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If the living tissue (pulps) in the root canals of the tooth are inflamed or unable to maintain their vitality, canal treatment is needed to recover the tooth. Because this tissue, like some other tissues in the body, does not have the ability to renew and repair itself. Deep bruises, fractures and cracks in the teeth can cause inflammation of the pulp. In addition, traumas to the teeth may cause rupture of the veins and nerves feeding the teeth and cause the tooth to lose its vitality.