When a tooth is severely infected or damaged, your dentist will present two options: root canal treatment (RCT) to save the tooth, or tooth extraction to remove it. Here’s how to make an informed decision.
Root Canal vs Extraction: Comparison Table
| Factor | Root Canal | Tooth Extraction |
|---|---|---|
| Natural tooth preserved? | Yes | No |
| Bone preservation | Yes (with crown) | No – bone resorbs |
| Adjacent teeth affected? | No | Teeth may shift |
| Treatment time | 1–3 visits | Single visit |
| Recovery | 1–3 days | 3–7 days |
| Cost (standalone) | Higher | Lower |
| Long-term cost | Lower (no replacement needed) | Higher if implant/bridge placed |
Why Saving the Natural Tooth Is Usually Better
Dentists universally prefer saving a natural tooth because nothing fully replicates the function and longevity of your own tooth. After extraction, the gap must be filled (with an implant or bridge) – adding significant cost.
When Is Extraction Unavoidable?
Extraction is necessary when the tooth is fractured below the bone level, has vertical root fractures, extensive bone loss around the tooth, or when the patient cannot afford RCT and crown together. In these cases, a dental implant is the ideal long-term replacement.
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