Bond Saver D and Sensitivity on Root Surfaces- By Thomas W. Mitchell, DDS, FAGD

Introduction: 

This patient developed sensitivity at 2 and 3 after switching from “Sensodyne” toothpaste to "Deep Cleaning Sensodyne” toothpaste. As we've discussed before some toothpastes are a little too good at cleaning off root surfaces, creating sensitivity. His symptoms were quick flashes of sharp pain that don't linger when drinking anything cold since switching toothpastes.

Thomas W. Mitchell, DDS, FAGD
The x-ray was WNL ("we never looked"???). These crowns were done 19 years ago, and 4 is in cross bite so we got a bit more recession on 4 than on 3. They both responded to blowing air on the exposed root surface.
Thomas W. Mitchell, DDS, FAGD
First I used Clean and Boost to clean off those surfaces.
Thomas W. Mitchell, DDS, FAGD
Then I applied several coats of Bond Saver D, letting each one dwell for a few seconds and then drying. The patient felt less pain after each coat when I dried the tooth.
Thomas W. Mitchell, DDS, FAGD
After a few coats the sensitivity had all but disappeared.

Conclusion: 

I recommended he switch back to his original sensitivity toothpaste. Time will tell but this was a very easy way to decrease his sensitivity. Hope this helps - Tom

Case by: 

Thomas W. Mitchell, DDS, FAGD

Email: 

info@thomasmitchelldds.com