When faced with a compromised tooth, individuals often find themselves at a crossroads, wondering whether to opt for a root canal or consider the alternatives of tooth extraction with a dental implant or bridge. This decision is pivotal for oral health and can significantly impact one’s overall well-being. In this comprehensive guide, we’ll delve into the pros and cons of each option, empowering you to make an informed choice. Welcome to DenScore’s exploration of dental decisions.

Pros and Cons of Root Canal:


  1. Preservation of Natural Tooth: One of the primary advantages of a root canal is the preservation of the natural tooth. By removing the infected pulp and sealing the tooth, the structure remains intact.
  1. Functionality: A successfully treated tooth can function just like any other natural tooth. This means you can chew and bite comfortably without any major adjustments.
  1. Cost-Effective: In many cases, a root canal is more cost-effective than the alternatives. Preserving the natural tooth avoids the need for additional procedures and materials associated with implants or bridges.


  1. Risk of Reinfection: Despite its effectiveness, there is a small risk of reinfection. If the sealing is not entirely successful or if new decay develops, the tooth may require extraction later.
  1. Weakened Tooth Structure: While the tooth is preserved, it may become more brittle over time. This could necessitate the placement of a crown to provide additional support.

Pros and Cons of Tooth Extraction with Implant:


  1. Permanent Solution: Dental implants offer a long-term solution that mimics the natural tooth in both appearance and functionality. They are anchored securely in the jawbone, providing stability.
  1. Prevents Spread of Infection: If the tooth is severely infected or damaged, extraction removes the source of the problem, preventing the infection from spreading to other teeth or the surrounding tissues.
  1. Aesthetics: Implants can be customized to match the color and shape of your natural teeth, ensuring a seamless and aesthetically pleasing result.


  1. Invasive Procedure: The process of getting a dental implant involves surgery to place a titanium post into the jawbone. This can be more invasive compared to a root canal or a bridge.
  1. Higher Cost: Dental implants tend to be more expensive than root canals or bridges. The procedure involves multiple steps, including surgery, abutment placement, and crown attachment, contributing to the overall cost.

Pros and Cons of Tooth Extraction with Bridge:


  1. Cost-Effective Option: Compared to dental implants, bridges are generally more affordable. They offer a middle ground in terms of cost between a root canal and an implant.
  1. Non-Invasive Procedure: Unlike dental implants, getting a bridge does not require surgery. It involves preparing the adjacent teeth for crowns, which serve as anchors for the bridge.


  1. Impact on Adjacent Teeth: To place a bridge, the adjacent teeth need to be prepared and crowned. This process involves removing some enamel, potentially impacting otherwise healthy teeth.
  1. Limited Lifespan: Bridges may need replacement after a certain number of years. While they can be durable, they may not last as long as dental implants.

Choosing between a root canal, dental implant, or bridge is a decision that depends on various factors, including the extent of damage, cost considerations, and personal preferences. DenScore encourages individuals to consult with their dentists to thoroughly evaluate their specific situation. Whether preserving the natural tooth with a root canal or opting for the stability of dental implants or bridges, making an informed decision is the first step towards optimal oral health.

DenScore: Your Trusted Dental Navigator for Personalized Solutions

Understand all aspects of dental care with DenScore. Utilize our free online dental navigation tool to get answers if you have questions about pain in your mouth, cosmetic dental procedures, replacement of missing teeth and more. Our care navigators can also assist you in finding the right dentist or dental insurance to ensure you will be able to stay on top of your oral health.

Written By: Kushagra Goel

Medically Reviewed By: Dr. Gita Yitta