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The most common causes for. Tooth decay, tooth grinding, sinusitis and abscessed teeth are the leading causes of a toothache. It is just that in the evening, some bodily functions or postures may result in aggravating the pain.
A toothache could indicate a number of problems, from cavities to bruxism.
Address the issue right away. In general, toothaches seem to worsen at night because there are fewer distractions from the pain. Knowing the reasons why this happens can greatly help to prevent it in the future and also alleviat e the stress of not knowing why the pain is increasing. However, if you already have a toothache due to an infection, cavity or food stuck between teeth, the grinding motion can make the pain worse.