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Mechanism of Hypersensitivity [Hypersensitivity]

Hypersensitivity is a symptom in which, when advanced, your teeth become sensitive or feel pain when stimuli such as temperature or toothbrush bristles are applied to the exposed dentin due to various reasons.

points to note
  • If your teeth are sensitive even though you do not have caries, you may have hypersensitivity.
  • Hypersensitivity is caused by recession of the gums due to periodontal disease, inadequate brushing, teeth grinding, or an abnormal bite (occlusion), etc.

What is Hypersensitivity?

When you have hypersensitivity, your teeth feel sensitive when you brush or have something cold in your mouth, even though you do not have caries. If you feel strong pain, consult with your dentist.

Causes of Hypersensitivity

Hypersensitivity occurs when the dentin of the teeth becomes exposed due to recession of the gums caused by periodontal disease or aging. It sometimes occurs when the teeth are damaged by inadequate brushing, teeth grinding, or an abnormal bite (occlusion).

Mechanism of Hypersensitivity

When the dentinal tubules are exposed and stimuli such as temperature or toothbrush bristles are applied, the symptoms of hypersensitivity occur, which include pain in an advanced case.Dentin Hypersensitivity

The dentin of the tooth contains small tubes called “dental tubules” that connect to the dental pulp (nerve of the tooth). Although not everyone will have hypersensitivity because their dentin is exposed, when the dentinal tubules contained in the dentin open and stimuli such as temperature or toothbrush bristles is applied, the stimuli are transmitted directly to the dental pulp through the dentinal tubules, causing the symptoms of hypersensitivity, including sensitivity of the tooth or pain in an advanced case.

Vicious Cycle of Hypersensitivity

When hypersensitivity progresses to the point where your teeth are sensitive even to light stimulus, you may find it difficult to brush your teeth. However, if you neglect brushing because of sensitivity, plaque will remain on your teeth and your mouth will become unclean. As a result, the dentin of your teeth will dissolve in the acid produced by bacteria in plaque, causing the dentinal tubules to open even more and worsen hypersensitivity.