A root canal can fail due to several factors, which can range from the complexity of the tooth's anatomy to a poor procedure by the professional. It should be noted that endodontics is a treatment with a high percentage of success but it is not exempt from failures.
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The dentist must talk with the patient explaining what the conditions are in his tooth, and take all precautions to achieve the success of the treatment.
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There are procedures that are performed in the event of a failure in the canal treatment, such as apicoectomy. Tooth extraction is the last resort to take.
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Source: Youtube/ renew Advanced General Dentistry