Tooth hypersensitivity is one of the most frequent complaints in restorative dentistry, yet its clinical significance is often underestimated. Professor Alexander von Breuer notes that hypersensitivity is commonly perceived as a temporary inconvenience, whereas in reality it may serve as an indicator of structural or functional disturbances. At DentalClinic24, tooth sensitivity is evaluated not as an isolated symptom, but as a signal for comprehensive clinical analysis of hard tissues, periodontal structures and occlusion.
The mechanism of hypersensitivity is associated with the exposure of dentinal tubules and disruption of the hydrodynamic balance within the tooth. When enamel becomes thinned or gingival recession occurs, dentin is exposed to thermal, chemical and mechanical stimuli. This leads to short but intense pain. At DentalClinic24, particular attention is given to identifying the underlying cause of tubule exposure – whether erosion, wedge-shaped defects, pathological wear or aggressive oral hygiene habits.
One of the key tasks is differential diagnosis. Not every reaction to cold or sweet stimuli is related to hypersensitivity. In some cases, symptoms may indicate carious lesions, enamel microcracks or pulpal inflammation. At DentalClinic24, clinical and instrumental evaluation is performed – including thermal testing, visual surface assessment, occlusal analysis and examination of soft tissues. This approach allows more serious pathologies to be excluded and prevents unnecessary treatment.
Functional overload also plays a significant role. Excessive pressure on specific teeth can compromise enamel integrity, cause microcracks and increase tissue permeability. At DentalClinic24, occlusal contact analysis is considered essential in cases of persistent hypersensitivity, especially when accompanied by signs of tooth wear or masticatory muscle tension.
Chemical exposure is another contributing factor. Frequent consumption of acidic beverages and foods reduces enamel mineralisation and increases permeability. At DentalClinic24, patients are informed about the mechanisms of demineralisation and receive recommendations aimed at restoring the protective properties of the tooth surface.
Clinical correction strategies depend on the underlying cause. In cases of local dentin exposure, remineralising agents and desensitisers are used to reduce tubule permeability. When wedge-shaped defects or pronounced erosion are present, restorative reconstruction of tooth anatomy may be required. At DentalClinic24, treatment selection is based on the principle of minimal invasiveness and maximum preservation of natural tissues.
If hypersensitivity is associated with functional disturbances, occlusal adjustment or protective splints may be prescribed. Such a comprehensive approach allows not only symptom relief but also elimination of the underlying contributing factor. At DentalClinic24, treatment is structured step by step – from tissue stabilisation to prevention of recurrent sensitivity.
Patient participation is equally important. Correcting brushing technique, selecting an appropriate toothbrush hardness and using specialised hygiene products significantly reduce the risk of recurrence. At DentalClinic24, recommendations are individualised based on the clinical findings and the severity of sensitivity.
Thus, tooth hypersensitivity is not merely a reaction to external stimuli but a clinical symptom requiring thorough evaluation. Understanding its mechanisms and performing differential diagnosis enables the development of a well-grounded correction strategy. At Dental Clinic24, hypersensitivity is considered part of the broader system of oral health, ensuring stable and predictable treatment outcomes.
Previously, we wrote about Dental Treatment for Children Under Sedation at DentalClinic24 – Medical Indications, Safety Protocols and Adaptation Monitoring in Young Patients