Complaints on the neck of the tooth

Since the neck of the tooth is not surrounded and protected by hard enamel, but only by a thin protective layer of dental cement, the dentin is almost or even completely exposed. The dentin contains all the nerve fibers that perceive pain stimuli in addition to temperature and pressure sensations. This is why every tooth in the cervical area is very sensitive to pain stimuli.

Normally, no pain stimuli reach the neck of the tooth, since it is located in the gums and is protected by them. However, the neck of the tooth may be accessible to external stimuli for various reasons, such as when the gums retract, causing pain. A common cause of toothache is an exposed neck of the tooth.

This is when the gums retract and expose the sensitive neck of the tooth. Often the so-called marginal periodontitis is the cause of the retraction of the gums. It is an inflammation of the gums caused by bacteria.

The bacteria infect irritated gums and there is an increased tendency to bleed. This inflammation eventually causes the gums to retract. However, excessive pressure when brushing teeth can also cause the gums to retract permanently and lead to exposed tooth necks.

If the neck of the tooth is exposed, it reacts very strongly to external stimuli such as heat, cold and pressure. Since the nerves lying in the dentin are not protected by enamel, the neck of the tooth is extremely sensitive when the protection provided by the gums is no longer present. This manifests itself in the fact that the patient feels pain when eating or drinking very cold or very hot food and drinks, and may also experience discomfort when brushing his teeth without pain.

If the complaints are very strong, the affected neck of the tooth can be sealed by a dentist. A fluoride varnish is used for this. This protects the sensitive nerve fibres and makes them less sensitive to pain.

In addition, the gums can be reattached over the neck of the tooth by an operation.Another possibility is the cervical filling, which not only protects against pain, but also treats smaller defects (“holes”). Exposed necks of teeth are at risk of developing cervical caries. Therefore it is important to treat exposed cervicals accordingly.

Colloquially, periodontitis is often mistakenly referred to as cervical inflammation. Although it can lead to an inflammation of the neck of the tooth, because the gums recede and the necks of the teeth are exposed, it is not an inflammation of the necks of the teeth. However, if the necks of the teeth are exposed and exposed to strong external stimuli, it can lead to an inflammation.

Exposed dental necks are very susceptible to cervical caries. Bacteria will multiply in the area of the neck of the tooth and if they penetrate into the inside of the tooth, the tooth or neck of the tooth can become inflamed. This is extremely painful and manifests itself in throbbing pain.

A dentist should be consulted immediately. Caries can occur in different areas of the tooth. Caries of the neck of the tooth is most likely to occur when it is exposed due to various possible causes.

Under normal circumstances, the gums surround the neck of the tooth like a kind of cuff. If the gums have receded, their protective function is lost. There is no protective layer of enamel on the neck of the tooth.

This means that the dentin is exposed and exposed to chemical, thermal or mechanical stimuli. In the initial stages, cervical caries usually proceeds without symptoms. It often manifests itself by whitish changes, which are a sign of demineralization.

As the disease progresses, patients usually express excessive sensitivity to cold or heat. The defect caused by the carious lesion is also clinically visible here. Carious defects progress more rapidly towards the pulp due to the lack of enamel in the cervical area.

Cervical caries can also develop below the gums surrounding the cervix. This is usually discovered late, as the gums cover the defect. As a rule, affected patients do not visit a dentist until the caries has infiltrated the dental pulp with the nerve endings running in it and strong pain has developed in the affected tooth.

In these cases, root canal treatment is usually unavoidable. A discolored neck of the tooth is only noticeable when it is exposed. Normally, the neck of the tooth is surrounded by the gums and thus protected from external stimuli.

The neck of the tooth is not surrounded by enamel and if it is exposed is extremely susceptible to all stimuli. These include food and beverages, which can only come into contact with exposed tooth necks. There are many ingredients of food and drink that can lead to tooth discoloration.

Especially nicotine, coffee and black tea are among them. In the course of life, all teeth change their color. However, since this is a gradual process, this is usually not noticeable.

Since the necks of the teeth do not have enamel as a protective layer, they are also more susceptible to discoloration and this is more evident and faster. By eating certain foods, the necks of the teeth can become brownish or even black. If the necks of teeth are noticeably discolored, it can also be tartar.

This can be removed by the dentist. In most cases, a tooth breaks due to external force, such as a fall. If the entire tooth breaks off at the level of the neck of the tooth, this leads to massive pain because many nerves run through the neck of the tooth.

If possible, the broken tooth should be stored and preserved. It can be placed in a glass of milk, for example. A dentist should be consulted immediately. The dentist will try to expose a part of the root and form a crown on it. He may still be able to use the broken tooth and, therefore, quick action is very important.