Root canal treatment, also referred to as root canal therapy or endodontic therapy, is used to save an infected or damaged tooth and avoid having it removed. A root canal becomes necessary when a neglected cavity reaches all the way to the pulp at the center of the tooth, causing the pulp to become infected. Regular cleanings and checkups detect and prevent problems early on.
Trauma can also cause deep damage to the nerve of a tooth. Once this occurs, the pulp dies and becomes infected. The infection begins to eat away at the surrounding bone (this is called an abscess). By the time the pulp is infected it must be treated, and cannot heal on its own. The longer this condition is not treated, the more bone loss will occur and one may loose the tooth. In some instances, infection could break through the jaw bone and spread to the blood stream and can cause death. It can also weaken the entire immune system, making it very dangerous and painful.
Symptoms of infected pulp may include sensitivity to hot/cold or sweets, pain, swelling, pain with biting or pressure, and a bad taste in the mouth. Sometimes, however, there are no symptoms, and you are unaware of any problem until a checkup.
A root canal is performed to clean out the infected tooth pulp and disinfect the canals of the tooth. The only other treatment would be to extract the tooth. Once the infection is resolved, the canal(s) is filled to prevent any further infection. Crowns are usually recommended to cover and restore a tooth after root canal therapy. With any back tooth (behind canines), it is highly and always recommended to have a crown placed after this procedure to protect it and ensure long term success.