The pulp is the nerve- and blood supply of the tooth. The nerve- and blood vessel enter the tooth at the root apex and extends through the whole middle of the root ending up in a nerve chamber at the centre of the tooth crown. It is surrounded by hard tissue. Great decay, deep fillings, cracks, or serious damage to the tooth can cause infection in the pulp. This is called a pulpitis. In many cases this will cause extensive pain, but it can also be asymptomatic. Left untreated the nerve and blood supply will die and bacteria will spread through the nerve, to the apex and enter the bone tissue surrounding the tooth. Regardless of the cause of the infection, the exposed or infected pulp will need treatment in form of a root canal.