Dr. Sachi D. Patel

You may be experiencing a number of things. First off, you may have periodontitis which is gum disease with bone loss. This could explain the pain and bleeding. You may also have a cracked tooth or a cavity. It is hard to diagnose properly without necessary x-rays and a complete clinical exam. I would recommend an appointment with your dentist as soon as possible.

Some dentists may be using different tools to do cleanings. The more modern technology, the ultrasonic scaler, combines the oscillating motion with water so the result is less painful. The traditional hand scalers may sometimes cause more sensitivity as in order to remove tough calculus, more scraping is necessary. Ultimately, the condition of your oral cavity dictates whether you will have sensitivity. Healthy gums and teeth should result in minimal sensitivity.

You need to get the filling restored as soon as possible. A defective filling could cause cracks in your tooth, which could ultimately do more harm and be more costly in the long run.

The in-office fluoride treatment has a higher concentration of fluoride and should only be done once every 6 months after the dentist has properly evaluated the condition of your oral cavity. Not everyone will benefit from the fluoride treatment, but if recommended, you should get it done as you are in need of the treatment.

You should seek immediate dental care. Depending not the extent of the damage done, the tooth may need immediate treatment, otherwise, it could cause necrosis.

Sachi D. Patel, DDS