When there is a serious tooth infection, dentists will either extract the teeth recommend an endodontic treatment, which is otherwise known as a root canal. Root canals are done by endodontists, or dental health professionals who specialize in the procedure.

Is Root Canal A Better Option?

A root canal is done by removing the infected or inflamed pulp from inside the tooth. The endodontist then carefully cleans the area inside of the canal, fills it up, and seals the space. Then, the tooth is restored using a filling or a crown.

A root canal is often recommended because it saves the natural tooth. While having one’s tooth extracted may seem like an easier and quicker option, a root canal has advantages over extraction. It keeps your teeth as is, maintain your natural smile. It also promotes normal sensation and biting and promotes proper chewing.

Extraction, on the other hand may lead to complications in the long run. The gap left by the extracted tooth can cause adjacent teeth to shift as they start to fill out the newly empty spot. This may lead to the development of crooked teeth and may also cause a bad bite. This can cause problems in chewing and biting, as well as problems with the temporomandibular joint which can cause persistent headaches, ear pain, dizziness and jaw popping or clicking.

Endodontic treatment continues to enjoy a high success rate, and a treated tooth can continue to function normally and can be maintained for years after the treatment. This method saves the natural tooth, making it a very viable alternative to tooth extraction.

When Is Extraction Better?

Not all situations call for root canals, as there are also some situations where tooth extraction is a better option. Some situations include the following:

• A small mouth – Accessing the canal with the use of files and drill requires space, which can be difficult with a very small mouth.
• Some medical conditions – Some patients may not be mentally or physically able to remain still for long periods of time and may not be able to accept a complex root canal therapy.
• Unrestorable tooth – Sometimes, a tooth can be deemed unrestorable, especially when the decay extends to the fibers and bones that support the teeth. When this happens, a root canal treatment may be inappropriate and may simply be a waste of money and time.
• Unopposed tooth – Sometimes a tooth may be unopposed. With no tooth opposite to it to chew on, it can have very limited function, so an extraction would be a better idea.
• Root fractures – Root fractures cause a stream of bacteria into the mouth, which will simply re-infect the root canal.
• Unsuccessful root canal – A failed root canal treatment may also warrant the need for an extraction, especially if the prognosis is poor.

In the event of a tooth problem, your dentist will first inspect the affected tooth and determine the gravity of the condition before recommending possible procedures that can be done. When given the choice between a root canal and an extraction, expects will definitely recommend the former. However, your dentist will let you know if a root canal is not possible and if the situation warrants an extraction instead.