Root Canals Vs. Tooth Extractions: What’s The Right Choice?

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Dealing with an infected or damaged tooth can be stressful, especially when you’re weighing the pros and cons of different dental procedures. Two common options are root canals and tooth extractions, but how do you know which one is best for your smile, health, and budget?

In this guide, we’ll break down the differences between a root canal and an extraction, including benefits, risks, and costs, so you can make an informed decision with your Winnipeg dentist:

Root Canals

A root canal is a procedure that saves your natural tooth by removing damaged or infected pulp from inside the tooth. Once the pulp is removed, the space is cleaned, disinfected, and filled with a material called gutta-percha. The tooth is then sealed and often topped with a crown for added protection. This treatment not only eliminates pain and infection but also helps preserve your bite, prevent jawbone loss, and maintain the alignment of your surrounding teeth. Thanks to modern techniques and local anesthetics, most root canal procedures are quick, comfortable, and highly effective at restoring long-term oral health.

Winnipeg tooth extractions

Benefits Of Root Canal Treatment

  • Preserves your natural teeth: Saving the original structure is ideal for maintaining a normal bite and function.
  • Minimally invasive: A root canal procedure is usually performed under local anesthetic and is virtually painless for most patients.
  • Quick recovery: Most people return to daily activities within a day or two.
  • Cost-effective long term: Retaining the natural tooth avoids the need for future tooth replacements like dental implants or bridges.

Root Canals: Potential Risks To Consider

  • Infection recurrence: If any bacteria remain or the tooth isn’t properly sealed, further infection could develop.
  • Tooth fragility: A root canal can weaken the tooth’s structure, which is why a crown is often necessary.
  • Not always suitable: If the decay is too advanced or the tooth is cracked below the gumline, extraction may be the only option.

Tooth Extractions

A tooth extraction is different in that it is a process of removing the entire tooth from its socket. This option is typically chosen when a root canal treatment is not viable due to severe damage or infection. Extractions are also recommended for teeth that are cracked below the gumline, overcrowded, or impacted, such as wisdom teeth. The procedure is done under local anesthesia and is generally quick and straightforward. While healing times vary, most patients experience only mild discomfort. Once healed, your dentist may recommend a dental implant or bridge to restore the missing tooth and protect your bite.

Benefits Of Tooth Extractions

Removes the problem entirely: An infected tooth or one with significant damage is completely removed, eliminating pain and risk.

Short procedure time: The actual extraction can be done quickly, often in under an hour.

No chance of future infection in that tooth: Once it’s out, it’s out.

Tooth Extractions: Potential Risks To Consider

Creates a gap: A missing tooth can lead to shifting surrounding teeth, bite problems, and bone loss over time.

May require replacement: To maintain proper function and appearance, a dental implant or bridge may be needed.

Longer overall treatment: Including healing time and any follow-up restorations, the process can take several months.

Discomfort and swelling: Post-extraction recovery can involve light bleeding, swelling, and discomfort for a few days.

How Much Does Each Procedure Cost?

The cost of a root canal in Canada typically ranges from $600 to $1,200, depending on the complexity and the tooth involved. Add in a crown, and the total may rise to $1,500 to $2,500.

A tooth extraction is usually less expensive upfront: Roughly $150 to $400 for a simple removal. However, replacing the missing tooth with a dental implant can cost an additional $3,000 to $6,000, depending on materials and prep work.

So while an extraction may seem less expensive initially, a root canal treatment can be more cost-effective over the long term.

Which Procedure Is Better?

There’s no one-size-fits-all answer in the root canal vs. extraction debate. It depends on the condition of your infected tooth, your overall oral health, and your future dental goals.

Choose a root canal if:

  • You want to save your natural tooth
  • The tooth’s structure is strong enough to support a crown
  • You prefer a quicker return to normal function without a replacement

Choose a tooth extraction if:

  • The tooth is severely damaged or decayed
  • You plan to replace it with a dental implant or bridge
  • You're looking for a one-step solution to eliminate infection

Ultimately, your dentist at our dental clinic in Winnipeg can help you evaluate both treatment options and make the choice that best suits your smile.

Need To Treat An Infected Tooth?

If you're dealing with pain, swelling, or sensitivity, it may be time to act. At East Kildonan Dental Group, we provide both root canal treatment and tooth extractions right here in Winnipeg. Our caring team will guide you through your options, answer all your questions, and help you make the best decision for your health and comfort.

Book your consultation today and take the first step toward a healthier smile.

Article written by East Kildonan Dental

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