When a tooth is severely damaged or diseased, it can be challenging to decide between a root canal and an extraction. Both approaches offer advantages as well as disadvantages, so it’s important to weigh all the options and talk with a dentist near you before deciding. This will enable you to make an informed decision.
What is the Difference Between Treatments?
Tooth Extraction
A tooth extraction refers to the removal of a tooth from its socket in the jawbone. This procedure is typically performed when a tooth is severely damaged or decayed and cannot be saved or restored. It may also be necessary if a tooth is impacted (partially or fully trapped within the jawbone) or causes crowding issues in orthodontic treatment.
Root Canal
Endodontic treatment, sometimes referred to as a root canal, is a technique used to salvage a severely decayed or injured tooth. They are carried out when a damaged tooth, severe decay, or trauma infects the dental pulp. Severe toothaches, sensitivity to heat or cold, swelling, or recurrent abscesses are signs that you could require a root canal.
The goal of a root canal in Edmonton is to alleviate pain, eliminate infection, and save the natural tooth from extraction. The procedure is typically performed under local anesthesia, ensuring minimal discomfort for the patient.
The Steps of a Root Canal vs Extraction
Root Canal Procedure
- Examination and Diagnosis: Your dentist will examine the affected tooth, review your dental history, and possibly take X-rays to assess the extent of the damage or infection. Based on the findings, they will determine if a root canal is necessary.
- Anesthesia: Local anesthesia is administered to numb the area around the tooth, ensuring you remain comfortable throughout the procedure.
- Access and Cleaning: Your dentist will create a small access hole in the tooth’s crown to reach the pulp chamber and root canals. Specialized dental instruments are used to remove the infected or inflamed pulp tissue. The canals are then thoroughly cleaned and shaped to prepare for filling.
- Filling the Canals: Once the canals are cleaned, they are filled with a biocompatible material called gutta-percha. This material seals the canals to prevent further infection or bacteria from entering.
- Temporary Restoration: In most cases, a temporary filling is placed in the access hole to protect the tooth until the final restoration is ready.
- Final Restoration: Depending on the condition of the tooth, a dental crown may be recommended to provide strength, and protection, and restore its appearance. The crown is custom-made to match the shape and color of your natural teeth and is typically placed during a separate appointment.
Tooth Extraction Procedure
- Examination and X-rays: Your dentist will evaluate the condition of the tooth and may take X-rays to assess the tooth’s position and determine the most suitable extraction technique.
- Anesthesia: Local anesthesia is administered to numb the tooth and surrounding area. In some cases, conscious sedation or general anesthesia may be used for more complex extractions or if you have dental anxiety.
- Tooth Loosening: The dentist carefully removes the tooth from its socket using dental tools.
- Tooth Removal: Once the tooth is sufficiently loosened, the dentist uses forceps to carefully remove it from the socket. In certain cases, a small incision in the gum tissue may be necessary to facilitate the extraction.
- Socket Cleaning and Stitches: The dentist cleans the extraction site, removing any debris or infected tissue. Stitches may be placed to close the gum tissue, promoting proper healing.
- Post-Extraction Care: Your dentist will provide post-operative instructions, including pain management techniques, oral hygiene recommendations, and information on what to expect during the healing process. They may also discuss tooth replacement options if necessary.
Disadvantages With The Procedures
There are two sides to every coin; with that said, while there are certainly benefits to each treatment, there are drawbacks you should be aware of too, including:
Drawbacks of Root Canals
- Time-consuming and may require multiple appointments
- Some patients may experience mild discomfort during and after the procedure
- Post-treatment sensitivity to hot or cold temperatures may occur
- Additional dental work, like a dental crown, is often needed
Drawbacks of Tooth Extraction Near You
- Permanent loss of the natural tooth
- Adjacent teeth may shift, leading to misalignment
- Potential jawbone shrinkage or loss
- Restoration, such as dental implants or bridges, may be required
Discussing these things with your dentist in Edmonton will help you understand the procedure, possible alternatives, and associated risks.
At Oliver Family Dental, our amazing team will guide you in making an informed decision based on your dental health needs. Call, email, or drop by our clinic when you’re able.
