Have you ever gone to bed with tooth pain and it suddenly feels much worse? It’s a strange phenomenon for sure, but there are several reasons why toothaches seem to intensify at night. Understanding what triggers the pain can help you manage your discomfort until you can get an emergency appointment with your dentist. Continue reading to see what’s happening and learn how you can get a great night’s rest even when your smile is sore.
What Triggers Pain for Nighttime Toothaches?
Tooth pain in general is usually caused by decay, infection, or trauma that has reached the inner part of your tooth that houses all the nerve endings—the pulp. However, there are several reasons why the pain seems worse at night, such as:
Changes in Blood Flow
When you lie down, more blood flows to your head. This can increase pressure in sensitive areas, including a painful tooth. During the day, it’s not as noticeable, but at night, the change in pressure can make an inflamed tooth feel like it’s throbbing.
Fewer Distractions
When you’re engaged with work, errands, and conversations, your mind is busy. At night, things get quiet, and with fewer distractions, it’s much easier to focus on pain. If your toothache is the only thing you can think about, it’s going to keep you up.
Nighttime Habits
Some habits can also trigger or worsen toothaches at night. For example, drinking cold, acidic, or sugary drinks or grinding and clenching your teeth can stress an already sensitive tooth.
Sinus Issues
Sometimes, what feels like a toothache isn’t related to your teeth at all. Sinus pressure, especially when you’re lying down, can radiate outward and feel like it’s in your teeth or jaw.
What You Can Do at Home
While nighttime toothaches are a clear sign you should see your dentist, there are a few things that may help you manage your discomfort before your appointment:
- Take an over-the-counter pain reliever as directed.
- Keep your head slightly elevated with an extra pillow.
- Avoid chewing on the painful side.
- Skip very hot, cold, or sugary foods and drinks.
If your toothache is keeping you up at night, it’s time to schedule an emergency appointment. Persistent or severe pain can be a sign of a cavity, cracked tooth, infection, or other serious problem. The sooner your dentist can diagnose the cause, the sooner you can get relief—and protect your long-term oral health.
About the Author
Dr. Jasmine King has practiced dentistry since 2006 and strives to help patients find relief from toothaches and beyond. She earned her Bachelor of Science from Tougaloo College and her Doctor of Dental Surgery from the University of Tennessee College of Dentistry. A member of the American Dental Association, she prioritizes comfortable, efficient, high-quality care for every patient. Call (817) 292-7488 to schedule an emergency exam at Summer Creek Dentistry or visit our website to discover a full menu of services.