If you’ve ever tried to fall asleep only to be kept awake by a throbbing toothache, you’re not alone. Many people notice their dental pain intensifies at night, even if it seemed manageable during the day. But why does this happen? Understanding the causes can help you get relief and know when it’s time to see your dentist.
Increased Blood Flow When You Lie Down
One of the most common reasons tooth pain feels worse at night is the simple act of lying down. When your body is horizontal, blood flows more easily to your head. This increased pressure in the gums and teeth can amplify inflammation and make an already sensitive tooth ache more intensely. Even minor issues like early cavities or mild gum irritation can feel significantly worse because of this extra pressure.
Fewer Distractions Make the Pain More Noticeable
During the day, your mind is busy working, talking, eating, and completing daily tasks. At night, when things quiet down, you naturally become more aware of physical sensations. With no distractions, even a dull ache can feel like a major problem. This doesn’t mean the pain is new or worsening; you’re simply paying closer attention to it.
Nighttime Teeth Grinding or Clenching
Bruxism—grinding or clenching your teeth—is a major contributor to nighttime tooth pain. Many people grind without realizing it, especially during sleep. This habit puts tremendous pressure on the teeth and jaw joints, which can cause pain in the teeth, facial muscles, and even headaches. If your toothache is accompanied by jaw soreness or morning headaches, bruxism may be the culprit. A dentist can evaluate your symptoms and recommend a nightguard to protect your teeth.
Sinus Pressure Can Intensify at Night
If your toothache is in your upper molars, sinus pressure may be involved. Sinus infections, allergies, or congestion can create pressure that radiates to the teeth because the sinus cavities sit very close to the roots of upper back teeth. When you lie down, sinus pressure can shift and intensify, making your toothache feel worse.
While temporary relief like over-the-counter pain medication, a cold compress, or sleeping with your head elevated can help, tooth pain is often a sign of an underlying issue. Cavities, gum disease, cracked teeth, and infections require professional treatment. If your toothache persists, worsens, or is accompanied by swelling or fever, contact your dentist right away. Nighttime tooth pain can be frustrating, but understanding the cause is the first step toward finding relief and restoring your comfort.
About the Practice
Are you experiencing a dental emergency? We can help! At United Dental Centers of Merrillville, we have same-day appointments available for emergencies to get you in and quickly relieve you of your pain. You’ll enjoy our kind and patient dental team, and also our acceptance of Medicaid and dental insurance to help you keep costs down. Don’t stay in pain – schedule an appointment online now or call (219) 980-4900.