A nighttime toothache can feel far worse than pain during the day. When you lie down, increased blood flow to the head can intensify throbbing, and the lack of distractions makes discomfort harder to ignore. While a toothache at night is a sign you should see a dentist as soon as possible, these 4 tips may help you manage the pain and get some much-needed rest in the meantime.
1. Keep Your Head Elevated
Lying flat can increase pressure and blood flow to the painful area, making the ache feel more intense. Try sleeping with your head elevated using an extra pillow or by propping up the head of your bed slightly. Keeping your head raised can reduce inflammation and help ease throbbing pain so you’re more comfortable throughout the night.
2. Rinse with Warm Saltwater
Before bed, gently rinse your mouth with warm saltwater. Salt helps reduce inflammation, soothe irritated gums, and wash away food particles that may be aggravating the tooth. Mix about half a teaspoon of salt into a cup of warm water and swish for 30 seconds before spitting it out. This simple step can provide temporary relief and promote a cleaner, calmer mouth before sleep.
3. Use Cold Therapy on the Outside of Your Face
Applying a cold compress to the outside of your cheek near the painful tooth can help numb discomfort and reduce swelling. Use an ice pack or a bag of frozen vegetables wrapped in a towel and apply it for 15 to 20 minutes before bed. Avoid placing ice directly on the tooth, as extreme cold can worsen sensitivity.
4. Take Pain Relief and Avoid Triggers
Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce pain and inflammation when taken as directed. Avoid lying down immediately after taking medication to give it time to work. Also, steer clear of sugary, acidic, or very hot and cold foods before bedtime, as they can trigger sensitivity and worsen pain.
Nighttime toothaches often indicate underlying issues like tooth decay, infection, or gum disease. If pain persists for more than a day or two, or is severe, throbbing, or accompanied by swelling or fever, contact your dentist right away.
About the Author
Dr. Roel Valadez was born and raised right here in Alice, TX. He earned his dental degree from the University of Texas Health Science Center at San Antonio before completing an Advanced Education in General Dentistry residency at UT Health San Antonio. Since then, Dr. Valadez has obtained additional certifications in pain control and conscious sedation and is also trained to offer advanced procedures like wisdom tooth extractions, dental implant placement and restoration, bone grafts, and more. If you’re experiencing a dental emergency, you can trust his experience along with our talented staff to take the best care of you possible. Schedule an appointment now online or call (361) 664-3057.