The endodontist will numb the area they will be working on. They set up a dam and guard sheet to protect other parts of the mouth, exposing only the area they are working on. They drill into the tooth and use small tools to remove the infection. The endodontist then smooths out the tooth roots and fills them with a material to prevent reinfection. The tooth is prepped for a crown with some reshaping. An impression is made for the crown. The dentist seals the tooth with a temporary filling or crown.
This typically happens about two weeks after the root canal. A customised crown is crafted while you heal. The temporary crown is removed. The permanent crown, made of composite resin that matches your teeth, is installed using a dental adhesive.
Root canals can last a lifetime if cared for properly. They are a way to prevent a repeated infection. Some root canals fail. That can happen if the tooth is weak and splits in a way that can’t be repaired. In those cases, the tooth would need to be extracted.