### Root Canal vs. Tooth Extraction and Implant: What's the Difference? When a tooth is severely damaged or infected, your dentist might suggest two main treatment options: a root canal or a tooth extraction followed by an implant. Understanding the differences can help you make an informed decision. #### Root Canal A root canal is a procedure to save your existing tooth. Here's how it works: 1. **Anesthesia**: The dentist numbs the area around the tooth. 2. **Opening**: A small opening is made in the top of the tooth. 3. **Cleaning**: Infected or inflamed pulp inside the tooth is removed. 4. **Filling**: The empty space is filled with a biocompatible material called gutta-percha. 5. **Sealing**: The opening is sealed, often with a temporary filling. 6. **Crown**: A crown or other restoration is placed on top, usually in a follow-up visit. #### Tooth Extraction and Implant If the tooth is too damaged to save, extraction and implant might be necessary: 1. **Extraction**: The tooth is removed, either through a simple extraction or a surgical procedure. 2. **Healing**: You may need to wait 1-4 months for the bone to heal before placing an implant. 3. **Implant**: A screw-like implant is placed into the bone. 4. **Crown**: After the implant integrates with the bone, a crown is placed on top. #### Factors to Consider - **Cost**: Root canals are generally cheaper than extractions and implants. - **Time**: Root canals usually require fewer visits and less healing time. - **Invasiveness**: Root canals are less invasive than surgical extractions. - **Success Rates**: Both procedures have high success rates, but saving the natural tooth is often preferred if possible. Discuss with your dentist to understand the best option for your specific situation.