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Strengthening sensitive teeth involves two complementary actions: sealing exposed dentinal tubules (to block the pain signal) and remineralizing weakened enamel (to restore its strength). Products available at pharmacies allow you to address these two mechanisms on a daily basis, without having to wait for a dental appointment. Specialized toothpastes for sensitive teeth and otheroral hygiene products are available in our online store. To understand why teeth become sensitive, the tooth sensitivity page explains the mechanisms in detail.
Desensitizing toothpastes are the cornerstone of at-home treatment. They fall into two distinct categories based on their mechanism of action. Potassium nitrate (5%) acts directly on the nerve: it depolarizes the dentin nerve fibers and reduces their reactivity to stimuli—a gradual but lasting result with continuous use for 2 to 4 weeks. Strontium chloride and 8% arginine with calcium carbonate work differently: they precipitate within the dentinal tubules and mechanically block them, reducing the flow of fluid that causes the pain.
Fluoride is the primary enamel-remineralizing agent available for over-the-counter use. It works by replacing the hydroxyl ions in hydroxyapatite to form fluorapatite—a crystalline structure that is more resistant to acid attacks (it dissolves at a pH of 4.5 instead of 5.5 for ordinary enamel). This transformation strengthens existing enamel and accelerates the recrystallization of areas demineralized by acids or bacteria.
The concentration of the toothpaste determines its effectiveness: 1,450 ppm is the European standard for adults—"whitening" or "natural" toothpastes often contain less than 1,000 ppm and are less effective on sensitive teeth. For severe cases, the dentist may prescribe toothpastes containing 2,800–5,000 ppm or apply professional fluoride varnishes at 22,600 ppm, the effects of which last for several weeks.
The gums are the first line of defense for the tooth roots. When they recede, they expose the cervical area of the teeth—where enamel is absent and where cementum (much thinner and more porous) provides poor protection for the dentin. This gum recession is often silent and gradual: the patient doesn’t notice it until sensitivity sets in. Brushing too vigorously is the leading cause of recession in young adults—it’s irreversible damage that proper brushing can prevent but not repair.