Dental issues can be quite painful, and if left untreated, they can lead to severe complications. Root canal and extraction are two common dental procedures used to treat tooth decay, gum disease, and trauma. While both procedures aim to eliminate the problem, they work differently. Choosing between the two can be confusing, especially if you don’t know much about them.
In this article, we’ll discuss root canals vs extractions and help you decide which one is the right choice for you.

What is a Root Canal?
A root canal is a dental procedure that involves removing the infected or damaged tooth pulp from inside the tooth. The pulp is the soft tissue that contains nerves, blood vessels, and connective tissues. When the pulp becomes infected or inflamed due to decay or trauma, it can cause severe soreness and sensitivity. Root canal therapy aims to eliminate the infection and prevent the need for teeth removal.
Here’s how the procedure works:
- The dentist numbs the area around the affected tooth with a local anesthetic.
- A small hole is drilled into the tooth to access the pulp.
- The damaged or infected pulp is removed using specialized tools.
- The root canals are cleaned and shaped to prepare for filling.
- The dentist fills the root canals with a rubber-like material called gutta-percha.
- Finally, a filling or crown is placed on top of the tooth to protect it and restore its function
After the root canal procedure, you may experience some aches, pains, and sensitivity for a few days. However, you should be able to resume your regular activities soon.
Pros of a Root Canal
- A root canal can help to preserve a damaged or infected tooth and prevent the need for removal.
- It can relieve pain and discomfort caused by the infection or damage.
- It is a relatively simple and routine procedure, often completed in one or two appointments.
Cons of a Root Canal
- A root canal may not be effective in all cases, and the tooth may still need to be extracted if the infection is severe or the tooth is too damaged.
- The procedure may cause some pain or sensitivity for a few days after treatment, but this can usually be managed with over-the-counter pain medication.
Tooth Extraction Procedure
Tooth extraction is a dental procedure used to remove a tooth that is damaged, decayed, or infected beyond repair. The procedure may also be recommended for natural teeth that are crowded, or to move teeth to make room for orthodontic treatment of adjacent teeth.
- The dentist numbs the area around the affected tooth with a local anesthetic.
- The tooth is loosened using specialized tools.
- The dentist uses forceps to pull the tooth out of the socket.
- The area is cleaned, and a gauze pad is placed to stop bleeding.
After the removal, you may experience some aches, pain, and swelling for a few days. Your dentist will give you instructions on how to care for the area and what to expect during the healing process.
Pros of a Tooth Extraction
- Tooth extraction can quickly and effectively remove a severely damaged or infected tooth, preventing further complications.
- It is a relatively simple and routine procedure, often completed in one appointment.
Cons of a Tooth Extraction
- A missing tooth can affect your ability to speak and chew properly and may cause changes in your bite and the appearance of your face.
- The procedure may cause some discomfort or pain after treatment, but this can usually be managed with over-the-counter pain medication.
- A missing tooth may require additional dental work to replace, such as a dental implants or bridges, which can cost alot.
Root Canal vs Extraction: Which One to Pick?
Choosing between a root canal and tooth extraction depends on several factors, such as the extent of the tooth’s structure, the damage, the location of the tooth, and your overall oral health. Here are some things to consider when making your decision:

The Extent of the Damage
If the damage from bacteria is limited to the pulp and the surrounding area, a root canal therapy may be a viable option. However, if the tooth is severely damaged or infected, removal may be necessary.

The Location of the Tooth
The location of the tooth is also a crucial factor. If the tooth is visible and plays an important role in your smile, you may want to consider a root canal treatment to preserve it. However, if the natural tooth is in the back of your mouth and not visible, extraction may be a better option.

Your Overall Oral Health
Your overall oral health is another important consideration. If you have good oral health and are committed to maintaining it, a root canal may be a viable option. However, if you have multiple dental issues, extraction may be the best choice for most patients.

Cost
Root canals are generally more expensive than extractions, but they can also help you save money in the long run by preserving your natural tooth. However, if cost is a major concern, extraction may be the more affordable option.

Recovery Time
The recovery time for root canal vs extraction can vary. While root canals usually require a few days of recovery, extractions may take longer, depending on the extent of the procedure.
If you have a busy schedule or cannot take time off work, a root canal may be the best treatment options.
FAQs about Root Canal vs Extraction
Is a root canal painful?
Root canals are typically performed under local anesthesia, which means you should not experience any pain during the procedure. However, you may experience some discomfort and sensitivity for a few days after the procedure.
Is an extraction painful?
Like root canals, tooth extractions are performed under local anesthesia, so you should not feel any pain during the procedure. However, you may experience some discomfort and swelling after the procedure.
Can I eat after a root canal or extraction?
It’s best to avoid eating, chewing, or drinking anything until the numbness wears off after a root canal or extraction. After that, you can eat soft foods and gradually transition to your regular diet.
How long does a root canal last?
With proper care and maintenance, a root canal can last a lifetime. However, it’s essential to maintain good oral hygiene and schedule regular dental checkups to prevent future issues.
How long does it take to recover from an extraction?
The recovery time for the extraction site can vary depending on the extent of the procedure. In most cases, it takes about a week to recover fully.
What are the risks of root canals and extractions?
While root canals and extractions are generally safe procedures, there are some risks associated with them, such as infection, light bleeding, and nerve damage. Your dentist will discuss the risks and benefits of each procedure with you before making a recommendation.

Conclusion
Root canals and extractions are two common dental procedures used to treat a range of dental issues. While the two procedures aim to eliminate dental problems, they work differently for most people and are suited for different situations.
Ultimately, the decision to choose between a root canal and extraction depends on several factors, such as the extent of the damage, the location of the original tooth, and your overall oral health. It’s essential to consult with your dentist to determine which course of action is right for you.
If you need help with the decision on whether to get a root canal or extraction, don’t hesitate to contact us. Our team of dental professionals can guide you through the decision-making process and help you choose the best option for your unique situation.
Remember, dental problems can lead to severe complications if left untreated, so it’s essential to address them as soon as possible. Whether you opt for a root canal or extraction, be sure to follow your dentist’s instructions and maintain good oral hygiene to prevent future issues.