Root Canal Treatment vs Extraction – Why Saving Teeth Matters
24/11/2025
When a tooth becomes badly decayed or infected, patients often ask the same question:
“Is it better to have the tooth taken out, or should I try to save it with a root canal?”
While extractions may seem like a quick fix, keeping your natural teeth wherever possible is almost always the best option. Here’s why.
What is Root Canal Treatment?
Root canal treatment (endodontics) is a procedure to remove the infected or damaged pulp (the soft tissue inside the tooth) while preserving the tooth structure. Once cleaned and disinfected, the root canals are sealed, and the tooth is usually restored with a filling or crown to protect it.
Benefits of Saving a Tooth with Root Canal Treatment
- Maintains Natural Function | Your own teeth are the most effective for chewing and biting. Removing teeth can make eating more difficult, especially with harder or chewy foods.
- Preserves a Balanced Bite | Each tooth plays a role in keeping your bite stable. Losing a tooth can cause neighbouring teeth to drift or tilt into the space, leading to misalignment and uneven wear.
- Protects Jawbone Health | Natural teeth stimulate the jawbone. When teeth are lost, the bone can shrink over time, changing the shape of your face and smile.
- Saves Money in the Long Run | Although extraction might seem cheaper upfront, replacing a missing tooth (with an implant, bridge, or denture) is often far more costly and requires more maintenance over time.
- Retains Your Natural Smile | Nothing looks, feels, or functions quite like your own tooth. Keeping your natural tooth helps maintain confidence in your smile.
When Might Extraction Be Needed?
In some cases, an extraction is the only option—for example, if:
- The tooth is too damaged to restore
- There is advanced gum disease
- A severe fracture extends below the gum line
Even in these cases, your dentist will discuss replacement options to restore function and appearance.
In conclusion, modern root canal treatment is highly successful and often no more uncomfortable than a routine filling. Whenever possible, saving your natural teeth helps maintain function, comfort, and long-term oral health.
If you’ve been told you might need an extraction, ask your dentist whether a root canal could be an option—your natural smile is worth protecting.
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