A throbbing toothache often intensifies when lying down due to changes in circulation. Moving to a horizontal position increases blood flow to the head, raising pressure within the inflamed tissues around the tooth. This increased pressure amplifies the throbbing sensation on the delicate nerves. Temporary relief is possible until professional dental treatment can be sought.
Strategic Head Elevation for Pain Relief
The most immediate strategy for managing a toothache when lying down is to keep your head elevated above your heart. This positional adjustment uses gravity to prevent blood pooling in the head and jaw, reducing pressure on the irritated tooth nerve. Using two or three sturdy pillows helps achieve a propped-up position.
If a bed is too uncomfortable, sleeping in a recliner chair provides an elevated, semi-upright alternative. Always avoid putting direct pressure on the painful side of your face by sleeping on the opposite side or remaining on your back.
Pre-Sleep Pain Management Routine
Take preparatory steps 30 to 60 minutes before attempting to sleep so pain relief peaks when you lie down. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, should be timed to reach full effectiveness before the nocturnal increase in pain perception. Ibuprofen is effective because it reduces inflammation, addressing a key component of the toothache.
Applying cold therapy to the outside of the cheek offers localized numbness and reduces swelling. Apply a cold compress or ice pack wrapped in a cloth for 15 to 20 minutes before bedtime to constrict blood vessels and dull pain signals. Just before bed, rinse the mouth with warm salt water to cleanse the area and reduce irritation. Use a half teaspoon of salt dissolved in a cup of warm water; this soothes the gums and helps remove debris contributing to discomfort.
When to Seek Professional Help
While these strategies offer temporary comfort, a persistent toothache requires professional dental treatment to address the underlying cause. Contact a dentist immediately if the pain lasts more than 48 hours without relief or if it repeatedly wakes you from sleep despite using home remedies.
Certain accompanying symptoms are red flags indicating a spreading infection, such as an abscess, and require urgent attention. Signs of a serious issue warranting an immediate call to a dental professional or emergency room visit include:
- A fever.
- Noticeable swelling that extends into the jaw, cheek, or neck.
- Difficulty with breathing or swallowing.
- Pus discharge near the tooth.
- Persistent, uncontrollable bleeding.