At Ledismile, we often see patients whose tooth feels mildly uncomfortable during the day but becomes intensely painful at night. This happens for clear biological reasons — and understanding them helps you act early.

• Increased blood pressure in the head and teeth: Lying down increases blood flow to the head, raising pressure inside an inflamed tooth. The dental pulp is a closed space, so swelling compresses the nerve and intensifies pain.

• Fewer distractions: At night, the brain focuses more on internal sensations, making pain feel stronger.

• Higher inflammation at night: Cortisol levels drop during nighttime, while inflammatory mediators increase, worsening nerve swelling.

• Sinus pressure on upper teeth: Sinus congestion can increase pressure near the roots of upper molars, triggering or amplifying pain.

• Heightened nerve sensitivity: Hormonal changes and reduced external stimuli make nerves more reactive.

Ledismile’s advice:
Night-time tooth pain is a warning sign. Early diagnosis and treatment prevent severe pain and complications.

Book your dental check-up at Ledismile and don’t let tooth pain ruin your night.