How Seasonal Allergies Affect Your Teeth and Gums — And What To Do About It

Oct 17, 2025

If your teeth start to ache or your gums feel tender every spring or fall, it may not be your imagination. It could be the symptoms of how seasonal allergies affect your teeth. Sinus congestion, mouth breathing, and even over-the-counter allergy medications can all affect your oral health in surprising ways. 

At 19th Ave Dental, we see many patients who mistake allergy symptoms for dental issues. Knowing the difference can help you protect your smile and avoid unnecessary discomfort.

Sinus Pressure: The Hidden Cause of Tooth Pain

One of the most common ways allergies affect your teeth is through sinus inflammation. Your upper back teeth sit directly beneath the maxillary sinuses, so when these air pockets swell due to allergies or infection, they can put pressure on the roots of your teeth and cause pain that feels just like a toothache.

According to the University of Cincinnati, sinus pressure often causes a dull, aching sensation across several teeth rather than a sharp pain in one specific spot. If the discomfort changes with your head position, like when you bend forward, or improves as your sinus symptoms fade, it’s likely sinus-related rather than a dental cavity.

If seasonal allergies affect your teeth due to sinus pressure, antibiotics and decongestants can help relieve the pain. Go to your doctor or urgent care to treat a sinus infection. 

Mouth Breathing and Dry Mouth: A Double Hit to Your Smile

Allergies can also cause congestion that forces you to breathe through your mouth, especially at night. While this helps you get more air, it also dries out your mouth and reduces saliva flow.

Saliva is your body’s natural defense against bacteria and acids. It washes away food particles and helps remineralize enamel. Without enough saliva, bacteria thrive, increasing your risk of cavities, gum disease, and bad breath.

Unfortunately, another way seasonal allergies affect your teeth is by the medications used to treat them! Antihistamines and decongestants can make dry mouth worse. Many allergy medications reduce saliva production, leaving your mouth feeling sticky or uncomfortable. Chronic dry mouth (also called xerostomia) makes it easier for plaque to form and harder for your mouth to fight infection.

If you’re using allergy medication, stay hydrated and rinse your mouth frequently with water. Sugar-free gum or lozenges can also help stimulate saliva. At 19th Ave Dental, we often recommend alcohol-free mouth rinses and fluoride toothpaste to keep enamel strong and tissues moist during allergy season.

Allergies and Gum Inflammation

When your immune system reacts to pollen, dust, or pet dander, it releases histamines and inflammatory chemicals throughout your body—including your mouth. That inflammation can make your gums red, swollen, or more sensitive than usual.

People prone to gum irritation or gingivitis may notice their symptoms worsen during allergy flare-ups. Some patients even experience mild bleeding when brushing or flossing due to increased inflammation.

Keeping up with your oral hygiene routine is crucial, even when you’re not feeling your best. Gentle brushing with a soft-bristled toothbrush, flossing daily, and using warm salt-water rinses can reduce inflammation and soothe irritated gums. Regular cleanings, especially during allergy season, also help prevent bacteria buildup and irritation.

Tooth Sensitivity and Weather Changes

If your teeth seem extra sensitive during allergy season, you’re not alone. Weather shifts, changes in humidity, and sinus inflammation can all affect tooth nerves. Fluctuating temperatures and barometric pressure can increase tooth sensitivity, especially in people with exposed roots or thinning enamel.

If cold air or sweet foods suddenly sting, switch to a toothpaste for sensitive teeth and avoid acidic beverages like soda or citrus juices. Sensitivity that lingers or worsens may indicate enamel wear or gum recession, issues we can easily evaluate during your next cleaning or exam at 19th Ave Dental.

Simple Remedies and Preventive Habits

There are plenty of ways to protect your oral health while managing allergies:

  1. Keep sinuses clear. Use saline sprays or rinses to reduce congestion, take warm showers to loosen mucus, and run a humidifier in your bedroom to add moisture to the air.
  2. Stay hydrated. Water is your best defense against dry mouth. Limit caffeine and alcohol, which can dry you out further.
  3. Support saliva production. Chew sugar-free gum, use saliva substitutes, or try xylitol-based products to stimulate moisture.
  4. Maintain your hygiene routine. Even when you feel stuffed up, brush twice daily, floss once, and rinse with an alcohol-free mouthwash.
  5. Schedule seasonal checkups. Allergies can sneak up on your smile, but professional cleanings and exams help catch early signs of trouble.

At 19th Ave Dental, we make preventive care convenient, offering Sunday appointments to fit even the busiest schedules. Regular visits give us the opportunity to spot gum inflammation or dryness early and offer personalized solutions to protect your teeth year-round.

When to See a Dentist vs. an Allergist

So how do you know who to call? If your discomfort is limited to your teeth or gums, or if brushing, chewing, or temperature changes trigger pain, it’s best to see your dentist. Persistent swelling, bleeding gums, or localized pain usually point to a dental issue.

On the other hand, if you experience sinus pressure, nasal congestion, facial tenderness, or pain that shifts with posture, start with an allergist or primary-care provider. They can help manage inflammation and allergy triggers.

If you’re still not sure, 19th Ave Dental can help you rule out oral causes and guide you toward the right care. Give us a call today!