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From: Mark & Steven Bornfeld on 6 Aug 2008 14:33
Fran L wrote:
> I go to a periodontist every 3 months for a cleaning. The hygienist does
> the cleaning and the periodontist checks afterwards. My gums were pretty
> good with no large pockets.
>
> My teeth are usually a bit sensitive afterwards but around tooth 26
> which has no fillings and 27 which is rc'd and crowned, it feels like
> someone is touching it. Not exactly a pain, so slight, just a weird
> annoying pressure feeling and not all the time. Is this common after a
> cleaning? Is the gum accomodating to the newly cleaned area and less
> plaque, even though it was miniscule? Or can cleaning remove enamel and
> this is permanent? I aways worry when they use the Cavitron, which she
> used briefly this time just on the inside of some of the bottom teeth to
> remove stains. I have had the same feeling on tooth 26 going back years
> and they never find anything on the x-ray.
>
> Have any of you heard a similar description from your patients?
>
>
>
> ------------------------------------------------------------------------
>


Occasionally. The cavitron won't remove enamel (unless it's fractured
and ready to go anyway). There is a greater risk of wear on the root
surface when it's exposed. Any cementum present usually is gone almost
immediately. The dentin underneath is harder than the cementum, but not
as hard as the enamel. Proper brushing technique is far more important
than any minuscule amount of tooth structure that may be removed by root
planing, cavitroning or polishing.
Usually patients are likely to report feeling strange in the lower
incisor region if there was heavy calculus, and after the scaling the
contours of the teeth and spaces are changed. The teeth may also be
more sensitive to cold for a day or two (obviously not the tooth that's
had the root canal).

Best,
Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
From: Steven Bornfeld on 7 Aug 2008 11:47
Fran L wrote:
> Thanks so much for the reply. They were sensitive to cold like you said
> for about 2 days but the pressure feeling has lasted longer. It's
> getting better though. Also, that is where the plaque develops more than
> in any other area. I scrape it myself with a pin occasionally but
> realize I can't get as deep as they do. I brush it so carefully, floss,
> use rubber tip, baking soda, but it still forms. She did say my home
> care is "excellent" so all I can do is keep doing what I'm doing. I use
> Colgate Total (perio recommends it) and sensodyne (I mix them). If you
> have an alternate suggestion to keep plaque at bay, I'd love to hear it.
> If not, thanks so much again for your quick reply.
>
>
>
> ------------------------------------------------------------------------
>


If you have receded gums in this area, a proxabrush will probably do
better than floss, because the roots are somewhat concave in contour.
You can find proxabrushes (or similar interproximal brushes) at most of
the major chain drugstores.
I'd avoid the pin. ;-)

Steve
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