Root canal treatment vs. Tooth extraction
When a tooth is badly damaged or infected, there are two main treatments that are recommended: root canal treatment and tooth extraction. Both procedures have their own pros and cons, so it is important to understand the differences in order to make an informed decision about which is right for you.
What is the difference between root canal treatment and tooth extraction?
During root canal treatment, the infection is removed from the inside of the tooth, preserving as much of its original structure as possible. On the other hand, tooth extraction means completely removing the entire affected tooth from the mouth.
How does root canal treatment relieve dental pain?
Root canal treatment is effective in relieving pain and discomfort, as the infected soft centre (also known as the dental pulp) is removed from the tooth. The pulp can include infected tooth nerves, blood capillary and gum flesh. Once the tooth has healed from the procedure, inflammation will be reduced due to a healthier environment being promoted inside the mouth.

How does tooth extraction relieve dental pain?
Tooth extraction relieves dental pain by completely removing the affected tooth, thereby eliminating any source of infection or decay. This can help reduce inflammation and provide immediate relief from any discomfort.

What are the risks associated with root canal treatment?
As with any other surgical procedure, root canal treatment carries some potential risks. The treatment is generally considered safe and successfully eliminates infection, however, it is important to be aware of the possible risks. Risks include damage to surrounding tissue and teeth, prolonged pain, sensitivity after the procedure, a darker tooth, tooth fracture and a recurring infection.
What are the risks associated with a tooth extraction?
As with any other surgical procedure, root canal treatment carries some potential risks. The treatment is generally considered safe and successfully eliminates infection, however, it is important to be aware of the possible risks. Risks include damage to surrounding tissue and teeth, prolonged pain, sensitivity after the procedure, a darker tooth, tooth fracture and a recurring infection.
What is the procedure and aftercare for tooth extraction?
After numbing the affected area, the infected tooth pulp (pulp necrosis) is cleaned out and the tooth is sealed with gutta-percha, a rubber-like material. Root canal treatment removes the tooth nerves and blood capillary, therefore, the tooth will no longer be alive. The tooth will not be as strong as the surrounding living teeth because the body no longer provides it with nutrients.
However, this does not mean that the tooth can not decay. It is important to take proper care of a root canal treated tooth. Carefully follow your dentist’s aftercare instructions to ensure optimal healing. This includes eating soft foods and regularly brushing your teeth. You may experience sensitivity or pain after the procedure, this will subside over time.
What is the procedure and aftercare for tooth extraction?
Local anaesthesia is used to numb the affected tooth and gum tissue. Sedation options are available for those who may be anxious or seeking extra comfort. Your dentist will gently loosen the tooth with special dental instruments, lifting it from its socket. If the tooth is badly decayed or broken off at the gum line, incisions may need to be made in your gums to access the tooth.
After the removal, the socket is cleaned and disinfected. Stitches may be placed if necessary. You will bite on a gauze pad to form pressure and assist in slow bleeding, allowing for blood clotting. This helps to stop the bleeding, promotes healing and reduces the risk of dry sockets. You may experience swelling, discomfort or light bleeding within the first 24 hours. These symptoms typically subside within a few days. Follow your dentist’s aftercare instructions to avoid infection and encourage a quick recovery.

Should I save my tooth or have it extracted?
The decision between a root canal treatment or a tooth extraction depends on the severity of your condition and the advice your dentist has given you. Root canal treatment is typically done to save the remaining tooth, preventing further infection or damage. However, when the affected tooth is too decayed or damaged, an extraction may be necessary.
Your oral health plays a major role in your overall health, so taking proper care of your teeth is very important. With the right dental advice, treatments and aftercare, you can ensure your teeth are kept healthy and strong.