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Endodontic therapy or in other Word Root canal treatment means all the procedures performed to treat diseases of the dental pulp.
When The pulp (nerve and blood vessels) is not able to be repaired by itself, and when it is totaly damaged , the pulp becomes necrotic. Usually this is caused due to the contamination with bacteria in broken teeth or in teeth with deep caries.
If the damaged or diseased pulp is not removed, the teeth and surrounding tissues are exposed to infection. And finally you can lose your teeth completely.