Pull It or Leave It: Should I Get a Tooth Extraction or Root Canal?

February 3, 2025

Woman shrugging with two graphics of question marks hovering above her hands

Choosing between a tooth extraction and a root canal probably isn’t many people’s ideal “Love It or List It” scenario. You might feel like you’re stuck between a rock and a hard place, so it’s understandable that you would want to know which treatment is better. However, things aren’t often so simple when it comes to your oral health! Keep reading to learn why your dentist might recommend pulling your tooth or leaving it.

The Purpose of Pulling a Tooth

Pulling a troubled tooth can have several benefits, such as stopping a dental infection from spreading or making more room for an orthodontic treatment. Dentists tend to consider this a last-resort option, though. It’s better to keep a natural tooth if at all possible, as even the best dental replacements aren’t as efficient as original pearly whites.

Why You Might Need a Root Canal

Root canals can also serve as a means to stop an infection in its tracks. Unlike with a tooth extraction, though, a root canal preserves the majority of your natural tooth. Your dentist will need to seal the “canal” that was created in order to access the infection and may provide you with a crown, but the basic structure of your pearly white will remain.

Your Top Priority: Salvage

The “better” treatment will ultimately depend on your oral situation. That said, your top priority should be salvaging your tooth when possible. If a root canal could save your pearly white, it’s a worthwhile treatment.

Some patients consider getting an extraction even when a root canal could preserve their tooth because the upfront costs are cheaper than that of a root canal. While this is true, remember that you’ll have to replace your empty socket with a bridge, dental implant, or other such restoration that will add to your total costs. In the long-run, a root canal can actually be the less expensive option!

Talk To Your Dentist

It can be difficult to know which dental treatment will be best for you and your oral health. Fortunately, you have a qualified professional in your corner that’s ready to give you recommendations and advice! Be sure to talk with your dentist about the possibility of a tooth extraction or root canal. They’ll help you choose the right treatment so you can be confident in your plan.

About the Author

Dr. JD Hansen knows what it’s like to be faced with tough dental decisions – he had his own teeth knocked out while playing sports on a mission trip in Brazil! He has a judgement-free care philosophy and will listen intently as you describe your symptoms and oral needs. If you have concerns about the possibility of a tooth extraction or root canal, you can trust Dr. Hansen to take them into account and help you build a treatment plan that you feel confident in! To contact his office, call 801-719-2113.