The track stands out for its raw honesty. Marriott openly addresses his prolonged avoidance of a dental issue, using it as a metaphor for deeper emotional apathy stemming from past experiences. In an interview with Dork, he reflects, "'Toothache' is probably the most damning song I've written about myself. It talks pretty openly about how I didn't deal with a dental hygiene problem I had for multiple years". This candidness adds depth to the song, allowing listeners to connect with the vulnerability expressed.
Musically, 'Toothache' leans into grunge elements, a slight departure from Marriott's previous indie-pop style. This shift showcases his versatility and willingness to experiment. The accompanying music video, directed by Orr Piamenta, complements the song's theme by humorously depicting Marriott's visit to a dubious dentist, adding a visual layer to the narrative.
However, it's a shift from the work of his previous albums Bitter Tongues and Are We There Yet? meaning that the song isn't without its shortcomings to some listeners who define themselves as proud fans of his previous work. Some listeners might find the grunge influence less polished compared to Marriott's earlier work, potentially alienating fans who prefer his original sound. Additionally, while the metaphor of dental pain is poignant, it may come across as overly literal for those seeking more abstract lyricism. Though, reception has been generally positive, with users on Album of The Year rating 'Toothache' an average of 80 out of 100.
Combined with the earlier release of 'I Don't Wanna Live Like This', James Marriott's next album teases to be a mix of new inspired music styles and a reminder of what he does best. In summary, 'Toothache' is a bold and honest offering from James Marriott, highlighting his growth as an artist willing to explore new sonic territories and personal themes. While its grunge style and candid lyrics may not suit everyone's taste, the song's authenticity and Marriott's commitment to his craft are commendable.