Why Does Your Tooth Hurt? Causes, Home Remedies, and When to See a Dentist

by Dr. Sindhu U Muktamath

tooth ache
Posted on : Sep 23, 2025

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Tooth pain can appear in different ways. In some cases, it begins slowly. A mild ache shows up, fades a little, and then returns stronger than before. In others, the pain starts with one sharp moment that catches you by surprise. 

A single bite can trigger discomfort that does not go away easily. If you find yourself asking, “Why is my tooth aching?”, it is a valid concern. This kind of pain is one of the top reasons people visit a dental clinic.

This post looks at what might be causing your tooth to hurt, how to manage it with basic home care, why the pain can feel worse at night, and when it becomes important to speak to a dental professional.

What Triggers Tooth Pain?

Tooth pain usually begins when something affects the nerve inside the tooth. The nerve may be irritated, infected, or exposed. Causes vary, but most lead to the same outcome – discomfort that affects your ability to chew, sleep, or focus. Here are the most common causes:

  • Cavities that have eaten through the enamel
  • Infections forming pus at the root of the tooth
  • Cracks or broken parts exposing the soft inner layer
  • Inflamed pulp, also known as pulpitis
  • Sinus pressure, especially affecting the upper teeth
  • Gum swelling around partially erupted teeth like wisdom teeth

Even a small issue can create sharp pain if it reaches the nerve. That is why toothaches should not be ignored.

Why Does a Tooth Ache More at Night?

This is a question many people ask after struggling through the evening. Tooth pain often becomes more noticeable at night. Part of this has to do with blood flow. When you lie down, more blood moves toward your head. This increases pressure in the area where inflammation is already present.

There is also the silence. During the day, you are distracted. You talk, move around, and focus on work. But at night, the body slows down. You are more likely to notice the pain once everything else is still.

This does not mean the problem worsens after sunset. It only means your body is giving it more attention. If you have asked yourself “why does a tooth ache more at night?”, the answer is a mix of circulation and awareness. Either way, ongoing night pain is a reason to see a dentist.

How to relieve tooth pain at home temporarily

While waiting for a dental appointment, you may try

  • Rinsing with warm salt water
  • Taking over-the-counter pain relievers (as advised by your doctor)
  • Using a cold compress on the outside of your cheek
  • Avoiding very hot, cold, or sweet foods

(Note: These are only temporary measures. They do not replace dental treatment.)

Precautions to Avoid Tooth Decay

Tooth decay (cavities) is one of the most common dental problems, but the good news is that it’s largely preventable. By taking a few simple precautions every day, you can keep your teeth strong and healthy.

1. Brush Twice Daily

2. Floss or Use Interdental Cleaners

3. Limit Sugary & Acidic Foods

4. Drink Water Frequently

5. Regular Dental Check-ups

6. Use Mouthwash if Recommended

7. Consider Dental Sealants

8. Avoid Tobacco & Excess Alcohol

9. Chew Sugar-Free Gum

10. Maintain Good Overall Health

Conditions like diabetes, dry mouth (xerostomia), or certain medications increase decay risk—so managing general health is also key to dental health.

When to Call a Dentist

Some toothaches go away on their own, especially if they are caused by a temporary irritation. But many cases need more than just patience. A cracked tooth or abscess will not heal without treatment. And waiting too long may lead to complications. Here are signs you should visit a Dental Hospital in India:

  • Pain that lasts for more than 48 hours
  • Swelling in your face, gums, or jaw
  • A fever or general feeling of being unwell
  • Pain that worsens when lying down
  • Pus near the tooth or a bad taste in your mouth
  • Sharp pain when biting or chewing

A Dentist in India will use an exam, X-ray, or scan to find out what is happening. You might need a filling, root canal, drainage, or extraction depending on what is found.

What Not to Do

It is tempting to try quick fixes. Some people press painkillers directly against the gum or tooth. Others apply heat to the jaw. Both can do more harm than good. Heat may spread infection, and direct contact with medication can damage the soft tissue in your mouth.

Also, avoid chewing ice or hard foods. If you already have a crack or cavity, this could make it worse. And while a homemade remedy for a toothache offers comfort, do not keep repeating them for more than a day or two without seeking proper help.

Final Thoughts

Tooth pain is a signal. It tells you somethin g needs attention. Whether it is a cavity, an infection, or inflammation, the discomfort is rarely random. If you find yourself reaching for a toothache painkiller every night or wondering “why is my tooth aching again?”,  it is time to act.

While home steps offer short relief, long-term comfort only comes from professional care. If you are in pain or unsure what to do next, Aster Hospitals can help. Their experienced team of dentists in India provides clear answers and treatment options designed to restore comfort and health.

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