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If you’ve ever had that sharp, throbbing toothache that just won’t quit, you know how quickly dental pain can turn your day upside down. When a tooth is badly decayed or infected, your dentist will usually give you two main options: save the tooth with a root canal treatment or remove it altogether with an extraction. But how do you know which option is right for you? Let’s break it down.
What’s Involved in Root Canal Treatment?
Root canal treatment is all about saving your natural tooth. Your dentist removes the infected pulp from inside, cleans the area, and seals it up to stop further infection. The tooth is then usually restored with a filling or crown, so it looks and feels just like the rest of your teeth.
Yes, it sounds a bit daunting, but the procedure is far less scary than it used to be. Thanks to modern techniques and anaesthesia, most people find it’s no worse than getting a regular filling. Plus, you get to keep your natural tooth — which is always the goal if possible.
One thing patients often ask about is root canal treatment cost. The price can vary depending on the complexity of the case and whether you need a crown afterward, but it’s generally more affordable than many people expect, especially when weighed against the long-term benefits.
The Case for Tooth Extraction
Sometimes, saving a tooth just isn’t possible. If the tooth is too damaged, cracked, or decayed, extraction may be the best option. The process is straightforward: your dentist numbs the area and removes the tooth.
The upside? Extractions are often quicker and may be cheaper upfront. You also remove the source of infection immediately, which brings fast relief from pain.
The downside is that missing teeth can affect your bite, speech, and even confidence over time. Gaps left untreated can cause surrounding teeth to shift, leading to bigger dental problems down the track.
Pros and Cons at a Glance
- Root Canal Treatment
- Saves your natural tooth
- Helps maintain normal chewing and bite
- Long-term solution if done properly
- May require multiple appointments
- Higher upfront cost than extraction in some cases
- Tooth Extraction
- Quick and relatively simple procedure
- Cheaper upfront
- Leaves a gap that often needs replacing (implant, bridge, or denture)
- Can lead to long-term issues if the gap isn’t treated
So, Which Should You Choose?
There’s no one-size-fits-all answer. If your tooth can be saved, a root canal is usually worth it because keeping your natural teeth is almost always better for your oral health. But if the tooth is beyond repair, extraction followed by a replacement option may be the smarter choice.
The best thing you can do is chat with your dentist, who can walk you through both options, explain the likely outcomes, and give you a clear idea of the root canal treatment cost versus extraction.
At the end of the day, your smile deserves the best care possible — and the right decision will depend on your specific situation.

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