Tooth dentin contains thousands of tiny fluid filled pores called dentin tubules. When these pores are exposed to the oral enivronment, things like cold, air pressure, sugars, and touch can cause the fluid in these tubes to move and produce sharp pain and sensitivity. A lot of other conditions can also cause pain, so it is important for your dentist to make the definitive diagnosis of dentin hypersensitivity. Not all exposed dentin is sensitive, and in order for you to experience dentin hypersensitivity two things need to happen:
Lesion Localization – Obviously tooth dentin must first be exposed to the oral environment. Usually this happens due to gum recession that exposes the dentin on tooth roots, but it can also occur with excessive tooth wear and tooth decay.
Lesion Initiation – Microscopic studies have shown that sensitive teeth are different than non-sensitive teeth. They have larger pores and are missing a protective protein coating call a smear layer that normally covers the surface of exposed dentin. Once areas of exposed dentin become initiated though removal of the smear, their pores are open to the environment and can cause pain. The best way to treat dentin hypersensitivity is to work to plug up these pores and to maintain the smear layer.
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"We love Dr. Hatcher and Dr. Frey! They are super thorough when you go in for an evaluation, and give you pricing up front. I visited a different local orthodontist, who wouldn’t give a price until after we started... they are detailed in the plan and the outcome is terrific! It is a wonderful practice with an amazing team! I highly recommend them!!"
"I can't tell you how astonished I was with the customer service, everyone here is affectionate, and kind. I feel respected and important here. I am a current patient with crowding problems; Invisalign was what I went with because It doesn't seem too much of a chore to keep up with rather than braces. Thanks Dr. Hatcher for your stunning care; I know I'm in good hands and can't wait to see a different smile in the near future. I hope if you've read this far you choose to come here even if you live far away; it's definitely worth the drive. I would recommend this to anyone who is in need of an orthodontist."
"Got my braces off today after 29 months of wearing them. When I came to Dr. Hatcher back in June 2017, my teeth looked like they were beat by Negan's bat, Lucille, from TWD. Today, I am a brand new person that has been cured of my zombie teeth apocalypse! Thank you Dr Hatcher, Shawna, and the rest of the staff! Your hard work has paid off and will not be forgotten. I will think of you every time I smile."
Warren Dana Bowling Sr.
"Five stars I scheduled a consult after seeing photos of Dr Frey’s cases with early development utilizing Invisalign. I also felt orthodontics should start early not late and I wanted the best for my 5yr old twins. I was blown away with Dr Frey’s clinical skills, understanding of sleep apnea in children, his updated technology and ability to do digital scans instead of impressions totally shows his education and expertise, but my biggest compliment was how well they treated my family. It’s care that is surpasses any practice I’ve seen. Thank you for educating us and giving us a sound treatment plan."
Shannon Pace Brinker
"Dr. Hatcher is wonderful and the staff is exceptional! We have had a very positive experience here with both of our daughters. They go above and beyond and I recommend them to anyone who is looking for an orthodontist. They make you feel like family and the kids love going to their appointments. State of the art technology is used to transform smiles from good to great!"
Margot Nowlan Broglin
"Dr. Scott Frey is an amazing Orthodontist and very caring. The most important thing which many people don't understand is it's not just straightening your teeth but knowing your bite is right for the lifetime of functioning. It's well worth the investment and time to do it right, so it won't cost you even more down the road. I give him 5 stars!"
"What a great experience! We were referred to Hatcher & Frey Orthodontics by our pediatric dentist’s office and they are very helpful and professional. Couldn't have had a better team to help my now 13-year-old achieve her perfect smile."