9. Tooth Sensitivity: An Uncomfortable Reality of Periodontitis
Tooth sensitivity is a common yet often overlooked symptom of periodontitis. It manifests as a sharp pain or discomfort in the teeth when exposed to certain stimuli, such as hot, cold, sweet, or acidic foods and drinks. This symptom is particularly telling because it indicates changes in the tooth and gum structure caused by periodontal disease.
The mechanism behind tooth sensitivity in periodontitis involves the exposure of the dentin, the layer beneath the tooth enamel. As gums recede due to periodontitis, the dentin becomes exposed. Dentin contains tiny tubules leading to the tooth’s nerve center, and when exposed, these tubules allow stimuli to reach the nerve, causing pain.
What makes tooth sensitivity a significant concern in periodontitis is its impact on daily life. It can affect dietary choices, discourage proper oral hygiene practices due to the discomfort of brushing, and diminish overall quality of life. Moreover, the presence of sensitivity often signifies a progression in the disease, where not only the gums but also the teeth are affected.
Tooth sensitivity in periodontitis also has a unique characteristic. Unlike temporary sensitivity that might occur after a dental procedure, sensitivity associated with periodontitis tends to be persistent and may increase over time if the underlying condition is not addressed.
Addressing tooth sensitivity requires tackling the root cause – periodontitis. While there are temporary remedies to reduce sensitivity, long-term relief is only achieved through comprehensive periodontal treatment. This makes understanding and responding to tooth sensitivity crucial in managing periodontitis. (9)