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What Causes a Toothache at Night During Pregnancy

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Time to read 9 min

Pregnancy is a beautiful experience for every woman. However, along with its joys, pregnancy can also bring along its share of discomforts. One such discomfort is toothache at night during pregnancy. The reasons for toothache at night during pregnancy can be varied, but it is essential to address this problem to ensure a healthy pregnancy. In this article, we will discuss the causes of toothache at night during pregnancy and what you need to know about it.

Causes of Toothache at Night During Pregnancy


 1. Hormonal Changes


Hormonal changes during pregnancy can cause a wide range of dental problems, including toothache. The increase in hormones such as estrogen and progesterone can affect the blood supply to the gums, making them more susceptible to inflammation and infection.


 2. Gum Disease


Gum disease, also known as periodontal disease, is a bacterial infection that affects the gums and supporting tissues of the teeth. Gum disease is a common cause of toothache at night during pregnancy because the hormonal changes during pregnancy can increase the risk of developing gum disease.

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3. Tooth Decay


Tooth decay is the most common cause of toothache at night during pregnancy. The increase in hormones during pregnancy can make the teeth more susceptible to decay. Tooth decay is caused by the buildup of plaque, which is a sticky film of bacteria that forms on the teeth.


4. Bruxism


Bruxism, also known as teeth grinding, is a condition that causes the grinding and clenching of teeth. It is a common cause of toothache at night during pregnancy because the hormonal changes during pregnancy can cause stress, which can lead to bruxism.


5. Sinusitis


Sinusitis is a condition that causes inflammation of the sinuses. It can cause toothache at night during pregnancy because the sinuses are located close to the roots of the upper teeth.

How to Get Rid of a Toothache While Pregnant


Toothaches are common among pregnant women, and they can be a source of discomfort and pain. Toothache Prevention While Pregnant is necessary. However, treating toothaches during pregnancy can be challenging, as some pain relief options may not be safe for the unborn child. Here are some safe and effective treatments for Toothache when Pregnant:


  • Visit the Dentist

It is important to visit the dentist during pregnancy for a regular checkups and cleaning. This can help to prevent dental problems and reduce the risk of toothache at night during pregnancy.


  • Brush and Floss Regularly

Brushing and flossing regularly can help to prevent tooth decay and gum disease, which are common causes of toothache at night during pregnancy.


  •  Use a Soft Toothbrush

Using a soft toothbrush can help to prevent gum irritation and reduce the risk of toothache at night during pregnancy.


  • Use a Fluoride-free Toothpaste

Using a fluoride-free toothpaste can help to strengthen the teeth and prevent tooth decay, which is a common cause of toothache at night during pregnancy.


  • Maintain Good Oral Hygiene

One of the most effective ways to prevent toothache during pregnancy is to maintain good oral hygiene habits. This includes brushing your teeth twice a day, flossing regularly, and using mouthwash to kill bacteria that can cause tooth decay.


  • Rinse with Saltwater

Saltwater rinses are a natural and effective way to relieve toothache during pregnancy. Saltwater has antibacterial and anti-inflammatory properties that can help reduce swelling and pain. Mix a teaspoon of salt with a cup of warm water and rinse your mouth with the solution for a minute or two, then spit it out.


  • Apply Ice or Heat

Applying ice or heat to the affected area can help reduce pain and swelling. Place a cold compress on the outside of your cheek for 15-20 minutes, then take a break for a few minutes and repeat. You can also use a warm compress, which can help reduce pain and discomfort.


  • Use Clove Oil

Clove oil has natural analgesic properties that can help relieve toothache during pregnancy. Apply a small amount of clove oil to a cotton ball and place it on the affected tooth for 10-15 minutes. You can also mix a few drops of clove oil with carrier oil, such as coconut or olive oil, and apply it to the affected area.


  • Take Over-the-Counter Pain Relievers

Over-the-counter pain relievers such as acetaminophen can be taken during pregnancy to help relieve toothache. However, it is essential to consult with your doctor before taking any medication during pregnancy.


  • Chew on Garlic

Garlic has antibacterial and anti-inflammatory properties that can help reduce pain and swelling. Cut a clove of garlic in half and place it on the affected tooth, or chew on a clove of garlic for a few minutes. The taste may be unpleasant, but it can provide relief.


  • Use Peppermint Tea Bags

Peppermint tea bags can be used as a natural remedy to relieve toothache during pregnancy. Place a warm, moist peppermint tea bag on the affected tooth for 20-30 minutes. Peppermint has natural analgesic properties that can help reduce pain and discomfort.

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Can Tooth Pain Affect the Baby During Pregnancy?


Tooth pain can have a direct impact on the health of a pregnant woman and her unborn baby. It is a common issue during pregnancy, and it can be caused by various factors such as hormonal changes, poor oral hygiene, and dietary habits.


Tooth pain during pregnancy is usually caused by dental problems such as cavities, gum disease, and abscesses. The increased hormone levels during pregnancy can cause the gums to become more sensitive and prone to infection. This can lead to inflammation, swelling, and pain in the teeth and gums.


Untreated tooth pain during pregnancy can affect the baby's health in several ways. Firstly, if the toothache is due to a dental infection, the bacteria can enter the bloodstream and travel to the placenta. This can cause complications such as premature birth, low birth weight, and preeclampsia.


Secondly, tooth pain can affect the mother's ability to eat, leading to poor nutrition for the developing baby. This can also affect the mother's overall health, which can, in turn, affect the baby's health.


