Root Canal vs. Tooth Extraction: Which Is Right for You?

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8/17/2018

Damaged or decayed teeth should be treated as soon as possible to prevent further issues from developing. Large cavities or fractures can breach the pulp of a tooth, causing an infection. When this occurs, there are only two treatment options available: root canal treatment or tooth removal.

The treatment recommended for you will be contingent on your unique situation and the long-term prognosis of the affected tooth. At our Cocoa, FL dental practice, our doctors discuss root canal vs.  tooth extraction and explain when each procedure is typically indicated. When needed, we can perform the appropriate oral surgery to improve your dental health .


About Root Canal Treatment

Once the tooth pulp is infected, bacteria can spread to the surrounding bone or the adjacent teeth. This condition can be painful and may result in a swollen jaw.

Root canal treatment removes the infection at its source. To perform this procedure, the tooth and surrounding tissues are numbed with local anesthesia. Your doctor creates a small hole in the top of the tooth to access the internal structures.

The blood vessels, nerves, and pulp inside the tooth are removed and the canals and tooth are filled. After sealing the tooth to prevent further contamination, a dental crown is often placed to fully restore the bite and provide reinforcement.


When Is Root Canal Treatment Necessary?

Drs. Bird and Johnson typically recommend root canal treatment if a damaged tooth has a good long-term prognosis. If there is a good chance the tooth will last for several more years with proper treatment, then this procedure will be presented as the optimal choice.

Candidates for root canal treatment may experience swelling around the tooth, a severe toothache, or tooth sensitivity. Eligible patients will still have sufficient tooth structure remaining. If too much structure is gone, the tooth may need to be removed.


About Tooth Extraction

A time-tested procedure, tooth extraction is sometimes necessary, especially if severe dental damage has occurred. Over the years, methods for tooth removal have improved exponentially.

Our doctors use gentle techniques to make the process as comfortable as possible. First the tooth is numbed with local anesthesia. Next, the tooth is carefully loosened, and then lifted from its socket.


When Is Tooth Extraction Necessary?

Tooth extraction is typically the “last resort” option for a damaged or decayed tooth. If the long-term prognosis is poor or questionable, then extraction can effectively preserve your oral health and save you from more costly restorative procedures. During a consultation at our office, our doctors can help determine which treatment option is right for you.


Replacing a Tooth after Extraction

With the exception of wisdom teeth, we almost always recommend replacing an extracted tooth. Gaps and spaces in the smile can lead to more serious oral health complications, such as shifting, bite issues, TMJ disorder, and more.

Our patients have a few different options for teeth replacement, including traditional bridges and dental implants. These options can be discussed with you prior to tooth removal.


Contact Our Practice to Learn More

If you are experiencing signs of an infected tooth, it is important to seek treatment right away to avoid more significant problems. To schedule a consultation at our practice, contact us online  or give us a call at (321) 291-5193.

Courteous and professional.

G.B. Google

First visit since the last time I had a wisdom tooth pulled in 2009. Dr. Johnson and his staff are very friendly and answered all questions. First visit is a consultation.6-2026 update. Just had to have another wisdom tooth extracted. Again Dr Johnson was great. I was impressed when I arrived 15 minutes early and they immediately went to work without my having to wait.

M.K. Google

My extended tooth was painless. Wonderful staff. Thank you for helping me.

L.O. Google

The team of this office is OUT STANDING!!

C.H. Google

I’m a 71 year-old male retired, aerospace engineer, and have dealt with, and developed an ability to recognize intelligent people in my 40 years of professional experience. In my opinion, Dr. Johnson is one of the most professional and astute maxillofacial oral surgeons you could ever engage with. He has 30+ years of knowledge doing sinus lift / bone graft surgeries in areas where you have lost a tooth or multiple teeth. I broke my number 14 molar on a hard kernel of popcorn. It was split through the floor and could not be repaired. So it had to be extracted. Dr. Johnson did the extraction and at that time also placed bone grafting material into the socket. It took well and after five months of healing a second set of x-rays showed that there was still not enough bone material to accept a titanium implant. So a surgery was scheduled to place a bone graft above that location, which required also lifting my right side sinus. I’m writing this 30 hours after the surgery. Apparently the pain level is supposed to increase with the peak estimated to occur at 48 to 72 hours. So far I have only Very-Low levels of pain. I have no swelling or bruising. I do have some stitch, free ends, sort of dangling, but they cause no irritation or nuisance. I have been able to eat soft foods- eggs, applesauce, yogurt, iced coffee, pudding and homemade ice cream, etc. I’m also drinking plenty of water, diluted Gatorade, diluted pomegranate juice. I feel great. I’m careful to keep my head elevated and not do any bending over to cause blood rush to my head. I’ve had virtually no bleeding. Sleeping on my back with two pillows under my head to keep it elevated. It’s going so well that I’m planning to go for an easy 2 mile walk this evening, just 36 hours after the surgery. I cannot recommend Dr. Johnson and his support staff highly enough. Knowledge matters. Experience matters. He is an expert in the strictest definition of the word. I’m scheduled to-return next Monday for a stitch pulling session. Looking forward to it. In a few months after I’m totally healed, a new crown will be attached to the titanium stud, completing the tooth replacement. If you’ve lost a tooth, I recommend you see Dr. Johnson.

K.F. Google

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