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A tooth can end up needing a root canal after having a cavity, the cavity spreads into the tooth and inside the nerve chamber killing the nerve. Once it kills everything inside the tooth it will cause an abscess in the jawbone. To fix that situation your dentist or endodontist will perform a root canal. Theyll drill into the tooth and then using thin endodontic files remove all the diseased nerve tissue thats inside the tooth. Once the inside of the tooth is thoroughly cleansed and disinfected, they will fill that space with a material called gutta-percha and that will seal up the tooth. Once the roots of the teeth are sealed the tooth will heal up and then finally your dentist will cover the tooth with a crown to help protect it.