Root Canal or Extraction and Implant: Which Is Better?

Key takeaways

When is a tooth worth saving?

If the tooth has enough healthy structure and the root is sound, saving it is usually the first choice. A root canal removes the infected or inflamed pulp, then a crown protects the tooth. Your natural tooth keeps the bone and gum around it healthy. Signs you may need one are covered in 7 Signs You Might Need a Root Canal.

When is an implant the better choice?

• A crack below the gumline that can't be sealed.
• Too little tooth left to hold a crown securely.
• A root canal that has already failed and can't be predictably retreated.
• Advanced bone loss around the root from gum disease.

In these cases, an implant often gives a more predictable long-term result.

How do the costs compare?

Saving a tooth usually costs less up front than an extraction and implant. A single implant, including the implant, abutment and crown, is about $86 to $146 a month with financing. See our root canal and crown cost guide.

How long does each take?

A root canal is often done in one or two visits, with a crown shortly after. An implant usually takes 3 to 6 months from placement to final crown, while the implant fuses with the bone.

What happens if I wait?

Infection and cracks tend to get worse. A tooth that could be saved today may need extraction later, and a tooth left missing lets the bone shrink. If you have pain or swelling, call us soon.

Start with an exam

An exam and X-rays, plus a 3D scan when needed, show whether your tooth can be saved. We'll explain both options and their costs before you decide.

Learn more about Dental Implants →