This Toothache Is a Nightmare; Why Is It Worse When I’m Trying to Sleep?

April 11, 2025

Lady has oral pain

If you’ve ever gone through your day without noticing tooth pain only to realize that you have a splitting toothache when you’re getting ready for bed, you are far from the first person to do so. The seemingly sudden onset of a toothache at night is a common problem, and there are a number of home remedies that can reduce your discomfort so you can get some sleep and call your emergency dentist in the morning. Here’s what you should know about getting some rest when you have a nocturnal toothache.

Why Did My Toothache Suddenly Strike at Night?

During the day, there are generally many more stressors competing for our attention than at night. For example, you are probably paying attention to the vibrations of your car, the flow of traffic, road signs and signals, and the music playing on the radio when driving. This level of stimulation can make it much harder to notice a little nagging dental pain, but the world is much quieter at night. Many patients may notice their tooth pain only after the activity of the day is done and they are winding down as they are preparing to go to bed.

How Can I Reduce My Toothache While I’m Trying to Sleep?

A few home remedies for toothache that may be effective include:

  • Enjoying a thorough brushing and flossing session to eliminate food debris that may be irritating the gums.
  • Using an over-the-counter pain reliever.
  • Applying clove oil (an ancient toothache remedy) to the pained tooth through a cotton ball.
  • Propping your head up with cushions or pillows so that gravity can slightly reduce the blood pressure in your head as well as the tension in your distressed tooth. You may achieve the same effect by sleeping in a recliner.

How Can My Emergency Dentist Help?

Severe tooth pain counts as a dental emergency, so it’s important to contact your emergency dentist as soon as possible after you notice a lingering toothache. They may be able to treat severe decay with a dental filling, but it will be necessary to perform an extraction and recommend an appropriate replacement if the tooth cannot be saved. If your pain is caused by grinding, they will probably recommend wearing a customized nightguard to reduce the strain this causes to your teeth and jaws.

An untreated toothache may lead to serious health consequences such as tooth loss and possibly dangerous secondary infections like sepsis. Contacting your emergency dentist when you notice tooth pain can help you keep your smile healthy, comfortable, and beautiful for life.

About the Author

Dr. Ifraitekh earned his dental degree at the Boston University Henry M. Goldman School of Dental Medicine and stays abreast of the latest developments in his field by regularly participating in continuing education coursework. His office in Austin offers general, restorative, cosmetic, and emergency dentistry. If you are currently suffering from a toothache, dial (512) 371-7239. To learn more about how toothaches are treated, contact the office online.