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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.
This is the main cause of tooth sensitivity after a filling â your body is simply telling you that the tooth was traumatized. The bigger your cavity (and resulting filling), the more likely it is that you will experience sensitivity after the filling is done. Other than trauma, there are a few other reasons why you might experience a sensitive tooth after a filling: If you have a high filling.