A 42-year-old member asked:
Could you explain me why acute pulpitis causes pain at night?
2 doctor answers • 6 doctors weighed in

Dr. Dennis Kelleyanswered
Dentistry 42 years experience
Yes: Acute pulpitis is an inflammation of the nerve or the pulp inside your tooth if it's just mildly irritated throughout the day when you're active and you're concentrating on everyday activities you may not notice the pain so much but at night when you relax and you're not thinking about everyday decisions minor aches and pains are more noticeable to the body.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago

A Verified Doctor commented
A US doctor answered Learn more
True. Cognitive awareness does play a part,secondarily to supine engorgement!
Feb 19, 2015

A Verified Doctoranswered
Endodontics 46 years experience
Vascular engorgement: Inflammation causes increased blood flow in the vessels of the pulp. When you lie down, this engorge ment can increase. The pulp is limited in space and confined within the hard tooth structure, so the increased volume of blood causes pressure and pain.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago

Dr. Thomas Yash commented
Dentistry 48 years experience
True. Your blood pressure will increase to your jaw(teeth) when you lay down. Therefore, as Dr Grossman explained, this pressure affects the blood vessels increasing pain.
Jan 6, 2013
Similar questions
A 44-year-old member asked:
Why does acute pulpitis cause pain at night?
2 doctor answers • 5 doctors weighed in

Dr. Peter Karsantanswered
Dentistry 41 years experience
Nerve: The nerve is dying and when you lay down the blood pressure change causes the tooth to hurt more. See the base endodontist.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
Last updated Mar 15, 2019
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
$44 video appointments with $19/month membership*
*Billed $57 every 3 months. Cancel anytime.
Disclaimer:
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.