There’s nothing quite like a toothache that seems to get worse the moment your head hits the pillow. If you’ve ever found yourself wondering, “What should I do if I have a toothache?”—especially in the middle of the night—you’re not alone. While a nighttime toothache often signals an issue that needs professional care, there are a few simple ways to manage discomfort and get some much-needed rest until you can see your dentist.
Why Toothaches Feel Worse at Night
Tooth pain can feel more intense at night for a couple of reasons. When you lie down, blood flow to your head increases, which can put extra pressure on sensitive areas in your mouth. At the same time, fewer distractions make it easier to focus on the pain, making it seem more severe than it might during the day.
Understanding why the discomfort increases can help you take the right steps to reduce it.
Keep Your Head Elevated
One of the easiest ways to reduce nighttime tooth pain is to keep your head elevated while you sleep. Propping yourself up with an extra pillow can help limit blood flow to the affected area, which may reduce throbbing and pressure.
Even a slight incline can make a noticeable difference in how intense the pain feels.
Rinse with Warm Salt Water
A warm saltwater rinse is a simple but effective way to soothe irritated tissues and clean the area around the painful tooth. Saltwater can help reduce inflammation and flush out any debris that may be contributing to discomfort.
Try gently rinsing for about 30 seconds before bed to help calm the area.
Use a Cold Compress
If your toothache is accompanied by swelling or throbbing, applying a cold compress to the outside of your cheek can help. The cold temperature numbs the area and can reduce inflammation, offering temporary relief.
Apply the compress for about 15 to 20 minutes at a time, allowing breaks in between if needed.
Take Over-the-Counter Pain Relief
Non-prescription pain relievers can be helpful in managing toothache discomfort at night. When used as directed, they can reduce inflammation and make it easier to fall asleep.
Be sure to follow the recommended dosage and avoid placing any medication directly on the tooth or gums, as this can cause irritation.
Avoid Trigger Foods Before Bed
If you’re dealing with a toothache, certain foods and drinks can make the pain worse. Extremely hot, cold, sugary, or acidic items can trigger sensitivity and increase discomfort.
Sticking to mild, lukewarm foods in the evening can help prevent additional irritation before bedtime.
Don’t Ignore the Pain
While these tips can help you get through the night, they are not a substitute for professional care. A persistent toothache often indicates an underlying issue such as decay, infection, or a damaged tooth that needs to be treated.
If you’re asking yourself, “What should I do if I have a toothache?” the most important step is to contact your dentist as soon as possible. Early treatment can prevent the problem from worsening and provide lasting relief.
Getting through a night with a toothache can be challenging, but small steps can make a big difference in your comfort until help is available.
About the Practice
MW Dental Center is led by Dr. Steven Kendrick, an experienced dentist with deep roots in Oklahoma and a passion for helping patients improve their oral health and overall well-being. After earning his dental degree from the University of Oklahoma College of Dentistry, he pursued advanced training in dental implants and has remained actively involved in education, mentorship, and professional organizations throughout his career. Known for his warm, approachable personality, Dr. Kendrick focuses on building lasting relationships with patients while delivering comprehensive, modern dental care. Supported by a compassionate team and advanced technology, the practice emphasizes comfort, personalized treatment, and a positive experience for patients of all ages.
Call us at (405) 732–0431 or schedule your appointment online.