What should I do if I have a toothache in the middle of the night?

Toothache in the middle of the night may be related to acute pulpitis, acute periapical periodontitis, wisdom tooth pericoronitis and other diseases, you can use cold water to rinse the mouth, and treatment with medication.
1. Acute pulpitis: acute pulpitis is the most common cause of toothache in the middle of the night, which has the typical symptom of spontaneous severe pain and sudden aggravation of pain at night. Patients can try to gargle cold water to promote capillary contraction to reduce the pain; you can also take oral diclofenac sodium, ibuprofen and other drugs to relieve pain. However, only root canal treatment can effectively solve the problem.
2. Acute apical periapical inflammation: toothache in the middle of the night may also be related to acute apical periapical inflammation, acute apical periapical inflammation also has spontaneous pain, pain during the day, in the middle of the night can appear. Patients can take oral metronidazole and other antibiotics to help anti-inflammatory, and oral ibuprofen granules for pain. However, only root canal treatment can effectively solve the problem.
3. Wisdom tooth pericoronitis: middle of the night toothache may be suffering from wisdom tooth pericoronitis, wisdom tooth pericoronitis may be only localized vague pain in the early stage, with the deepening of the disease, it will be developed to the phenomenon of pain in the middle of the night. You can use compound chlorhexidine gargle or compound borax solution, oral clindamycin, metronidazole and other antibiotics to relieve inflammation and help relieve pain.
After waking up the next day with a toothache in the middle of the night, you need to go to the stomatology department of a regular hospital in time. All of the above drugs should be used under the guidance of a doctor.