Thirdly, the stress caused by tooth pain can affect the mother's mental health, leading to anxiety and depression. This can also affect the baby's health and development.


It is essential to seek dental treatment for tooth pain during pregnancy. Pregnant women should inform their dentist of their pregnancy and avoid certain dental treatments, such as x-rays, which can be harmful to the developing baby. Dental treatments such as fillings and extractions are safe during pregnancy, especially during the second trimester.


Pregnant women should also practice good oral hygiene, such as brushing twice a day, flossing, and using mouthwash. They should also eat a balanced diet and avoid sugary foods and drinks, which can cause tooth decay.


In conclusion, tooth pain during pregnancy is a common problem that can affect the health of both the mother and the developing baby. Pregnant women should seek dental treatment for tooth pain and practice good oral hygiene to maintain good dental health during pregnancy.

Are Dental Visits Safe During Pregnancy


Pregnancy is a crucial time for a woman as it involves the health of both the mother and the growing fetus. It is essential to take care of all aspects of health, including dental health. Many women wonder whether dental visits are safe during pregnancy. The answer is yes, dental visits are completely safe during pregnancy, and it is recommended that women should continue to receive routine dental care throughout their pregnancy.


The American Dental Association (ADA) and the American Congress of Obstetricians and Gynecologists (ACOG) recommend that women continue to receive routine dental care during pregnancy. In fact, it is crucial to maintain good oral hygiene during pregnancy, as hormonal changes can cause dental problems such as gum disease and cavities. Dental infections can also pose a risk to the growing fetus, so it is essential to address any dental problems immediately.


Dental treatments that may require X-rays or anesthesia should be postponed until after the first trimester. However, if the dental treatment cannot be postponed, it is safe to undergo these procedures with proper precautions. Shielding the abdomen and thyroid area with a lead apron during X-rays and using anesthesia at the lowest effective dose is recommended.


It is important to inform your dentist that you are pregnant so that they can take proper precautions and make any necessary adjustments. Pregnant women may also experience morning sickness, which can cause nausea and vomiting during dental procedures. It is important to communicate any discomfort or concerns with your dentist, who can make necessary adjustments to make the visit as comfortable as possible.


However, dental visits are safe during pregnancy, and it is recommended that women should continue to receive routine dental care to maintain good oral hygiene and prevent any potential risks to the growing fetus. With proper precautions and communication with your dentist, dental visits can be comfortable and beneficial for both the mother and the baby.



Toothache at night during pregnancy can be caused by hormonal changes, gum disease, tooth decay, bruxism, and sinusitis. It is important to visit the dentist regularly during pregnancy and maintain good oral hygiene to prevent dental problems. Using warm salt water, an ice pack and acetaminophen can help to relieve toothache at night during pregnancy. If the toothache persists, it is important to consult a dentist for further evaluation and treatment.


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Effective bad breath remedies include:

Gentle and regular scraping of the tongue

Regular oral care practices such as daily brushing and flossing

Professional deep cleanings and plaque removal

The ongoing use of oral probiotics.

How Probiotics Work To Control Bad Breath

One, the probiotics compete with the existing bad bacteria and reduce their presence by “crowding them out”

Two, the probiotics produce BLIS or “bacteriocin-like-inhibitory-substances” which is a technical way of stating that one probiotic strain (bacteria) can produce a substance that inhibits or kills off other bacteria. Three, by working to control gingivitis, gum disease and tooth decay these probiotics reduce the very sources of bacteria-generated odors in the mouth.

How Do Oral Probiotics Work to Fight Tooth Decay?

  • First, oral probiotics can break into and colonize your mouth's biofilm, replacing the "bad" bacteria with good.
  • Second, the beneficial oral probiotics compete against the bad bacteria. In effect they crowd out the "bad" bacteria by establishing themselves in the limited space of the biofilm.
  • Third, now, with a lower volume of S. Mutans, and other acid-forming bacteria, the teeth and gums are not under the constant, disintegrating attack of acids.
  • Fourth, at the same time, the oral probiotics are producing alkaline byproducts. This action not only reduces the acids but inhibits the growth of "bad" bacteria as they thrive in acidic environments.
  • Fifth, as a part of the biofilm, the oral probiotics are able to make their way into those difficult to reach deep areas of the teeth and gums. Once there they can continuously work, 24/7, to create a balanced environment that inhibits tooth decay and gum disease while promoting the healing process.

How do Oral Probiotics Help Against Gum Disease?

  • First, our oral probiotics are chosen for their ability to penetrate into and to colonize within the biofilm (plaque) and to survive in the oral environment
  • Second, these oral probiotics have the ability to successfully compete against the harmful bacteria. There are limited resources in the biofilm and with more beneficial bacteria present then fewer harmful bacteria can exist
  • Third, it is not the presence of plaque that is so much the problem, it is the acids and toxins produced by certain bacteria that lead to gum disease and tooth decay. Fewer harmful bacteria in the plaque=lowered toxins and acids
  • Fourth, our oral probiotics improve your mouth's pH balance. This has the effect of reducing acid levels and establishes a pH level that inhibits the growth of harmful bacteria
  • Fifth, unlike brushing or flossing our oral probiotics work their way into those difficult to reach "hideout" zones and so they will work “around the clock” and not just when you brush or floss

Studies have shown a clear reduction in plaque levels and gingivitis symptoms when oral probiotics were administered to patients with moderate to severe gingivitis.