Cold food causing tooth pain? Contact us at The Dental Anesthesia Center in St. Louis for relief today.
You take a bite of ice cream or sip an iced drink, and suddenly, a sharp pain shoots through your teeth. It’s more than just discomfort—it’s distracting, sometimes unbearable, and leaves many patients asking: “Why do my teeth hurt when I eat something cold?”
Tooth sensitivity to cold is a common problem, but it can signal various underlying dental issues. At The Dental Anesthesia Center in St. Louis, we help patients uncover the root of their sensitivity and treat it comfortably, including with sedation options for those who feel nervous about dental visits.

What Is Cold Sensitivity in Teeth?
Tooth sensitivity, especially to cold, is often a sharp, quick pain that occurs when something cold touches your teeth. This happens when the tooth’s protective layers wear down or are damaged, exposing the inner layers where nerve endings live.
This inner tissue, called dentin, connects directly to the tooth’s nerves. When cold substances hit dentin, the nerves react fast and painfully.
Common Causes of Cold Sensitivity
Here are the most common culprits behind cold-related tooth pain:
- Worn Tooth Enamel
- Enamel is your tooth’s outer armor. The sensitive layers beneath are exposed once it’s eroded (by acidic foods, brushing too hard, or grinding).
- Gum Recession
- Receding gums expose the tooth roots, which lack protective enamel and are highly sensitive.
- Tooth Decay (Cavities)
- Cavities can create holes in the enamel, allowing cold to reach the nerves directly.
- Cracked or Chipped Teeth
- Even microscopic cracks can expose nerve endings, especially when temperature changes hit them.
- Worn or Leaky Fillings
- Older dental work may fail over time, letting cold seep into the inner tooth structure.
- Teeth Grinding (Bruxism)
- Grinding wears down enamel and creates pressure-related sensitivity.
- Post-Whitening Sensitivity
- After teeth whitening (especially at-home kits), the teeth may become temporarily more sensitive to cold.
Is Cold Sensitivity a Sign of a Bigger Problem?
It can be. While some sensitivity is minor and manageable, persistent or increasing pain could signal:
- Deep decay
- Infection or abscess
- Fractured tooth structure
- Advanced gum disease
Left untreated, these conditions can lead to root canals, tooth loss, or systemic infection. That’s why it’s important not to ignore the signs.
How We Treat Cold Sensitivity at The Dental Anesthesia Center
Our approach depends on what’s causing your discomfort:
For Enamel Erosion or Gum Recession:
- Desensitizing toothpaste
- Fluoride treatments
- Bonding agents to seal exposed dentin
For Cavities, Cracks, or Old Fillings:
- Fillings or crowns
- Inlays or onlays
- Tooth-colored restoration work
For More Severe Cases:
- Root canal therapy
- Extractions (if necessary)
- Periodontal treatment for gum disease
Afraid of Dental Work? We’ve Got You Covered.
Many patients with cold sensitivity are nervous about the treatment, and we completely understand. That’s why DAC specializes in sedation and sleep dentistry, offering:
- Nitrous oxide for mild anxiety
- Oral and IV sedation for deeper relaxation
- General anesthesia for complex or high-fear cases
We believe fear should never stand in the way of dental health.

At-Home Tips to Reduce Cold Sensitivity
While professional treatment is key, you can manage minor symptoms at home by:
- Using sensitive-teeth toothpaste (with potassium nitrate or stannous fluoride)
- Brushing gently with a soft-bristled toothbrush
- Avoiding acidic foods and carbonated drinks
- Using fluoride mouth rinses
- Wearing a nightguard if you grind your teeth
When to See a Dentist
If you’re cold-sensitive:
- Lasts more than a few days
- Comes with swelling, bleeding, or bad breath
- Affects one tooth more than others
- Is increasing in severity
…it’s time to call a professional. The earlier we diagnose the issue, the simpler (and more comfortable) the treatment will be.
Let Us Help You Smile Without the Sting
No one should dread an ice cream cone or iced coffee. At The Dental Anesthesia Center, we take your discomfort seriously and offer gentle, effective solutions prioritizing your health and peace of mind.
Call us at (314) 862-7844 or request an appointment online to find out what’s causing your sensitivity and how we can fix it—comfortably and confidently.