Root canal treatment and tooth extraction are very different options. Root canal treatment aims to save a natural tooth when the inside of the tooth is infected or inflamed. Tooth extraction removes the tooth when it cannot be predictably restored or saved.
The right option depends on the tooth, symptoms, X-rays, amount of remaining tooth structure, gum support, infection, cracks, your overall dental health and your long-term treatment goals.
What is root canal treatment?
Root canal treatment is a procedure used when the nerve or pulp inside a tooth becomes inflamed or infected. The dentist removes the infected or inflamed tissue from inside the tooth, cleans and seals the root canals, and restores the tooth.
After root canal treatment, a crown may sometimes be recommended to help protect the tooth, especially for back teeth or teeth that are heavily filled or weakened.
What is tooth extraction?
Tooth extraction means removing the tooth. It may be recommended when the tooth is too badly damaged, too cracked, has poor support, or cannot be restored in a predictable way.
If a tooth is removed, the dentist can discuss replacement options where appropriate, such as a denture, bridge or dental implant referral depending on the situation.
When might a dentist try to save the tooth?
A dentist may consider saving the tooth if:
- There is enough healthy tooth structure remaining
- The tooth can be restored after treatment
- The crack or damage does not make the tooth hopeless
- The gums and bone support around the tooth are suitable
- The patient wants to keep the natural tooth where possible
When might extraction be recommended?
Extraction may be recommended if:
- The tooth is split or cracked in a way that cannot be repaired
- There is not enough tooth structure left to restore
- The infection is severe and the tooth has a poor long-term outlook
- The tooth has very poor gum or bone support
- Other treatment options are not suitable for the patient’s situation
Is root canal treatment always better than extraction?
No. Saving a natural tooth is often preferred where possible, but it must be realistic. If the tooth cannot be restored properly, extraction may be the more appropriate option.
Your dentist will explain the likely benefits, limitations, costs and long-term outlook of each option before you decide.
What symptoms may mean you need an urgent appointment?
Book a dental assessment promptly if you have severe toothache, swelling, pain when biting, a pimple on the gum, a broken tooth, lingering sensitivity to hot or cold, or pain that wakes you at night.
If swelling affects your breathing, swallowing, eye area, or you feel very unwell, seek urgent medical care immediately.
Can X-rays help with the decision?
Yes. X-rays can help the dentist check the roots, surrounding bone, infection, tooth structure and previous dental work. They are often important when deciding between root canal treatment, extraction or other options.
Book an assessment in Lara
If you have tooth pain, swelling, a broken tooth or have been told you may need root canal treatment or extraction, Lara Dental Prime can assess the tooth and explain suitable options.
Learn more about root canal treatment in Lara, tooth extraction options, or call 03 5282 2222.