I had porcelain veneers placed. I really love them. The change they’ve made to my smile makes me feel beautiful. The only problem I’ve run into is tooth sensitivity, especially cold substances. My dentist said this can happen and I’ll need a root canal treatment. Shouldn’t he have warned me this was a possibility? I’m terrified of the idea of a root canal. Is it absolutely necessary, or ore there other options to explore first?
Corrine – Maryland
The need for a root canal treatment is actually very rare with porcelain veneers. Your teeth are made up of layers. Those layers protect the nerves in your teeth. Exposed or bothered nerves cause the sensitivity. If someone has thin enamel or larger than normal pores, that can lead to sensitivity. Porcelain veneers usually help with that because even though there might be some minor shaving for tooth preparation, the veneer itself adds extra protection.
The nerves respond to their environment. If nothing is going on around it, it will generally stay pretty happy. Initially, when you had your veneers placed, your nerves could have popped their heads up wondering what was going on, but that should have settled down fairly quickly. If several weeks have gone by and it’s still acting up, some investigating needs to be done— before you get a root canal treatment. The cause of the sensitivity needs to be nailed down.
I can think of two things right off the bat which should be looked into.
1. The bond between the veneers and your teeth could be damaged allowing things to get between the teeth.
2. Your bite could be off. If your bite has never been off before, improperly placed veneers can throw it off. If your bite is off, the teeth can be continually bumping up against one another angering the nerve. If it’s from the veneers, some adjustments can be made to repair that.
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