Pain Under Tongue After Root Canal: Causes and What to Do

Submandibular/submental pain after root canal is uncommon but possible.

Potential Causes

  • Residual inflammation: Periapical tissues irritated by instrumentation/irrigation
  • Nerve irritation: Lingual nerve proximity to mandibular molars/premolars
  • Infection/abscess: Persistent or new bacterial involvement
  • Referred pain: From the treated tooth or adjacent structures
  • Injection site trauma: Lingual nerve block or infiltration

Action

Contact your endodontist or dentist promptly. They will clinically and radiographically evaluate for missed canals, fracture, overfill, or infection. Treatment may include antibiotics, re-treatment, or referral for nerve assessment.

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