooth decay or a cavity
  • A cracked or worn filling or tooth
  • Gum disease

When Is It Just Sensitivity, and When Is It More?

Mild, short-lived sensitivity is often manageable. Pain that lingers, wakes you at night, stays in one tooth, or comes with swelling is different. These can be signs of a deeper problem, such as an infection or a cracked tooth.

Only a dentist can tell you the real cause after an exam. If you are unsure, it is always better to have it checked than to wait.

Who Is More Likely to Notice It?

Sensitivity can affect almost anyone, but it is more common in adults and in people whose gums have started to recede with age. Teeth that have been whitened or worked on recently can also feel more sensitive for a short time.

If you notice sensitivity after a dental visit, it usually settles quickly. Let your dentist know if it lasts longer than expected.

Simple Habits That May Help

Small changes at home can make a real difference for many people:

  • Use a soft-bristled toothbrush and brush gently in small circles
  • Try a toothpaste made for sensitive teeth and give it a few weeks to work
  • Limit sodas, citrus drinks and other acidic foods, and rinse with water afterward
  • Wait about 30 minutes after eating something acidic before you brush
  • Ask your dentist about a mouthguard if you clench or grind at night

What Can a Dentist Do?

A dental visit starts with finding out why your teeth are sensitive. Your dentist will look at your teeth and gums, ask about your habits, and may take X-rays to check for decay or other problems.

From there, the plan depends on the cause. It may be as simple as a change in brushing technique or a different toothpaste. If a cavity, an old filling or gum problem is behind it, your dentist will explain the options so you know what to expect.

Do Not Ignore It

It is tempting to avoid cold drinks and carry on. But sensitivity that goes untreated can grow into a bigger problem, and a small fix today can save you discomfort later.

Regular check-ups and cleanings also help you catch early changes in your enamel and gums before they cause pain.

Conclusion

Tooth sensitivity is common, and in many cases it can be eased once the cause is found. If cold drinks or sweet treats have started to bother you, we are happy to take a look. New patients are always welcome, and we accept direct insurance billing and CDCP. Request an appointment today or call us at (780) 430-1336!

This article is general information and is not a substitute for a dental exam. If you have pain, swelling or a concern about your teeth or gums, please contact our office.

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2408 Rabbit Hill Rd NW, Edmonton, AB

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