Tooth pain is never fun, but it feels even worse at night, doesn’t it? Just as you’re ready to relax and fall asleep, a throbbing or sharp pain in your tooth shows up, keeping you awake. But why does this happen? There are a few reasons why your teeth might hurt more at night, from changes in blood flow to hidden dental issues. When you’re lying down in a quiet room, it’s easier to notice the pain because there’s nothing else to distract you.
In this article, we’ll talk about why toothaches often feel worse at night, what might be causing them, and some easy remedies you can try to get relief. Whether it’s something simple like tooth sensitivity or something more serious like an infection, understanding the cause can help you sleep better and feel more comfortable. Our experienced dentist will be happy to help you understand the issue and provide personalized solutions for your tooth pain. Let’s dive in and figure out how to make those toothaches a thing of the past!

7 Main Reasons Why Your Tooth Hurts at Night
1. Increased Blood Flow and Inflammation
At night, your body enters a more relaxed state, which can increase blood flow to your head and jaw. This heightened blood circulation can lead to increased inflammation in the affected tooth or surrounding tissues, exacerbating any existing tooth pain. The pain may feel more intense because you’re lying down, which can increase pressure on the sensitive areas.
2. Dental Abscess or Infection
One of the most common reasons for nighttime tooth pain is a dental abscess or infection. An abscess is a pocket of pus that forms at the root of a tooth or in the surrounding gum tissue due to bacterial infection. When you’re lying down, the infection can spread more easily due to the changes in blood flow, leading to increased discomfort at night.
3. Tooth Sensitivity
If your teeth are sensitive to hot, cold, or sweet foods, this sensitivity often worsens during the night. Lying down can exacerbate this discomfort because the position increases blood flow to the head, which can heighten sensitivity in the affected teeth.
4. Nighttime Bruxism (Teeth Grinding)
Many people unknowingly grind or clench their teeth while they sleep—a condition known as bruxism. This unconscious habit can lead to increased pressure on the jaw and teeth, causing discomfort and pain, especially at night. The repetitive grinding can worsen existing dental issues, like cavities or cracked teeth, making the pain more pronounced.
If bruxism is suspected, Royal Dental Clinics can provide customized night guards to protect your teeth from further damage.
5. Sinus Pressure or Sinus Infections
Another common culprit for nighttime tooth pain is sinus pressure or sinus infections. The maxillary sinuses, which are located near the upper molars, can become congested or inflamed due to allergies, colds, or sinus infections. The pressure from these sinus issues can be referred to as tooth pain, often felt in the upper jaw at night.
6. Temporomandibular Joint Disorder (TMJ)
TMJ disorders affect the jaw joint and surrounding muscles. They can cause pain in the jaw, neck, and even radiating discomfort in the teeth. When you lie down, the pressure on the jaw joint increases, exacerbating TMJ symptoms and leading to nighttime tooth pain.
7. Cavity or Decay
If a cavity is left untreated, the decay can worsen over time and become more painful at night. The pain intensifies due to the accumulation of food particles, bacterial activity, and changes in blood flow when lying down.
What Can You Do?
If your tooth pain persists or worsens, it’s important to seek professional help from the Royal Dental Clinics. Our experienced dentists can accurately diagnose the root cause of your discomfort through clinical exams, X-rays, and other necessary tests. Whether it’s a dental infection, cavity, or another issue like bruxism or TMJ, we will provide the appropriate treatment to relieve your pain.
FAQ: Why Do My Teeth Hurt at Night?
1. Why do my teeth hurt more at night?
At night, your body relaxes, which can increase blood flow to your head and jaw. This heightened circulation can intensify inflammation and pressure in your teeth, making any existing dental issues feel worse.
2. Is nighttime tooth pain a sign of a serious dental problem?
Yes, nighttime tooth pain can indicate underlying dental issues like infections, cavities, or bruxism (teeth grinding). It’s important to seek professional evaluation to determine the exact cause.
3. What causes tooth pain at night besides dental issues?
Tooth pain at night can also be related to sinus issues, bruxism (teeth grinding), or TMJ disorders, which affect the jaw joint. Sinus pressure, in particular, can refer pain to your teeth.
4. Why do sinus problems cause tooth pain at night?
The maxillary sinuses, located near the upper molars, can become congested or inflamed due to sinus infections or pressure. Lying down can worsen this pressure, leading to referred tooth pain.
5. Can bruxism (teeth grinding) worsen tooth pain at night?
Yes, bruxism often worsens at night when you’re asleep. Grinding your teeth puts additional pressure on the jaw and teeth, exacerbating pain and discomfort.
7. How can the Royal Dental Clinics help with nighttime tooth pain?
At Royal Dental Clinics, our experienced dentists can identify the root cause of your tooth pain through exams and X-rays. Whether it’s an infection, cavity, bruxism, or sinus issue, we provide personalized treatments to relieve your discomfort and restore your oral health.
8. Is tooth pain at night treatable?
Yes, most causes of nighttime tooth pain are treatable. Seeking professional dental care ensures you get the appropriate diagnosis and treatment to relieve the pain and address any underlying issues.