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There are many causes of tooth sensitivity, including: 1  Worn tooth enamel from using a hard toothbrush or brushing too aggressively. 2  Tooth erosion due to highly acidic foods and beverages. 3  Tooth erosion due to bulimia or gastroesophageal reflux disease (GERD)  Gum recession that leaves your root surface exposed.
It's understandable to assume tender gums are the result of gingivitis, but this isn't always the case. When your gums become sensitive to hot and cold â or inflamed and sore after applying moderate pressure (when brushing your teeth, for example) â gingivitis is just one of the possible causes. Consider your symptoms to see if it's the result of one of the following surprising causes of sensitive gums: