Are you overly sensitive? Relax, it has nothing to do with crying during life insurance commercials. Millions of adults struggle with hypersensitive teeth, which means they are sensitive to hot and cold temperatures, very sugary or acidic foods and drinks and vigorous toothbrushing. This kind of sensitivity is often called “dentin hypersensitivity.”

Dentin is the tissue that makes up the core of each tooth. Above the gumline, dentin is protected with a coating of enamel. Unfortunately, as enamel is worn away or decayed, dentin becomes exposed and receptive to sensations that cause painful nerve responses. This can also occur as the result of receding gums, a common symptom of gum disease.

So, what causes sensitive teeth? A number of things may be to blame. Over-zealous brushing with a firm bristled tooth brush or abrasive toothpaste can lead to dentin hypersensitivity, as can gum disease, which is the result of poor brushing and flossing habits. Your diet may also play a role, as frequent consumption of acidic foods and drinks can chemically dissolve tooth enamel. Finally, abnormal wear on tooth surfaces from chronic clenching or grinding of teeth, nail biting and chewing on hard objects can lead to sensitive teeth. To avoid the problem, brush and floss daily to maintain healthy gums and protect dentin from exposure. Avoid vigorous toothbrushing with a hard-bristled toothbrush.

If you’re already suffering from overly sensitive teeth, your best bet is to contact your dentist for guidance on dental hygiene. In the mean time, there are products that can help. Desensitizing toothpaste used in conjunction with a soft-bristled toothbrush can help. Toothpaste designed for those with sensitive teeth can reduce the pain associated with the condition after only a few days of use.

Long-term dentistry always works best with a plan. So as each New Year begins, some dentists sit down with their patients and organize dental health care – in phases – for the coming year.

In the spirit of prevention, one patient might be scheduled for cleanings and periodic examinations to watch closely for developing problems, and catch them before they grow. Another patient may call for complex restoration and will visit more often; in this case, the dentist will propose treatment step by step, over time.

Prearranged care makes sense. You know what to expect from the practice, and can plan your time and dental costs accordingly. By phasing treatment, your dental fees are minimized and, in the end, you still arrive at the same finished product – a healthier you. Moreover, you’ll rest assured, knowing you’re getting the care you need. Because postponed dentistry inevitably means more dentistry.

For with dental insurance, tight guidelines are in place for pre-determination of coverage, submitting claims, and timely reimbursement. As treatment is planned for the year, you must monitor your benefits “bank” through the months, to be sure you’re making the most out of your coverage. When year-end approaches, treatment may accelerate to take advantage of any remaining dental financing benefits before the next New Year, and a new deductible.

Everyone is different: different needs, comfort level, and financial situation. So most dentists are flexible. Insured or not, patients deserve choices. Your dentist is willing to work with you and arrive at a schedule that suits you, a schedule you’ll both respect.

Q. What is the new technology dentists are using that reduces or eliminates discomfort from shots given during a dental procedure

A. A computerized injection system called The Wand has been shown to significantly reduce patient discomfort in delivering oral anesthetics. In a study of patients who have had procedures using it, more than 80% of them reported that it was a completely painless process. Consult your dentist to see if this dental procedure is covered by your dental care payment plan.

A very thin needle is attached to a pen-sized wand and placed near the gums. A drop of anesthetic numbs the gum before the needle is inserted. There is no prick or burning sensation with this system. As the needle glides through the gum, the anesthetic continues to be released. When the needle is fully inserted, the computer slowly releases the anesthetic. This eliminates the usual cause of the discomfort of the traditional dental shot — the pressure associated with the stream of anesthetic flowing into the gum.

Q. How can early tooth decay be detected?

A. A dentist can put a “caries detection dye” on a suspicious tooth. This colored liquid helps identify the position and the extent of decay that is not visible to the naked eye. The dental procedure price may very.

Q. Are there any new prevention treatments for reducing tooth decay?

A. New prevention treatments are being studied. Research has shown that a tooth-decay inhibiting treatment can effectively eliminate the bacteria that cause tooth decay in humans. One promising treatment still in development is a caries vaccine, CaroRX, a tasteless, colorless antibody from genetically-altered plants, which is painted on clean teeth to prevent decay-causing bacteria from sticking to teeth. Planet Biotechnology, the manufacturer of CaroRX, hopes to gain FDA approval and make this product available to dentists within the next few years.

Q. What are intraoral cameras?

A. An intraoral camera is a miniature video camera that the dentist places in the patient’s mouth so that together they can view any dental problems that the patient is having. The image from the camera is enlarged and sent to a monitor for viewing.

Q. What is the purpose of intraoral cameras?

A. The purpose behind intraoral cameras is to allow the patient to see the specific area that needs treatment so that they are more likely to understand the dentist’s recommendation and accept it. Ask your dentist about this dental procedure and whether it’s covered under your dental patient financing program.