Seymour Office

Root Canal or Extraction: Which Is the Better Choice for Your Damaged Tooth?

Tooth Extraction

When experiencing a damaged tooth, it’s important to consider your options for treatment. Two common choices are root canal therapy and tooth extraction. But is it better to get a root canal or extraction?

In this blog post, we will explore the benefits and risks of both dental procedures and help you make an informed decision about your dental health.

What Is Root Canal?

Root canal therapy, also known as root canal treatment or endodontic treatment, is a procedure aimed at saving a severely damaged or infected tooth. Root canal therapy is often recommended when the pulp containing nerves and blood vessels inside a tooth becomes infected.

During this dental treatment, the dentist removes the infected pulp from the tooth’s root canals, cleans and disinfects the area, and fills it with a biocompatible material.

You may experience sensitivity or a dull ache in the treated tooth for a few days following the root canal. This discomfort typically subsides over time. Your dentist may also prescribe over-the-counter pain relievers and provide after-care measures, including:

  • Avoiding chewing and hot/cold liquids
  • Sticking to a soft diet for a few days
  • Resting


  • Preserves your natural tooth. Root canal therapy allows you to keep your natural tooth, which helps maintain its natural appearance, function, and your oral health.
  • Eliminates pain and infection. By removing the infected pulp and cleaning the root canals, a root canal procedure effectively alleviates pain and prevents further infection.
  • Restores chewing ability. After a successful root canal, you can regain normal chewing functionality, allowing you to enjoy your favorite foods without discomfort.

Potential Risks

  • Reinfection. In some cases, a previously treated tooth may become reinfected. Regular dental check-ups and good oral hygiene practices are crucial in preventing reinfection.
  • Weakening of the tooth. Although rare, there is a slight risk of the treated tooth becoming more susceptible to fracture over time. However, this risk can be minimized by placing a dental crown on top of the tooth.

What Is Tooth Extraction?

Tooth extraction or dental extraction involves the removal of an entire tooth that’s damaged. This procedure is typically recommended for severely decayed teeth, broken beyond repair, or causing overcrowding in the mouth. A wisdom tooth that’s impacted could also require extraction.

After tooth extraction, it is common to experience certain effects during recovery.

Here’s what you can expect:

  • Bleeding. Some bleeding is normal after a tooth extraction. Your dentist will provide you with gauze pads to bite down on to help control the bleeding. Following their instructions on how long to keep the gauze in place is important.
  • Dry socket. Dry socket, also known as alveolar osteitis, is a condition that normally occurs after tooth extraction. It involves severe pain and delayed healing in the extraction socket.
  • Swelling. Swelling around the extraction site is normal and can last a few days. Applying an ice pack to the outside of your cheek near the extraction site can help reduce swelling.
  • Discomfort and pain. You may experience some discomfort or pain in the area where the tooth was extracted. Your dentist may prescribe pain medication or recommend over-the-counter pain relievers to manage any discomfort.
  • Restricted activities. It is important to take it easy for a few days after the extraction. Avoid strenuous activities, exercise, and heavy lifting, as these can increase bleeding and delay healing.
  • Oral Care. Proper oral hygiene is crucial during the healing process. However, it is important to be gentle around the extraction site. Avoid rinsing vigorously or using a straw, which can dislodge the blood clot and delay healing. Your dentist will provide specific instructions on how to care for your mouth after the extraction.
  • Diet. Stick to soft foods and avoid hot liquids and spicy or acidic foods for the first few days. Gradually introduce solid foods back into your diet as you feel comfortable.
  • Healing time. The healing time varies from person to person but typically takes a few days to a couple of weeks. Follow-up appointments with your dentist may be necessary to monitor the healing process.


  • Eliminates pain and infection. By removing the damaged tooth, extraction can provide immediate relief from pain and prevent the spread of infection.
  • Prevents complications. Extracting a problematic tooth can help prevent further dental issues, such as gum disease, tooth decay, and the shifting of adjacent teeth.
  • Creates space for orthodontic treatment. In cases where overcrowding is a concern, tooth extraction can create the necessary space for orthodontic treatment, such as braces or aligners.

Potential Risks

  • Impact on appearance and function. Losing a natural tooth can affect your appearance and ability to chew and speak properly. However, modern dental advancements, such as dental implants, can help restore both functionality and aesthetics.
  • Misalignment of neighboring teeth. Removing a tooth can sometimes lead to adjacent teeth shifting into the space, causing misalignment. To prevent this, your dentist may recommend additional procedures like dental bridges or orthodontic treatment.

Root Canal Vs. Extraction: A Comparison

Root canal therapy and tooth extraction have their respective advantages and considerations. Let’s compare them side by side:



Preserves the original tooth

Removes the damaged original tooth

Requires multiple dental visits

Generally a one-time procedure

Higher success rate for saving the tooth

Immediate relief from pain

Can be more expensive in the long run

Lower upfront cost

Minor risk of infection

Minor risk of infection

Requires a dental crown or filling to restore

May require a dental bridge, dental implant, or denture for tooth replacement

Based on this comparison, root canal therapy focuses on preserving the natural tooth, while tooth extraction offers immediate relief from pain. The choice between the two depends on the severity of the tooth damage, accompanying factors, and individual preferences.

Should I Get a Root Canal or an Extraction?

Whether to get a root canal or an extraction should be made in consultation with a dental professional who can assess your situation. Factors such as the extent of tooth damage, overall oral health, and personal preferences all play a role in determining the most suitable treatment option. However, extensive decay generally requires tooth extraction, while a root canal is preferred if the tooth can still be saved.

Ultimately, the goal is to address the issue effectively while preserving as much natural tooth structure as possible. By discussing your concerns and expectations with your dentist, you can make an informed decision that promotes long-term oral health.

Talk to Us Today

We provide comprehensive dental care to keep your smile healthy and beautiful. If you’re experiencing pain from an infected or damaged tooth, please don’t hesitate to book an appointment with us today. We will assess your individual needs and help you decide whether root canal therapy or extraction is the right treatment for you. We use state-of-the-art technology and advanced techniques to provide positive results for every patient.