Persistent oral pain or extensive decay may send a patient to a general dentist, who must then advise whether the patient should try to save the tooth or have it pulled. To save the tooth, a root canal procedure may be necessary. This involves removing the infected pulp of the tooth and replacing it with gutta-percha, a biocompatible rubber-like material. Extracting the tooth is usually the last resort, but sometimes it cannot be avoided.

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