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Root canal treatment is necessary when a tooth dies because decay has reached the nerve centre or the tooth's nerve is inflamed. This treatment includes the cleaning and refilling of the root canals.
Root canal treatments are very demanding procedures and not infrequently linked to complications. Above all teeth with sharply angled roots and narrowed/calcified channels will always remain “high risk teeth” because the root tip remains out of reach and is therefore unsterile and vulnerable to renewed inflammation. In this case, it would be necessary to consider the surgical removal of the root tip (resection/apisectomy).
Following the root canal treatment, the corresponding teeth must be stabilized with a solid prosthesis (crown). Non-vital teeth tend otherwise to break off because of the inevitable resultant dehydration and the unstable, hollow interior.