It’s a frustrating and puzzling experience—your teeth feel fine all day, but as soon as you settle into bed, that dull ache turns into a throbbing pain that keeps you from sleeping. Nighttime toothaches are more common than you might think, and several factors can make dental pain more noticeable when you’re trying to rest.

Understanding the reasons can help you find relief and know when to seek professional care.

It’s estimated by the American Association of Endodontists that over 5 million teeth are knocked out every year in adults and children. Whether from a sports injury, fall, or accident, losing a tooth so suddenly can be alarming.

But in that moment, you might wonder—should you try to put it back in yourself?