There are several different causes of toothaches that can occur, some of the main symptoms that occur with a toothache can pinpoint the cause of it, some of these include:
 
• Tooth decay
• Abscessed tooth
• Broken tooth
• Damaged filling
• Repetitive motions include grinding of the teeth, clenching the jaw, chewing, all of which wear down the teeth
• Infected gums
• Eruption
• Tooth removal
 
Symptoms that may occur with toothache include:
 
• Tooth pain may be throbbing, constant, or even sharp.
• Swelling around the tooth that is in pain
• Fever
• Headache
• Foul-tasting drainage from the tooth that is infected
• Bad odor from the mouth

Any type of toothache is often quite serious, if you are noticing toothache that is quite intense, begins to throb, or even shoots pains through the tooth, it could be signs and signals of something much worse.
 
If you begin to notice certain signs of tooth pain, particularly if the pain does not go away after taking Tylenol or other forms of pain control, an appointment to see a specialist is highly recommended.
 
If you are noticing sharp pains that become shooting pains whenever you take a bite of something or try to chew, it may be due to the tooth being damaged. This could be due to exposed nerves or a cracked tooth that is causing the pain, and if not treated, an infection can occur. Regardless of the type of pain you are dealing with when it comes to a toothache, it is always best to see a specialist about your tooth pain, in case there is an infection, you have the best possible way of getting it fixed, by getting treatment, or having a specialist diagnose a further problematic issue and provide options.

During the evening, toothaches begin to hurt more and it is due to several different reasons.
 
1. More blood flow going to the area
The main reason why toothaches occur to be more prominent at night when we are supposed to be sleeping is due to the sleeping position, we are in. Laying down causes more blood to rush to our heads, which puts extra pressure on the most sensitive areas including the affected teeth in our mouths. We do not feel that painful throbbing sensation during the day as we are constantly either sitting or standing, so the blood isn’t as concentrated on one area.
 
2. Brain has fewer distractions
At night, as we try to rest, the brain is becoming more aware of the sensations within our bodies due to fewer distractions occurring around us. We tend to think that the toothache is worse at night, but in reality, it is because our minds are clear, and we are more relaxed, making the pain sensation worse than when we are fully awake doing things throughout the day.
 
3. Late-night eats
If you have had any sweets after dinner, or even indulged in a late-night snack, some of those foods tend to get stuck in between the teeth and even the gums. At night is when plaque tends to thrive on leftover and forgotten teeth that have not been brushed that have sugar and other late-night meals on them, which often causes the teeth to become quite aggravated.
 
4. Unconscious teeth grinding
At night, many will unknowingly begin to grind their teeth. They may wake and stop, but many will grind and put even more stress on the teeth, gums, and jaws. This can cause severe issues to the mouth which after a period of time will need proper care and treatment.

You will not exactly know your tooth is infected unless you see a dentist or a specialist for your teeth and undergo a proper dental checkup and cleaning. Visit our clinic for toothache treatment. Our specialists will help you maintain your oral health. We have convenient locations to serve you. For more information, please contact us or book an appointment online. We serve patients from Washington DC, Woodbridge VA, Arlington VA, Lorton VA, Manassas VA, Springfield VA, Alexandria VA, and Silver Spring MD.