How do I know whether I need a root canal or extraction?

The short answer

That depends on the tooth, infection, remaining structure and your overall oral health. After an examination, the dentist can explain whether saving the tooth is possible and the alternatives.

What to consider for your own care

The dentist may need to examine the tooth and use appropriate imaging to understand the infection or damage. Ask why the proposed treatment is needed, what alternatives exist, and what recovery and follow-up may involve.

When to speak with a dentist

A rapidly worsening swelling, fever or difficulty swallowing needs urgent medical or dental attention.

Next step

Ask Dental Works: “How do I know whether I need a root canal or extraction?” Share your symptoms, goals and any deadline so the dentist can explain suitable options and what should happen next at a Sion East consultation.

Reviewed by Dr. Feril Mehta, BDS, Dental Council registration A-22971.

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