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Severe Toothache at Night: What to Do and When to Seek Help

Jan 2026 FB Dental Team

Why Toothaches Worsen at Night

Toothaches often intensify at night when you're trying to sleep. Lying down increases blood flow to the head, creating pressure on sensitive tooth nerves. Fewer distractions make pain more noticeable. At FB Dental Yarrabilba, we offer emergency care for severe dental pain.

Immediate Relief Measures

Take over-the-counter pain relief (paracetamol or ibuprofen) following package directions. Elevate your head with extra pillows to reduce blood pressure in the area. Rinse gently with warm salt water (half teaspoon salt in warm water). Apply a cold compress to your cheek for 15-20 minutes. Avoid very hot, cold, or sweet foods and drinks.

What NOT to Do

Don't apply aspirin directly to the tooth or gum—it burns soft tissue. Avoid alcohol as a painkiller; it may temporarily numb but can worsen inflammation. Don't ignore severe pain hoping it will pass; dental infections can spread. Don't place ice directly on the tooth; use it externally on the cheek.

When to Seek Emergency Care

Seek immediate care if pain is unbearable despite medication, you have significant facial swelling, you're running a fever, you have difficulty breathing or swallowing, or pain follows facial trauma. These symptoms may indicate serious infection requiring urgent treatment.

Getting Help

Contact FB Dental Yarrabilba first thing in the morning for emergency appointments. For after-hours emergencies with severe symptoms, visit your hospital emergency department. Most toothaches indicate treatable problems—cavities, infection, or cracked teeth—that we can resolve once we see you.

Don't suffer through the night. Contact FB Dental Yarrabilba for prompt emergency dental care.

Ready to book your appointment?

Our experienced team at FB Dental Yarrabilba is here to help you achieve your best smile.

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