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Prevention2 min read · July 22, 2026

by Dr. Massimo Ferrara

Sensitive teeth: why it happens and what to do

That jolt from cold or sweets has precise causes: worn enamel, receding gums, bruxism. The remedies that work, from Dr. Massimo Ferrara.

That short, sharp jolt with cold, sweets or brushing has a name — dentine hypersensitivity — and precise causes. Good news: it can be solved, starting from the cause.

Why it happens

  • Enamel erosion: acidic drinks, reflux, aggressive brushing.
  • Gum recession: exposed roots have no enamel protection.
  • Bruxism: micro-fractures and grinding wear.
  • Decay and leaking restorations: localised sensitivity always deserves a check.

What really works

  1. Diagnosis: understanding where the stimulus comes from.
  2. Gentle brushing technique and soft bristles.
  3. Targeted desensitising products, in-practice and at home.
  4. Treating the cause: sealing exposed areas, managing bruxism with a night guard, correcting an acidic diet.

When not to wait

Sensitivity localised to one tooth, lasting minutes or waking you at night: that is not simple hypersensitivity — have it seen soon. Usually small interventions are enough.

Sources

Frequently asked questions

Why do I feel a jolt with cold?

When dentine is exposed (worn enamel or receded gums), stimuli reach the nerve endings. It's a signal that assessment is needed, not just a toothpaste.

Do sensitivity toothpastes work?

Yes, for mild forms: they reduce stimulus transmission. But if the cause is decay, erosion or bruxism, covering the symptom isn't enough.

Is whitening linked to sensitivity?

It can cause transient sensitivity for a few days, manageable with desensitisers. Done professionally, it does not damage enamel.

Clinical review: Dr. Massimo Ferrara

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