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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tingling In Gums And Lower Teeth, Sensitive On Breathing In Air, Excessive Thirst Even After Taking Plenty Of Water. Cause?

feels like my gums/lower teeth are tingly.. like when you breathe in from the air they are sensitive and they weird sensation. Also, I have been feeling dehydrated over last few days/week... i drink about 3/4 L water a day, eatc very clean and strict and exercise... I stil feel thirsty all the time, like i need water. I am worried perhaps my body isn t soaking up the water?
Wed, 3 Oct 2012
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Dentist 's  Response
hello and welcome,
these are usual symptoms associated with abrasion,erosion and attrition.
visit your dentist to get the diagnosis.
if it is attrition,there will be physiologic wearing away of a tooth as a result of tooth-to-tooth contact,as in mastication.usually it occurs in elderly patients.in this case ,enamel has been completely worn away,resulting in extrinsic yellow or brown staining of exposed dentin.this usually treated by artificial replacement of teeth.
if it is abrasion,there is pathologic wearing away of tooth substance.it usually occurs on exposed root surfaces of teeth and also on incisal or proximal surfaces.improper brushing technique,habitual opening of bobby pins with teeth,habitual pipe smokers,improper use of dental floss and toothpicks are the usual causes of abrasion.it is usually treated by tooth coloured restorations like glass ionomer cement.or by tissue grafting.
if it is erosion,it is an irreversible loss of dental hard tissue by a chemical process that doesnot involve bacteria.dissolution of mineralised tooth structure occurs upon contact with acids that are introduced into oral cavity from intrinsic-vomiting,or extrinsic sources-acidic beverages,citrus fruits.in this case,avoid intake of excessive acidic foods or beverages.
yours is more chance of erosion case-in case of dry mouth,use sugarless chewing gum or mints to increase residual salivary flow.the use of oral pilocarpine may also be beneficial.
take care.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I went through your history & all this indicates that enamel i.e. outermost covering of teeth is lost from your teeth.It can be due to few reasons like:-
-Attrition-physiologic wearing away of teeth due tooth to tooth contact during mastication.It results in exposure of dentin & can be cured by use of sensitive toothpaste like-thermoseal RA.
-Abrasion-its loss of enamel at cervical one-third & occurs due to improper brushing technique or use of bobby pins.Can be corrected by restoration.
-Erosion-.dissolution of mineralised tooth structure occurs upon contact with acids that are introduced into oral cavity from intrinsic-vomiting,or extrinsic sources-acidic beverages,citrus fruits.It is irreversible & need to get capping done to improve its condition.Stop taking acidic food.

You also mentioned about dehydration.I would like to ask about your medical history in that case.
-Are you diabetic?
-Are you hypertensive?
-Do you have xerostomia?

You can take chewing gums for increased salivary production as well as Pilocarpine can be taken for further relief.

Take Care

Regards
Dr.Neha
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Dentist Dr. Sapna Purwaha's  Response
hello
i read your problem.it seem your teeth has become highly
sensitive .in that case i would advice you to get scaling of
your teeth and sensodent k toothpaste to brush twice
daily for atleast a week.
dehydration may be due to high suger level in your
blood .i would advice you to consult a physician and also
get your blood sugar level checked.
rinse mouth with warm saline water twice daily.
regards
dr.sapna
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Tingling In Gums And Lower Teeth, Sensitive On Breathing In Air, Excessive Thirst Even After Taking Plenty Of Water. Cause?

hello and welcome, these are usual symptoms associated with abrasion,erosion and attrition. visit your dentist to get the diagnosis. if it is attrition,there will be physiologic wearing away of a tooth as a result of tooth-to-tooth contact,as in mastication.usually it occurs in elderly patients.in this case ,enamel has been completely worn away,resulting in extrinsic yellow or brown staining of exposed dentin.this usually treated by artificial replacement of teeth. if it is abrasion,there is pathologic wearing away of tooth substance.it usually occurs on exposed root surfaces of teeth and also on incisal or proximal surfaces.improper brushing technique,habitual opening of bobby pins with teeth,habitual pipe smokers,improper use of dental floss and toothpicks are the usual causes of abrasion.it is usually treated by tooth coloured restorations like glass ionomer cement.or by tissue grafting. if it is erosion,it is an irreversible loss of dental hard tissue by a chemical process that doesnot involve bacteria.dissolution of mineralised tooth structure occurs upon contact with acids that are introduced into oral cavity from intrinsic-vomiting,or extrinsic sources-acidic beverages,citrus fruits.in this case,avoid intake of excessive acidic foods or beverages. yours is more chance of erosion case-in case of dry mouth,use sugarless chewing gum or mints to increase residual salivary flow.the use of oral pilocarpine may also be beneficial. take care.