Why Is My Toothache Worse at Night? Dental Pain, Explained

May 11, 2025

Man holding jaw in dental pain

Why Is My Toothache Worse at Night? Dental Pain, Explained

Have you noticed that your toothache feels manageable during the day but becomes intense as soon as you try to sleep? This is a common experience for many people, and it can be both uncomfortable and concerning. Understanding why toothaches often feel worse at night can help you find relief and know when it’s time to see your dentist.

Lying Down Increases Blood Flow to the Head

One of the primary reasons your toothache may feel worse at night is due to your sleeping position. When you lie down, blood flow increases to your head, including your teeth and gums. This extra blood flow can increase the pressure in the area of an infected or inflamed tooth, making pain more noticeable and intense when you’re trying to rest.

Fewer Distractions at Night

During the day, you’re busy with work, conversations, and daily activities that can take your mind off minor tooth pain. At night, when you’re trying to fall asleep in a quiet room, you become more aware of discomfort that you may have ignored during the day. This lack of distractions can make your toothache feel worse than it actually is.

Tooth Grinding or Clenching

Many people grind or clench their teeth at night, a condition known as bruxism. Grinding puts additional pressure on your teeth and can worsen existing tooth pain or even cause new pain if it leads to enamel wear, cracked teeth, or jaw discomfort. If you suspect you grind your teeth while sleeping, it’s important to mention this to your dentist.

Sinus Pressure

If you are dealing with sinus congestion due to allergies or a cold, it can contribute to tooth pain, especially in your upper teeth. When you lie down, sinus pressure can increase, pressing on the roots of your teeth and making discomfort more noticeable at night.

Untreated Cavities or Infections

Nighttime tooth pain can be a sign of an untreated cavity or infection. As the pulp inside your tooth becomes inflamed, it can create a throbbing sensation that worsens when you lie down. If your toothache is persistent or accompanied by swelling or fever, it is important to contact your dentist, as you may require urgent care to prevent the infection from spreading.

What You Can Do for Relief

If your toothache worsens at night, try sleeping with your head elevated to reduce blood flow to the area. You can also take over-the-counter pain relievers as recommended and use a cold compress on your cheek to help manage discomfort. However, these are temporary measures, and it’s essential to schedule a dental appointment to determine the underlying cause.

If your pain becomes severe or you experience swelling, you may need to see an emergency dentist.

Understanding why your toothache worsens at night can help you manage discomfort and take the next steps toward treatment for lasting relief.

About the Practice

Frisco’s community dentist, Highland Oak Dental, provides comprehensive dental care, including emergency dentistry, preventive services, and advanced treatments to help you maintain a healthy, pain-free smile. Dr. Gadhiya’s patient-centered approach and state-of-the-art technology ensure you receive the care you need in a comfortable, welcoming environment. Meet our team today and leave dental pain in the past.

Call us at (214) 308-5359 or request an appointment online.