Why Do My Teeth Hurt When It Rains?

A toothache appearing before a heavy rain or storm is a common experience. This dental discomfort, which can range from a dull ache to a sharp pain, is directly related to dramatic shifts in atmospheric pressure. The sensation indicates that an underlying dental vulnerability is being exposed by changes in your environment. Understanding this phenomenon requires looking at how the sensitive structures within your jaw respond to the weight of the air.

The Atmospheric Connection to Tooth Pain

The link between approaching rain and tooth sensitivity is a change in barometric pressure. Before a storm, the pressure typically drops as a low-pressure system moves in, affecting the gas and fluid within the body’s air-filled spaces.

This phenomenon is explained by Boyle’s Law: as external pressure decreases, the volume of any trapped gas expands. This subtle expansion can exert force on sensitive tissues. While air-filled cavities like the sinuses attempt to equalize this pressure, a tooth cannot.

Any gas or fluid trapped within a compromised tooth structure will expand against the rigid dentin and enamel. This expansion irritates the dental pulp, which contains the nerve endings, triggering a pain signal. This weather-related sensitivity indicates a pre-existing dental issue made symptomatic by the atmospheric change.

Specific Dental Issues Affected by Pressure Changes

Discomfort occurs only when an existing condition allows pressure changes to irritate the internal tooth structure or surrounding nerves.

One frequent cause of weather-related tooth pain is barosinusitis, inflammation within the sinuses caused by pressure changes. Since the roots of the upper back teeth sit close to the maxillary sinuses, pressure or inflammation here is often interpreted by the brain as referred tooth pain. This causes a generalized ache across several upper teeth, even if they are healthy.

Pain localized to a single tooth points to a structural problem. For example, dental decay creates voids that trap air, allowing gas expansion to push directly on the pulp, making even small cavities intensely painful. Furthermore, fractured or cracked teeth provide a direct route for pressure changes to affect the dental nerve, causing sharp, sudden pain as trapped air expands. Finally, compromised dental work, such as existing restorations, can be sensitive if microscopic gaps trap air or fluid, which then expands under low pressure.

Determining When to Consult a Dentist

Mild sensitivity that disappears once the weather system passes may not be an immediate emergency, but it is a warning sign. The fact that your teeth react to atmospheric shifts means an underlying vulnerability needs professional attention. Addressing these issues early prevents them from becoming severe problems that cause constant pain, regardless of the weather.

You should schedule an appointment if the tooth pain becomes sharp or throbbing, or if it lasts long after the weather event has ended. Other signs necessitating a dental consultation include sensitivity localized to one tooth, pain when biting down, or a prolonged reaction to hot or cold temperatures. These symptoms often point to a significant issue, such as deep decay, a fracture, or an infection, requiring prompt treatment to protect the dental pulp.