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A Wurzelkanal is a surgical procedure used to remove infected nerve tissue from the inside of a tooth. This process will not show up on an Röntgen unless the infection is severe and the patient is in extreme pain. A Wurzelkanal can fail for any number of reasons. The most common reason is that the Zahnarzt failed to properly clean out the infected tissue. The second most common reason is that the Wurzelkanal treatment did not completely remove the infected nerve tissue. The third most common reason is that the patient has an underlying health condition which causes the tooth to be more likely to fracture.