Toothache often feels worse at night. When you lie down, more blood pressure builds up around the head and jaw, and with the distractions of the day gone you simply notice the pain more. The tips below only give temporary relief — the cause of the pain always needs to be found and treated by a dentist.
Why does the pain get worse at night?
- Lying down increases blood flow and pressure to the head.
- There are no daytime distractions.
- Clenching and grinding in your sleep can strain an irritated tooth.
- The mouth can dry out overnight, which may increase sensitivity.
Temporary measures you can try at home
- Rinse with warm salt water: dissolve half a teaspoon of salt in a glass of warm water, swish and spit. It can clear food debris and soothe the area.
- Floss gently: food trapped between teeth can be the cause of the pain.
- Apply something cold: hold an ice pack wrapped in a cloth against the cheek for 15–20 minutes at a time. Never put ice directly on the skin.
- Keep your head raised: an extra pillow can reduce the pressure in the jaw.
- Use pain relief carefully: take over-the-counter painkillers only as the leaflet says and if they are suitable for you. Never place aspirin directly on the gum or tooth — it can burn the tissue.
- Avoid very hot, very cold and sugary food and drink.
These are not a cure
Painkillers and cold packs do not remove the cause. Deep decay, a cracked tooth, an abscess or gum infection will keep causing pain, and may get worse, until they are treated.
See a dentist urgently if you have
- Swelling of the face, jaw or neck
- A fever
- Difficulty swallowing or breathing
- Pain that lasts for days or becomes unbearable
- A bad taste, pus, or a pimple-like bump on the gum
These can be signs that an infection is spreading and need prompt assessment.
How to prevent toothache
- Brush twice a day with fluoride toothpaste and floss.
- Limit sugary food and drink.
- Have regular check-ups — small cavities can be treated before they hurt.
- If you clench your teeth, ask your dentist about a night guard.
Appointments and questions: you can contact us or call +90 533 300 71 41.
This article is for general information only. For a diagnosis and treatment plan that fits you, please see your dentist.
