Help! Why is My Toothache Worse at Night?

August 3, 2025

Filed under: Uncategorized — drpapageorgiou @ 6:48 am
Woman in pajamas holding jaw

Many people notice that their tooth pain seems to worsen as bedtime approaches. A tooth that feels fine during the day can suddenly become throbbing and uncomfortable once you lie down. Understanding why this happens can help you manage the pain and know when to seek professional care.

Increased Blood Flow

When you lie down, blood flow to your head increases slightly, which can put extra pressure on inflamed tissues around a tooth. This added pressure often intensifies the sensation of pain, making a toothache feel much worse at night than during the day.

Reduced Distractions

During the day, activity and movement can distract your mind from minor discomfort. At night, in the quiet and stillness of your bedroom, pain becomes more noticeable. This heightened awareness can make even a mild toothache feel severe.

Sinus Pressure

Tooth pain can sometimes be linked to sinus issues. At night, sinus pressure can increase when you’re lying flat, especially if you have congestion from allergies or a cold. This pressure can radiate to the upper teeth, creating the sensation of a worsening toothache.

Clenching and Grinding

Many people unknowingly clench or grind their teeth while sleeping. This can place additional stress on an already sensitive tooth or inflamed area, worsening the pain during nighttime hours.

Decay or Infection

Underlying dental issues such as cavities, abscesses, or infections are common causes of toothaches that worsen at night. If a toothache persists or is accompanied by swelling, fever, or difficulty chewing, it is important to seek dental care promptly.

Managing nighttime tooth pain may involve over-the-counter pain relief, using a cold compress, or adjusting sleeping position to reduce pressure on the affected area. However, addressing the root cause is essential for long-term relief.

About the Practice

Papageorgiou Dental Associates of Natick offers comprehensive emergency dentistry services to help patients manage toothaches and other urgent dental issues. Dr. Papageorgiou and Dr. Buckley provide prompt, effective care to relieve pain and treat underlying problems. If you’re waking up at night with tooth pain, it’s time to come see us.

Call us at (508) 545-1126 or request an appointment online.

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