Extract your Tooth or Save it? Which is Best?

If you are suffering from dental cavity then you may opt for teeth extraction. It will help you to treat pain in your gum and teeth.

Dr. Kartik Poonja Created on 28th Dec, 20

Can we save the tooth, or do we need to extract it? 

Most patients ask their dentist this question.

Root canals vs. extractions can be a difficult choice, but your dentist in Vashi is the best person who can suggest the best treatment option for your tooth. So, trust your doctor!!


Your dentist will always try to save the tooth and, if possible, find an alternative, but there are circumstances where your dentist will have to perform an extraction.


You can always discuss options to save your tooth with your dentist before proceeding. If your dentist tells you that you need to have your tooth removed, ask if a root canal could be an option. If it is worthwhile to save the tooth, then choose a root canal, provided that the tooth won’t cause any trouble in the future and that too, without a crown.  


Your dentist’s priority should be to save the tooth and suggest all the possible alternatives for the same. But there are circumstances where your dentist will have to perform an extraction. So, it is best to be ready for both.


When is Tooth Extraction necessary?

  • Periodontal disease has infected your tooth badly.
  • A filling or a crown cannot restore your tooth because it is badly damaged.
  • Your tooth is severely cracked or extends beyond the gum line due to an accident.
  • You are having pain even after a root canal treatment.
  • Not enough space for the tooth
  • Your tooth is putting pressure on the other teeth by crowding.
  • You require orthodontic treatment, and removing the tooth will make treatment easier.
  • Brushing and flossing are not feasible.
  • Your tooth is not functioning in your bite.


Although it is always better to save a tooth, there are times when the extraction is the better option. If you are in a situation where you have no choice but to pull the tooth, pull it out. It may be better to get some replacement tooth or leave the gap empty. 


Tooth extraction can sometimes be a useful option, but it is not always the best option for all dental problems.


When should you consider a Root Canal? 

You can go for root canals if you want to repair and save the tooth that has become infected or badly decayed. These are some signs when you should consider going for a root canal:

  • Persistent pain while eating and drinking.
  • Cracked and chipped tooth because of eating hard foods.
  • You are sensitive to hot or cold drinks.
  • You have swollen gums because of inflammations beneath the surface.
  • Dark discoloration of your tooth because of poor hygiene.
  • Prolonged sensitivity due to damaged root.
  • Deep decay within the base of your tooth (cavity).


Which one is best?  

Even though a missing tooth is easy to replace with modern dentistry, it will not be the same as your real tooth. Also, healing from an extraction takes more time and is sometimes more painful than recovering from a root canal. Furthermore, pulling your tooth out might lead to other dental procedures and a more healing time for a replacement.


Still, pulling out the tooth might be right for some situations. Sometimes a tooth cannot be saved, even with a root canal. Some people, who have had a bad tooth for a long time, know from experience that it will only make things worse, and that tooth will eventually have to come out. 


Furthermore, root canals are relatively expensive, especially if a crown is required. If you do not have the means to pay for a root canal, removing the tooth is a much cheaper option. But if your tooth’s situation is good, it is often better to have root canal treatment and keep it as long as possible. After all, no dental implant, dentures, or bridges can be equal to your real tooth.


In reality, it hurts more to continue with a damaged or infected tooth than go through these procedures. However, be ready to feel some minor pain and sensitivity after the anesthetic wears off. These small aches will disappear within a couple of weeks. 


Although modern dental technology is making it easier to save your most problematic teeth, the final decision is yours. Talk to your dentist, think about both these options, and make the choice that you feel is best for you.