
Facing a tough choice between a root canal and tooth extraction? You’re not alone. Many people find themselves caught in this dental dilemma, wondering which option is best for their health, comfort, and wallet. At Northland Smiles Dental in Calgary, we’re here to help you understand the pros and cons of tooth extraction and root canal procedures so you can make an informed decision.
Let’s dive into the details and see which path might be the right one for your smile.
What’s the Difference Between a Root Canal and a Tooth Extraction?
A root canal and a tooth extraction are two different dental procedures used to treat severely damaged or infected teeth. A root canal aims to save the natural tooth by removing infected pulp, cleaning the inside, and sealing it, while an extraction involves completely removing the tooth from the socket. The choice between the two depends on the severity of the infection, the tooth’s condition, and the long-term impact on oral health. Below is a comparison to help understand the key differences between these procedures.
Root Canal: What It Is and When It's Recommended
A root canal is like a rescue mission for your tooth. When the inside of your tooth (the pulp) becomes infected or inflamed, a root canal removes the damaged pulp, cleans the area, and seals it up. This procedure saves your natural tooth and keeps your smile intact.
When it’s recommended:
- Deep decay or infection in the tooth pulp
- Cracked or chipped teeth exposing the nerve
- Repeated dental procedures on the same tooth
Tooth Extraction: When It’s Necessary
Tooth extraction is the complete removal of a tooth from its socket. It’s usually a last resort when a tooth is too damaged to be saved or poses a risk to other teeth.
Common reasons for extraction:
- Severely decayed or damaged teeth
- Advanced gum disease
- Impacted wisdom teeth
- Overcrowded teeth requiring orthodontic treatment
Pros and Cons of Root Canal vs Tooth Extraction

Root Canal Advantages and Disadvantages
Pros:
- Preserves your natural tooth
- Maintains jawbone strength and alignment
- Less invasive recovery compared to extraction
Cons:
- Can be more expensive upfront
- May require multiple visits
- Risk of re-infection if not properly sealed
Tooth Extraction Benefits and Risks
Pros:
- Quick procedure
- Eliminates infection entirely
- Less expensive upfront
Cons:
- Can lead to shifting teeth or bone loss
- May require implants or bridges later
- Longer-term dental work can increase costs
Feature | Root Canal | Tooth Extraction |
Procedure | Removes infected pulp, saves tooth | Removes tooth from socket |
Pain Level | Moderate discomfort, managed with anesthesia | Quick pain relief, but post-op soreness |
Recovery Time | A few days to a week | A week or more, depending on complexity |
Cost | Higher upfront cost, but no need for replacement | Lower upfront cost, potential for additional costs |
Long-Term Impact | Preserves natural tooth structure | May require implants or bridges |
Pain and Recovery: What Should You Expect?
Understanding the pain and recovery process for root canal and tooth extraction can help you make an informed decision. Here’s what you should expect from each procedure in terms of discomfort and recovery time.
Is Root Canal More Painful Than Tooth Extraction?
Contrary to popular belief, root canals aren’t the nightmare they’re made out to be! Modern techniques and anesthesia make both procedures relatively painless. You might feel some discomfort during recovery, but it’s manageable with over-the-counter pain relief.
Recovery Time for Both Procedures
Root Canal: You’ll likely feel back to normal within a few days.
Tooth Extraction: Recovery can take up to a week or more, especially if it’s a surgical extraction.
Tips for Faster Healing
Follow your dentist’s instructions carefully.
Avoid hard or crunchy foods.
Keep the area clean but don’t overdo it—gentle rinsing is key.
Long-Term Effects on Your Oral Health
How Root Canals Preserve Your Natural Smile
Keeping your natural tooth helps maintain jaw strength and prevents surrounding teeth from shifting. Plus, nothing beats the look and feel of your own tooth!
Potential Issues After Tooth Extraction
After an extraction, you might face bone loss or shifting teeth, which can lead to further dental issues. This is why dentists often recommend replacing the missing tooth.
When Should You Choose Root Canal Over Tooth Extraction?
Factors to Consider: Tooth Condition, Age, Overall Health
Choose a Root Canal if the tooth can be saved and you want to preserve your natural smile.
Opt for Extraction if the tooth is too damaged or if you’re dealing with recurring infections.
When Extraction is the Better Option
In cases of severe decay, fractures below the gum line, or advanced gum disease, extraction might be the best course of action.
Final Verdict: Root Canal or Tooth Extraction?

Both options have their benefits, but the best choice depends on your specific situation. At Northland Smiles Dental in Calgary, we’re here to guide you every step of the way. Schedule a consultation to discuss your options and find the best solution for your smile.
FAQs
Which Option is Safer: Root Canal or Tooth Extraction?
Both procedures are safe when performed by a professional. The choice depends on your dental health.
How Soon Can I Eat Normally After a Root Canal or Extraction?
For a root canal, you can eat soft foods after the numbness wears off, but it’s best to avoid hard or chewy foods until a permanent crown is placed. After an extraction, you should stick to soft foods for at least a few days and avoid using a straw to prevent dry socket.
Which Option Is More Cost-Effective in the Long Run?
While a root canal has a higher upfront cost, it can be more cost-effective in the long run because it preserves your natural tooth. Tooth extraction might seem cheaper initially, but replacing the missing tooth with an implant, bridge, or denture adds additional costs over time.
How Long Do the Results Last?
A successful root canal can last a lifetime, while extractions may require additional dental work over time.
Ready to take the next step? Contact Northland Smiles Dental in Calgary today and let’s keep your smile shining bright!