If you’ve ever been woken up by a throbbing toothache or found your dental pain worsening just as you’re trying to sleep, you’re not alone. Nighttime toothaches are a common concern—and they always seem to strike when the dentist’s office is closed! But why does this happen, and what can you do about it?
Why Toothaches Feel Worse at Night
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Lying Down Increases Blood Flow
When you lie down, more blood flows to your head, which can increase pressure in inflamed areas, including around a painful tooth. This can intensify the throbbing sensation. -
Fewer Distractions
During the day, your brain is focused on work, conversations, or activities. At night, when everything is quiet, your mind zeroes in on the pain, making it feel worse. -
Teeth Grinding or Clenching
Some people grind their teeth while they sleep (a condition known as bruxism), which can worsen existing issues or cause new pain, especially if you’re already dealing with a cracked tooth or dental sensitivity. -
Untreated Dental Issues
Toothaches often signal an underlying problem—such as a cavity, infection, or gum disease. If left untreated, the pain can intensify, especially when your body relaxes at night.
How to Cope Until You See a Dentist
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Keep Your Head Elevated: Prop up your pillow to reduce blood flow to the head and relieve pressure around the tooth.
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Use Cold Compresses: Apply a cold pack on the outside of your cheek near the painful area to reduce swelling and numb the pain.
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Take Over-the-Counter Pain Relief: Ibuprofen or acetaminophen can help control inflammation and pain—but always follow dosage instructions.
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Avoid Trigger Foods: Stay away from very hot, cold, or sugary foods that could aggravate the pain.
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Rinse with Warm Salt Water: This can help clean the area and reduce inflammation temporarily.
