Do I Need a Root Canal or Extraction?

October 23, 2024

When faced with dental issues, especially related to tooth decay, infections, or trauma, patients may be faced with a difficult question: should I save my tooth with a root canal, or is extraction the better option?

Making the right choice is crucial for your dental health, comfort, and overall well-being. Here, we break down the factors that influence this important decision, helping you make an informed choice for your smile.

What Is a Root Canal?

A root canal is a dental procedure designed to save a tooth that is severely damaged or infected. This procedure involves the removal of the tooth’s pulp—the soft tissue inside the tooth that contains nerves and blood vessels [1].

The dentist will clean and disinfect the inner chambers and then fill the space with a biocompatible material to seal it. Finally, the tooth may be restored with a crown to protect its function and appearance.

Root canal therapy is usually the best option if:

There is severe tooth decay that has reached the pulp of the tooth
You have a tooth infection or abscess
The tooth is vertically cracked or fractured

What Does Tooth Extraction Involve?

Tooth extraction is the complete removal of a tooth from its socket in the jawbone [2]. While this procedure is more straightforward than root canal therapy, it’s usually considered a last resort when a tooth cannot be saved through other means.

Removing the tooth may be a good idea when:

The decay is extensive enough that the tooth can’t support a root canal or restoration
The supporting structures of the tooth are compromised, such as in advanced cases of gum disease
One or more teeth need to be removed to create space for orthodontic treatment
The third molars are impacted and causing issues

Weighing the Options: Root Canal vs. Extraction

Whether you choose a root canal or an extraction is an important decision. Whenever possible, preserving your natural teeth is preferred. Root canals can often save a tooth, allowing you to maintain your natural bite and prevent further complications [3].

Root canals typically require a shorter recovery time than extractions since they are focused on restoring the tooth rather than removing it entirely. However, both procedures may involve some discomfort, and it’s essential to follow post-procedure care to ensure proper healing.

In many cases, root canals can be more cost-effective in the long run. While the upfront costs may be higher due to the need for subsequent restorations (like a crown), preserving the tooth is almost always cheaper than replacing it.

Ask Your Dentist About Root Canal vs. Extraction

If you have a tooth that doesn’t qualify for a filling due to extensive decay or trauma and you’re trying to decide between a root canal and an extraction, ask your dentist about the pros and cons of each option. If you can save your tooth, root canal therapy is almost always the better choice.