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Preventive Care

What Causes Tooth Sensitivity — and How to Fix It

By Aashil Shah, DDSMay 30, 20263 min read

What Causes Tooth Sensitivity — and How to Fix It photo

That sharp, sudden zing from cold water or ice cream has a specific cause: exposed dentin, the layer just beneath your enamel that's full of tiny nerve channels. Once it's exposed, everyday temperature and pressure changes can trigger real discomfort.

Common causes

  • Enamel wear from aggressive brushing or acidic foods and drinks
  • Gum recession, which exposes the more sensitive root surface
  • A cracked tooth or a failing filling
  • Teeth grinding, which wears down enamel over time
  • Recent whitening treatment, which can cause temporary sensitivity
  • Untreated tooth decay reaching closer to the nerve

What you can try at home

A desensitizing toothpaste used consistently over several weeks can meaningfully reduce mild sensitivity by blocking those nerve channels. Switching to a soft-bristled brush and a gentler technique also helps prevent further enamel wear.

When it's time to get checked

If sensitivity is sudden, severe, isolated to one tooth, or doesn't improve with a desensitizing toothpaste after a few weeks, it's worth having it evaluated — it could point to something a toothpaste swap won't fix, like a crack or decay.

Sensitivity is common, but it's not something you have to just live with. There's almost always a specific, treatable cause behind it.

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This article is for general educational purposes and isn't a substitute for a professional dental exam or personalized advice. If something here sounds like it might apply to you, the next step is always a conversation with your dentist.

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