Root canal vs extraction

A root canal saves your natural tooth; an extraction removes it. Extraction is cheaper today, but replacing the missing tooth later often costs more than the root canal would have.

Cost compared

Root canal + crown Extraction alone Extraction + implant
Typical cost (no insurance) $1,500-$4,500 $100-$600 $3,500-$6,500
Keeps your natural tooth Yes No No
Visits 2-3 1 4-6 over months

See root canal cost, crown cost, extraction cost and implant cost.

When a root canal usually makes sense

  • The tooth has enough healthy structure to restore.
  • It’s a front tooth or an important chewing tooth.
  • You want to avoid gaps, shifting teeth and bone loss.

When extraction may make sense

  • The tooth is cracked below the gumline or too damaged to restore.
  • Severe gum disease has destroyed supporting bone.
  • Cost is the deciding factor and the tooth isn’t needed for chewing or appearance (for example, some wisdom teeth).

Don’t forget the gap

A missing tooth can let neighbors drift and the bone shrink. Replacement options include an implant, bridge or partial denture.

General information, not dental or medical advice. Your dentist will recommend what’s right for your tooth.

Frequently asked questions

Is it cheaper to pull a tooth or get a root canal?

Pulling is cheaper upfront. Over time, replacing the tooth usually costs more than a root canal and crown.

Is a root canal more painful than an extraction?

With modern anesthesia, both are usually comfortable. Recovery after an extraction can involve more soreness.

Questions from readers

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