Detailed side-by-side comparison
When a tooth is severely decayed, infected, or damaged, the two most common treatment options are a root canal (which saves the tooth) or an extraction (which removes it). Dentists almost always recommend saving a natural tooth when possible, but there are situations where extraction is the better clinical decision. This comparison explores the costs, procedures, recovery times, and long-term implications of each option to help you have an informed discussion with your dentist.
| Factor | Root Canal | Tooth Extraction |
|---|---|---|
| Average Cost | $700 - $1,500 (+ crown: $800-$3,000) | $150 - $600 (+ replacement: $1,500-$6,000) |
| Total Long-Term Cost | $1,500 - $4,500 (root canal + crown) | $1,650 - $6,600 (extraction + implant/bridge) |
| Procedure Time | 60 - 90 minutes (1-2 visits) | 20 - 40 minutes (simple extraction) |
| Recovery Time | 1 - 3 days of mild discomfort | 3 - 7 days; longer for surgical extraction |
| Pain During Procedure | Minimal with modern anesthesia | Minimal with anesthesia |
| Preserves Natural Tooth | Yes; tooth remains functional | No; tooth is permanently removed |
| Success Rate | 95% success rate over 10 years | 100% (tooth is removed) |
| Bone Preservation | Maintains natural root and bone | Bone loss occurs at extraction site |
| Future Treatment Needed | Crown placement after root canal | Implant, bridge, or denture to fill gap |
| Insurance Coverage | Typically covered 50-80% under major | Typically covered 50-80% under major/surgical |
Dentists strongly prefer saving natural teeth with root canal treatment when feasible. However, extraction may be the better option when the tooth is too damaged, when infection is severe, or when restoration is not clinically viable.
Infected tooth that is otherwise structurally sound
Root canal is the clear choice: it saves the tooth and prevents the need for expensive replacement.
Severely cracked tooth below the gum line
Extraction is often necessary because the remaining tooth structure cannot support a crown.
Patient with limited budget for dental work
Root canal + crown may cost more upfront but is usually cheaper long-term than extraction + implant.
Wisdom tooth or non-functional tooth with infection
Extraction is typically recommended since wisdom teeth do not need replacement.
Cost estimates and treatment information shown above are based on national averages in the United States and are for informational purposes only. Actual costs vary significantly based on geographic location, provider, case complexity, and insurance coverage. This comparison is not a substitute for professional dental advice. Always consult your dentist to determine the best option for your individual needs. Read our full Medical Disclaimer.