Tooth Sensitivity — A Short Jolt, or Something Else

Sensitivity that stops when the cold is gone is different from pain that lingers.

What is happening?

Sensitivity is a short, sharp jolt from cold, sweet, or a breath of air, usually where enamel is thin or the root is exposed. Acid from food, drink, or reflux, gum recession, recent whitening, a crack, a leaking filling, hard brushing, and grinding are the usual reasons.

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Common symptoms

  • A short sharp jolt from cold, sweet, or air
  • Discomfort when you brush one spot
  • Pain that stops as soon as the trigger is gone

Is it urgent?

Pain that lingers after the cold is gone — book promptly, that is more than sensitivity. One tooth getting worse — same week, a crack or nerve may be involved. Generalized sensitivity with no lingering pain — a routine visit is appropriate.

Before your sensitivity visit

  1. Desensitizing toothpaste

    A fluoride toothpaste made for sensitivity, twice a day for two weeks, often takes the edge off exposed roots.

  2. Softer brushing, fewer acids

    A soft brush. Ease up on acidic drinks, and do not brush immediately after them.

  3. Notice lingering pain

    If the ache continues after the trigger is gone, do not wait out the two weeks. Book.

Common causes

Enamel erosion from acidic food, drink, or reflux · Gum recession exposing root surfaces · Recent whitening · A cracked tooth · A leaking or worn filling · Over-aggressive brushing · Grinding

How we diagnose it

We map which teeth respond, look for recession and worn fillings, and test any tooth that lingers after cold. Lingering pain is investigated as a nerve or crack problem. Generalized, instant-off sensitivity is investigated as exposure and diet.

How we treat it

  • Desensitize or cover

    Fluoride varnish, a change in brushing, or bonded coverage of an exposed root — matched to what we see.

  • Fix the real defect

    A leaking filling, a crack, or an inflamed nerve is treated as that condition, not with sensitivity toothpaste.

Good to know

Frequently asked questions

Still have a question? Our team is happy to help over the phone.

(416) 483-0000
Why are my teeth sensitive to cold?

Usually an exposed root or thin enamel. If the pain stops the moment the cold is gone, start with a desensitizing toothpaste and book a routine look. If it lingers, call sooner.

Can whitening cause this?

Yes, often for a few days. If it is still there after two weeks, or it is only one tooth, we should see you.

Will sensitive toothpaste fix a crack?

No. Toothpaste can calm exposed dentin. A crack or a dying nerve needs an exam, not a different brand of paste.

Read this as education

These are common patterns, not a diagnosis of your tooth. Your dentist determines the cause during an examination.

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