The REAL Hidden Cause Of Tooth Sensitivity – Sympathetic Dental Hypersensitivity

Content provided by Jaz Gulati. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Jaz Gulati or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Protrusive Dental Podcast « »
The REAL Hidden Cause of Tooth Sensitivity – Sympathetic Dental Hypersensitivity – PDP240

2M ago 1:19:32

MP3•Episode home

How on earth can a neck injection eliminate teeth sensitivity? Can a patient’s tooth sensitivity really be linked to their occlusion? Is occlusal adjustment ever indicated for sensitivity? And what’s the actual mechanism behind those cases where everything looks fine — no cracks, no significant wear, no exposed dentine — yet the patient still complains their teeth are sensitive? In this episode, Dr. Nick Yiannios shares the concept of Sympathetic Dental Hypersensitivity (SDH), a groundbreaking way of understanding sensitivity that goes beyond the usual suspects like caries, erosion, or leakage. We dive into how the sympathetic nervous system in the pulp can drive unexplained pain, why traditional approaches often fail, and how objective tools like T-Scan and EMG can reveal what articulating paper misses. This could completely change the way you diagnose and manage those “mystery” sensitivity cases that just don’t add up. https://youtu.be/a2Mg72Y_zkw Watch PDP240 on Youtube Protrusive Dental Pearl: When fitting a resin-bonded bridge (RBB), if you’re unsure about the fit and cement gap, use light-bodied PVS on the intaglio surface of the wing. After setting and peeling it away, the thickness of the PVS shows you the expected cement layer. Ideally, it should be thin and even; a thicker area highlights where your gap is excessive. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: The T-scan technology revolutionizes occlusal analysis. Sensitive teeth can be linked to occlusion and bite adjustments. Frictional dental hypersensitivity (FDH) is a key concept in understanding sensitivity. Sympathetic responses may contribute to dental hypersensitivity. Innovative treatments include laser therapy and ozone application. Addressing root causes is essential for long-term solutions. Dentists should explore literature for new insights and techniques. Critical thinking is vital in dental practice. Advanced technology can enhance patient care and outcomes. Objective data is essential for effective occlusal adjustments. Understanding joint function is crucial for dental health. Differentiating between types of dental hypersensitivity is important. The sympathetic nervous system plays a significant role in dental pain. Educating patients about their conditions fosters better outcomes. The beaker of pain concept helps in understanding patient symptoms. Continuous learning is vital for dental professionals. Objective metrics are necessary for accurate diagnosis and treatment. Highlights of this episode: 00:00 Teaser 00:39 Intro 03:51 Protrusive Dental Pearl 05:42: Dr. Nick Yiannios’ Journey and Innovations 07:46 T-Scan and Digital Occlusal Analysis 08:29 FIRST INTERJECTION 13:46 T-Scan and Digital Occlusal Analysis 14:07 Discovery of Occlusion–Sensitivity Link 20:44 Second interjection 24:25 Student Case – Sensitivity from a Bridge 26:04 Dentine Hypersensitivity 28:39 Cervical Dentine Hypersensitivity 30:44 The Role of Lasers and Ozone in Dental Treatment 35:24 Alternatives for Dentists Without Lasers 43:12 Alternatives for Dentists Without Lasers 44:00 Frictional Dental Hypersensitivity Explained 47:15 The Importance of T-Scan in Dentistry 50:57 Neck Blocks and Sympathetic Responses. 58:24 Third interjection 01:00:01 Neck Block Mechanism 01:12:34 The Beaker of Pain Concept 01:14:38 Fourth interjection 01:16:23 The Beaker of Pain Concept 01:16:59 Community and Collaboration 1:20:57 Outro Curious to dive deeper?You can explore more of Dr. Nick’s work and insights through these resources: Upcoming course: CNO6 – Sympathetics in Dentistry: The Missing Link in General & Specialty Practice AES (American Equilibration Society) – check out their upcoming conference for world-class learning in occlusion and TMD. CNO – Center for Neural Occlusion Facebook community: Neural Occlusion YouTube channel: Dr. Nick DDS – packed with case examples, lectures, and protocols. CNO YouTube playlist Studies & Resources Sympathetic Dental Hypersensitivity - An Alternative Etiology for Dental Cold Hypersensitivity Greater Auricular Nerve Block Reduces Dental Hypersensitivity to Intraoral Cold Water Swish Challenge: A Retrospective Study Dr. Mark Piper Lecturing at the American Academy of Craniofacial Pain: Sympathetics & CRPS1 If this episode helped you, check out PDP199: How to Eliminate Sensitivity During Teeth Whitening #PDPMainEpisodes #OcclusionTMDandSplints #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C. AGD Subject Code: 180 OCCLUSION Aim: To provide dentists with an updated understanding of tooth sensitivity, highlighting the role of sympathetic nervous system involvement, occlusion, and modern treatment approaches beyond traditional desensitizers. Dentists will be able to - Explain the concept of Sympathetic Dental Hypersensitivity (SDH) and its link to occlusion and cervical nerves. 