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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.
Tooth sensitivity is caused when the outside of teeth, or the hard enamel, wears down or gums recede and the tiny tubes in the tooth dentin become exposed. Each of those tiny tubes contains a lot of nerve endings, and when theyâre left open, it can hurt when you put hot or cold things in your mouth. A lot. âWhat causes the enamel to wear away?â Most often, tooth enamel wears away due to eating of too many acidic foods or drinks, excessive acid reflux, brushing too hard, or by clenching or grinding.