When a tooth is severely damaged or infected, the choice between a root canal and tooth extraction arises. Both treatments have their pros and cons. The right choice depends on various factors. These factors include cost, pain levels, and long-term dental health.

Root Canal Treatment (RCT)

1. What Is a Root Canal?

  • A root canal involves removing infected pulp from inside the tooth, cleaning the root canals, and sealing the tooth.
  • It helps preserve the natural tooth structure and prevents extraction.

2. Pros of Root Canal Treatment

  • Preserves Natural Tooth – Keeps the original tooth in place.
  • Prevents Jawbone Loss – Avoids bone resorption that occurs after extraction.
  • Less Pain Over Time – Modern techniques make it a relatively comfortable procedure.
  • Long-Lasting Solution – With proper care, a root canal-treated tooth can last a lifetime.

3. Cons of Root Canal Treatment

  • Higher Initial Cost – Root canal treatment cost in India varies by location and clinic.
  • Multiple Visits May Be Required – Some cases require more than one appointment.
  • Potential Failure – In some cases, symptoms of a failed root canal may appear, necessitating retreatment.
  • Tooth Weakness – After treatment, a root canal tooth needs a crown for additional support.

Tooth Extraction

1. What Is Tooth Extraction?

  • Tooth extraction is the removal of a tooth from its socket due to severe decay, infection, or damage.
  • In some cases, a replacement (Dental implant or bridge) is needed.

2. Pros of Tooth Extraction

  • Quick Procedure – Takes less time than a root canal.
  • Eliminates Infection Completely – No risk of reinfection.
  • Lower Initial Cost – Tooth extraction cost is generally lower than a root canal.

3. Cons of Tooth Extraction

  • Bone Loss Over Time – Jawbone may shrink, affecting facial structure.
  • Gap in Teeth – May require a replacement with an implant or bridge.
  • Chewing Difficulty – Losing a tooth affects bite function.
  • Shifting Teeth – Nearby teeth may move, causing misalignment.

How to Choose Between Root Canal and Tooth Extraction

1. Consider Cost

  • Root canal treatment cost in India varies from ₹3,000 to ₹12,000 per tooth, depending on the city.
  • Tooth extraction cost is usually lower, but an implant or bridge can increase overall expenses.

2. Severity of Infection

  • If the tooth can be saved, a root canal is preferred.
  • If the damage is too extensive, extraction may be necessary.

3. Long-Term Dental Health

  • A root canal preserves the natural tooth, preventing jawbone deterioration.
  • Tooth extraction may require additional procedures like implants or bridges.

4. Recovery Time

  • Root canal recovery takes a few days, but the tooth remains functional.
  • Extraction may lead to longer healing, especially for molars or wisdom teeth.

What to Do After Treatment?

After Root Canal

  • Avoid chewing on the treated tooth until a permanent crown is placed.
  • Follow up with regular dental visits.

After Tooth Extraction

  • Avoid hard foods and smoking after tooth extraction.
  • Follow post-extraction care instructions to prevent complications.

Conclusion

Root canal and tooth extraction both serve their purposes. A root canal is ideal for saving the tooth, while extraction may be necessary if the damage is beyond repair. Consulting a dentist is the best way to determine the most suitable option based on individual needs.

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