2. Identify diagnostic tools (e.g., T-Scan, JVA, imaging) that provide objective data for managing sensitivity. 3. Evaluate treatment options, including laser-ozone therapy, occlusal adjustments, and neck block techniques. Click below for full episode transcript: Teaser: I want you to think the sideways incursive movements like speed bumps. The more speed bumps, the more likely the nervous system doesn't like all that extra bump, bump, bump, bump. So you want to kind of smooth out the ride when you're going left and right. Imagine you're in a car, you want it to be a little smoother. Teaser:Remember misfolded proteins? If you as a human, which is rare die of prion disease, you are a complete biohazard. They don't even know what to do with your body. Cremation is not enough, but guess what kills prions? Well, they're not alive. Guess what destroys prions? Their misfolded proteins. Ozone, trigeminal, cervical,*** and this all ties into sensitive teeth because it's not just trigeminal. It's also***- Jaz's Introduction:Most of us have the same protocol for managing sensitive teeth. We check the patient's oral hygiene, we check for acid erosion, be it intrinsic or extrinsic. We try and take care of the acid basically. Most of us are heavily recommending some sort of desensitizing toothpaste, like a Sensodine or an Oral B sensor version, or a pro relief from Colgate, whichever it may be. Some of us are scrubbing desensitizing agent into tooth, perhaps even fluoride. And if the sensitivity is coming from like a Class five region, like abrasion a fraction, we might slap a composite in there hoping that the sensitivity will improve. Unfortunately, have those patients who no matter which brand of toothpaste they try, like it all helps, but they forever have sensitive teeth. I already have some patients in my mind that fall into this category. So what's going on there? Why are these patients' teeth sensitive? Well, hello there, Protruserati, I'm Jaz Gulati, and welcome back to your favorite Dental podcast. For those of us dental geeks who like to spend a lot of time on YouTube, you probably already know today's guest: It's Dr. Nick Yiannios. I remember seeing his videos like, 10 years ago, 12 years ago. And I was like, what on earth is going on? This guy is using a computer to inform him about the bite, and he had all these like EMG leads on the patient and you are thinking, what on earth is going on? I've never seen anything like this before. And then you hear about all these patients problems like they've got like clicking, popping, muscular pain, headaches, sensitive teeth, and by the end of the video it shows on the computer screen what the new bite is showing. But amazingly, the patience and their response was pretty spectacular. When I look back in my journey into occlusion, and now how I'm diving deeper into digital occlusion, like using the T scan for example, and next month, I myself am getting those EMG leads flying out to America to shadow Dr. Bobby Supple. Who's a previous guest of this podcast and his podcast was called Occlusion Wars and was just a brilliant summary of the history of occlusion. You have to check it out. Anyway, Bobby's the current president for the AES and their conference in February in Chicago is one that me and Mahmoud Ibrahim are speaking at. But we are small fish we are tiny tadpoles in this ocean of giants that they have presenting, including Mark Piper and Dr. Nick Yiannios who we'll be hearing from today. So that's my plug in there you guys have to check out the AES. If you can come to Chicago in 2026, February, I'll put the details in the show notes. It'll be great to see you there. Anyway, I'm digressing I'm just sharing my excitement from learning from all these people and what Dr. Nick has to share is pretty mind blowing. We will answer that question of can a patient's sensitivity be linked to their occlusion? Is occlusal adjustment indicated for sensitivity? What is the mechanism behind that? And as per the title of this episode, you'll get to know the real cause of sensitivity. And once you check for caries and exposed dentine and that kind of stuff, that the most common cause of sensitivity, like leakage and stuff like once you've accounted for that and you found that, "Hmm, actually this patient has no signs of cracks, there's not significant amount of wear, there's not much exposed dentine, why is my patient saying that my teeth are so sensitive?" Then the diagnosis, my friends, is likely sympathetic denting hypersensitivity. And if you want to know what that's about, wait all the way to the end of the podcast. Honestly, it's going to blow your mind. I learned a lot from this podcast. Dental PearlNow, just before we dive in,

368 episodes

#Science #Medicine #Fitness #Podcasting Education #Self-Improvement #Jaz Gulati