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Root Canal Treatment or Tooth Extraction: Which Is Right?

When a tooth is badly decayed or infected, there are usually two choices: save it with root canal treatment, or take it out. Here is how they compare.

4 min read · By the Sarojini Child and Dental Care team

Dental chair unit with overhead operating light and instrument tray

Root canal treatment

The infected tissue inside the tooth is removed, and the canals are cleaned, filled and sealed. The tooth stays in your mouth; a crown is sometimes recommended to protect it.

  • Keeps your natural tooth for chewing and appearance
  • Stops neighbouring teeth from drifting into a gap
  • Usually done under local anaesthetic, in one or more visits

Tooth extraction

The tooth is removed. Extraction may be advised when a tooth is too broken down to be restored, or when the supporting gum and bone are badly affected. A gap can later be replaced with a bridge, implant or denture if needed.

How your dentist decides

Your dentist examines the tooth — usually with an X-ray — and considers how much healthy tooth remains, the health of the gum and bone, and your preferences. Saving the natural tooth is often preferred where it is possible; your dentist will explain the options for your tooth.

Frequently asked questions

Is extraction cheaper than a root canal?

Extraction alone usually costs less at first, but replacing the missing tooth later can add cost. Ask your dentist to explain the full picture for your tooth.

Sources and further reading

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