Many people find toothache is worst at night. Lying flat increases blood flow to the head, which raises pressure around an inflamed nerve. There are also fewer distractions, so you notice the pain more.
Things that can help: take pain relief that is safe for you as directed on the packet, before bed rather than once the pain is bad. Sleep with your head raised on an extra pillow. Rinse with warm salty water and avoid very hot, cold or sugary food and drink in the evening. A cold compress on the outside of the cheek can ease swelling.
Avoid putting aspirin or other tablets directly on the gum, as they can burn it, and do not take more than the recommended dose of any medicine.
Pain that keeps you awake, throbs, or lingers after hot or cold drinks often means the nerve is inflamed or infected, so it is worth speaking to a dentist soon rather than waiting for it to settle.
In pain tonight?
A UK dentist can assess it by video for £19.99 — usually the same day.
Book a video consultationGo to A&E or call 999 if you have swelling spreading to your eye or neck, or difficulty breathing, swallowing or opening your mouth.
ToothAid offers video consultations with GDC-registered UK dentists, usually the same day, for £19.99, so you can get advice without waiting for a practice to open.