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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.
Exposed roots of teeth can be sensitive to cold. Worn areas of enamel can be sensitive to cold. A tooth with a large deep filling can be sensitive to cold. Once your dentist has determined the cause of your sensitivity, he can offer you solutions to treat the problem.hen the dentin (middle layer) of the tooth is exposed, you may experience cold sensitivity. Normally, the dentin is covered by enamel (above the gum line) or by cementum (below the gum line).