While root canals and tooth extractions are both unpleasant, they are often necessary procedures.

Both treatments are options when a tooth is severely damaged beyond repair with a drill and filling. You may be curious about the differences between these two methods and what to expect from each. We’ve gathered some information to clarify the distinctions.

Root Canals: Preserving Teeth Instead of Extracting

Root canals may be the ideal choice if your dentist finds significant damage or disease in the tooth’s pulp. This option is viable only when the remaining structure of the tooth is healthy enough to remain in your mouth.

During a root canal procedure, the dentist will numb the area and access the tooth. The pulp is thoroughly removed with specialized tools, and the space is cleaned to eliminate any lingering bacteria.

Once the pulp chamber is cleared, the dentist fills the cavity with gutta-percha, a material that acts as a substitute for the pulp to restore your tooth’s function. A crown may be placed to enhance strength or improve aesthetics if needed.

Post-procedure pain is a common concern for many patients. Discomfort can last for a few days, ranging from sharp to dull. Pain relief medication may be necessary; if pain becomes intolerable, consulting your dentist is crucial.

Tooth Extractions: A Last Resort

Sometimes, dentists conclude that preserving the tooth is impossible, leading to a recommendation for extraction.

During an extraction, the dentist numbs the area to minimize discomfort. They will then loosen the tooth and remove it using specialized instruments. You might feel some pressure, but you shouldn’t experience pain.

After the extraction, some bleeding is expected. The dentist will likely ask you to bite down on gauze to facilitate clotting, which you can do for about 45 minutes. Mild bleeding may continue for the next day or two.

Swelling can occur following an extraction. Applying ice packs can help reduce this. Eating cool, soft foods is advisable to avoid irritating the extraction site. Recovery usually takes a couple of weeks, during which gentle oral hygiene is important.

Considering Dental Implants After Tooth Extraction

When a tooth is removed, a gap is left that can lead to future complications, such as difficulty in chewing or speaking, and may cause neighboring teeth to shift. Bone loss in the jaw can also occur.

Dental implants can effectively address these issues. They serve as replacements for missing teeth, functioning and appearing like natural teeth, while also preventing bone loss. However, implants can be expensive, so having dental insurance that covers such procedures can be beneficial.

Conclusion: Root Canals Are Generally Preferred, But Not Always Feasible

In general, root canals are the preferred option over extractions since they help preserve the natural structure of your teeth. However, if the damage is too extensive, your dentist may recommend extraction. This procedure can be followed by placing a dental implant to replace the extracted tooth.