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TOOTHACHE AT NIGHT: SAFE RELIEF TIPS AND WHEN TO SEE A DENTIST (SINGAPORE)

  • Dr. Barry Yu
  • 4 days ago
  • 3 min read

Woman in bed holding her cheek with a painful expression, showing toothache at night.

Toothache often feels more intense at night. Many people are kept awake by pain that seems manageable during the day but worsens when lying down. Understanding why this happens and knowing what can be done safely until morning can make the night more manageable.





Woman sitting on a sofa at night, holding her cheek from toothache discomfort.

Why Does Toothache Feel Worse at Night?


  • Increased blood flow: Lying down allows more blood to flow to the head, which can increase pressure and make dental pain feel stronger.


  • Fewer distractions: At night there are no daytime activities to divert attention, so the pain feels more noticeable.


  • Underlying dental conditions: Common causes include deep cavities, pulpitis, cracked teeth, gum infection, or wisdom tooth problems.



Safe Relief Tips for Toothache at Night


Over-the-Counter Pain Relief


  • Paracetamol or ibuprofen can reduce pain temporarily.

  • Always follow dosage instructions on the packaging.

  • Avoid applying aspirin directly to the gum or tooth, as this can cause chemical burns.



Woman applying a cold compress wrapped in a towel to her cheek for toothache relief.

Cold Compress


  • Applying a cold pack or wrapped ice on the outside of the cheek for 15–20 minutes can help reduce inflammation.








Head Elevation


  • Sleeping with an extra pillow to keep the head raised can reduce blood flow to the area, lowering pressure and discomfort.


Salt-Water Rinse


  • A gentle rinse with warm salt water (½ teaspoon of salt in a cup of water) can help reduce irritation and clean the mouth.


What Not to Do


  • Do not place strong painkillers directly on the tooth or gum.

  • Do not use excessive heat (such as pressing a hot towel), as this may worsen swelling in cases of infection.

  • Avoid chewing on the affected side, especially hard or sweet foods.



When to See a Dentist in Singapore

Man in a dental chair receiving examination and treatment from a dentist in Singapore.

Night-time relief is temporary. Professional care is needed if:


  • Pain persists beyond a day or two.

  • There is swelling of the face or jaw.

  • Pain worsens when biting or chewing.

  • Fever or general unwellness develops.


These signs may point to conditions such as pulpitis, abscess, or advanced decay that require dental treatment.


Common Causes of Night Toothache


  • Dental decay: Deep cavities reaching the pulp.

  • Cracked tooth: Pain triggered by biting or temperature changes.

  • Gum infection (periodontitis): May cause throbbing pain and loose teeth.

  • Wisdom tooth impaction: Pain radiating to jaw or ear.


First Steps in the Morning


Woman holding her cheek with toothache while calling a dental office on the phone.

If the pain persists or worsens overnight, contacting a dentist promptly is the best next step.


  • A dental examination may include x-rays or imaging.

  • Treatment may range from fillings to root canal therapy or extraction, depending on the cause.

  • Early management prevents complications and reduces the chance of emergency visits.






FAQs


How can I stop a toothache at night immediately?

Temporary relief includes over-the-counter pain relievers, cold compress, and keeping the head elevated. These do not replace professional treatment.


Why does my toothache get worse at night?

Increased blood flow to the head when lying down and fewer distractions make pain feel stronger at night.


What helps toothache pain while waiting to see a dentist?

Salt-water rinses, cold compresses, and safe pain medication can help until a dental appointment is available.



Is toothache at night an emergency?

Severe pain with swelling, fever, or spreading infection should be treated as urgent. Otherwise, arrange a dental visit as soon as possible.


Toothache at night can be difficult to manage, but safe relief methods may help until you can see a dentist. A proper examination is the only way to identify the cause and prevent the problem from returning.



CLICK HERE if you want to know more about how to handle dental emergencies

 
 
 

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About Authors

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Graduated with honors from the University of California, Davis (U.S.A.), major in biochemistry and molecular biology, Dr. Yu has further obtained his dental degree (Doctor of Dental Medicine) from the University of Pennsylvania School of Dental Medicine (U.S.A.).  Dr. Yu is qualified to practice in the US, Singapore and Hong Kong, and has over 10 years of practicing experience in the US before starting both practices in Hong Kong and Singapore.

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Dr. Chrissie Lam graduated from University of California, Berkeley (U.S.A.) with a bachelor degree in Nutritional Science before earning her doctorate degree in dentistry from University of the Pacific, Arthur A. Dugoni School of Dentistry (U.S.A.). In her 10 years of practice she took care of her patients, both in U.S.A. and Singapore with her warm demeanor and excellent clinical skills. 

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