Why does it always seem like your toothache is worse at night?

Blood flow to your head increases when you lie down, which can make your dental pain flare up from increased pressure. 

Once you lie down to go to sleep, the quiet environment can leave you with no distractions to keep your mind off the pain and pressure that is now intensifying, so the pain can feel worse due to this as well.  

What are some causes of toothaches?

Most people have heard of cavities or decay. If they reach the nerve of your tooth, it will cause the nerve to be inflamed and can exaggerate any normal or minor sensation into soul-crushing pain. 

A fractured or cracked tooth, which could happen if you are grinding or chewing hard foods. Some people grind their teeth in their sleep. 

Sinus pressure can radiate pain in your upper teeth and vice versa. A dentist can determine the cause of your pain with an exam and x-rays.

How to relieve your pain overnight?

A common way to relieve pain is simple: warm saltwater rinses. You can mix about ½ teaspoon of salt with 1 cup of warm water, stir until dissolved, and then rinse for 20-30 seconds – focus on the area in pain. 

This can be done 2-3 times a day. This cleans the area and reduces inflammation.

Keep an ice pack on your cheek for 20 mins on, then 20 mins off. This sometimes numbs your angry nerve, which keeps sending a signal to your brain. 

Use over-the-counter pain relievers, following the directions closely.  You can combine Tylenol, ibuprofen, and Benadryl. 

Also, you can reduce pressure by lying down with your head propped up. Avoid foods that could trigger it, such as hot, cold, spicy, or sugary snacks. 

When should you call the dentist?

  • If you have pain lasting more than a day or two
  • If you experience swelling or fever
  • If you have sharp, throbbing, or pain that spreads to your jaw or ear
  • Trouble swallowing or breathing —-go the emergency room immediately

All in all, a toothache is the last thing anyone wants to experience. Some simple steps can help hold you off until you can find an emergency dentist for after-hours emergencies, or you can get into your regular dentist. 

Pain that persists is your body signaling that attention is needed, and the best way to protect your smile is prompt dental care.