Dental Problems You Shouldn’t Ignore

Sensitive teeth, bleeding gums, bad breath – how do you know which dental issues call for a dentist visit ASAP and which can wait? Here are 10 dental concerns you shouldn’t brush off.

1. Tooth sensitivity that doesn't go away

If you feel a sharp, painful twinge when eating or drinking something cold, hot, sweet or acidic, you may have tooth sensitivity. Many issues can cause it, including thinning enamel, cavities, gum disease and worn fillings. The right treatment depends on the cause, but simple treatments like cleanings, protective varnishes or crowns often relieve discomfort and help preserve your natural tooth. And if a tooth can't be saved, your dentist will work with you to find the right replacement, so you can continue to eat, speak and smile with ease.

2. Toothache

Pain in the teeth or jaw – usually a symptom of decay – can also be a sign of an abscess, infection or injury (including damage from grinding your teeth). See a dentist as soon as possible for severe pain or any level of pain that lasts longer than a day or two.

3. Chipped, cracked or broken teeth

Broken teeth aren't just a cosmetic concern. Even tiny cracks or chips can allow bacteria to enter, leading to pain, infection and decay. If a tooth feels rough or sharp against your tongue, or chewing is painful, get it checked out promptly.

Your dentist may recommend bonding (the same material used in a filling), a dental crown, veneers, an implant or a bridge to repair your tooth and restore your smile.

4. Loose or shifting teeth

Wiggly teeth are a red flag for adults. They may be a sign of periodontitis – advanced gum disease that can cause bone loss and, eventually, tooth loss. Osteoporosis, injury or teeth grinding can also loosen teeth.

Loose teeth only get worse over time, so don't wait to have them checked. Your dentist can recommend a deep cleaning or other procedure to stabilize and protect them.

5. Bleeding gums

We’ve all noticed some pink in the sink after flossing or brushing. But when are bleeding gums cause for concern?

The culprit is usually gingivitis, early-stage gum disease that is reversible with good oral hygiene. If left untreated, gingivitis can progress to periodontitis, a chronic inflammation of the tissues that support the teeth.

Periodontitis is the main cause of tooth loss in adults, and it has also been linked to heart problems, diabetes and respiratory conditions. Some studies suggest it may also contribute to Alzheimer's disease and rheumatoid arthritis. Periodontitis can’t be reversed, but the right treatment can slow its progression.

If your gums bleed for more than a few weeks, see your dentist to get to the root of the problem.

6. Mouth sores that don't heal

Most mouth sores aren't serious – the cause could be as simple as a common cold sore or irritation from dentures or a broken tooth. But persistent sores can be a sign of infection, nutritional deficiencies, autoimmune issues or, rarely, oral cancer.

If a painful spot on your tongue, your lips or the lining of your mouth doesn’t heal within a week, see your dentist.

7. Jaw popping, pain or headaches

Feel a pop when you yawn or chew? Jaw clicking might seem harmless, but if it comes with pain, headaches, jaw stiffness or limited movement, don’t ignore it.

Jaw popping can indicate a problem with the temporomandibular joints (TMJ), the joints that allow you to move your jaw. Common causes include teeth grinding, arthritis, misaligned teeth and injury. Your dentist may recommend lifestyle changes, a mouthguard or a procedure to align your bite.

8. Dry mouth

When your salivary glands don't make enough saliva, you may feel a dry, cottony sensation in your mouth that makes it harder to speak and swallow.

Dry mouth isn't just an annoyance – it can cause serious dental problems. Saliva plays a key role in dental health by washing away food particles and neutralizing acid produced by bacteria in the mouth. Without enough saliva, you are more prone to tooth decay, infections and gum disease.

Certain medications cause dry mouth as a side effect. Less often, it stems from an underlying health condition, such as a neurological disorder or an autoimmune disorder like Sjögren's syndrome. It can also be a side effect of radiation therapy.

Let your dentist know if you notice dry mouth. They can suggest changes to your diet or special mouth rinses to help.

9. Discolored teeth

Staining from coffee, tea, wine or certain medications is common, and teeth naturally darken with age as enamel wears away. But sometimes a change in tooth color signals something more serious, such as decay, injury or a problem with the tooth's nerve.

A whitening treatment can remove surface stains and boost confidence. A dental evaluation can also uncover any underlying causes of discoloration and help protect your teeth in the long run.

10. Bad breath

If you have persistent bad breath, see your dentist. It may be caused by bacteria, infection, gum disease or other health issues such as acid reflux, diabetes, or liver or kidney problems.

A dentist can help identify and address common causes and advise you if you need further evaluation.

Get the right care, right away at UCSF Health Dentistry

From routine cleanings to advanced treatment for gum disease and damaged teeth, you'll find expert care for all your oral health needs.

Our dentists specialize in treating dental issues, both common and complex. We offer a wide range of cosmetic and restorative procedures to help you look and feel your best.