Dental Wellness
Root Canal vs. Tooth Extraction: Making the Right Clinical Choice
Medical Editorial Board
Oct 04, 2026
8 Reads
When dental pulp undergoes irreversible necrosis, patients often wonder whether to save the natural tooth or extract it. Here is what dental science says.
Preserving natural dentition is virtually always the primary clinical objective of modern restorative dentistry. A natural tooth root preserves alveolar bone volume and retains natural tactile chewing sensitivity.
When is Root Canal Therapy (RCT) Indicated?
When bacterial penetration reaches the pulp chamber due to untreated deep caries, RCT thoroughly debrides the canals, disinfects the dentinal tubules, and seals the space with gutta-percha.
When is Extraction Unavoidable?
Extensive coronal destruction subgingivally, vertical root fractures, or grade III mobility with complete periodontal bone loss indicate extraction and subsequent implant placement.
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