Root Canal vs. Tooth Extraction in Oakboro: Cost, Recovery, and How to Choose
January 23, 2026When a tooth starts causing persistent pain or is badly damaged, deciding what to do next can feel overwhelming. Do you try to save the tooth with a root canal, or is it better to remove it completely? At Oakboro Family Dentistry, we talk through this with patients every week — and what we hear most often is this: “I just want to do what’s right for my mouth and my life.” That’s a very reasonable place to start.
The truth is, there’s no one‑size‑fits‑all answer. But understanding what each option looks like — in terms of cost, recovery, and long‑term impact — helps you make a choice that fits your goals, your budget, and your smile.
Here’s how we break it down in everyday terms.
When These Choices Come Up
We typically start talking about root canals or extractions when there’s:
- Deep decay that has reached the nerve
- A cracked or fractured tooth that’s starting to hurt
- An infection or abscess that won’t settle on its own
- Recurring discomfort that hasn’t responded to earlier care
Once we determine that the nerve or internal tissue is at risk, we begin talking about these two options — preserving the tooth or removing it. Both eliminate pain, but they do it in very different ways.
What to Expect With a Root Canal
A root canal clears out infected tissue inside a tooth to relieve pain and prevent further issues. Once the area is cleaned and sealed, we usually protect the tooth with a crown to restore strength and function.
The benefits of a root canal:
- You keep your natural tooth
- Your bite and chewing pattern stay intact
- There’s no need for additional procedures (like implants or bridges)
The tooth may feel slightly sore afterward, but for most patients, the relief is immediate and long-lasting.
What Happens With a Tooth Extraction
If the damage is too extensive or a root canal isn’t a good fit, removing the tooth may be the most straightforward option. The area is numbed, the tooth is gently removed, and healing begins over the next few days.
Sometimes, we place a bone graft at the time of extraction — especially if you’re considering a dental implant later. This helps preserve the jaw structure and keeps future options open.
What Each Option Costs
People often ask about cost up front, and that’s understandable. Root canals tend to cost more than a simple extraction — especially when you factor in a crown afterward. Extracting a tooth on its own is usually less expensive initially.
Where costs get more interesting is after extraction. Leaving the space empty can affect chewing and tooth alignment over time. Replacements like implants, bridges, or partial dentures each come with their own costs, timelines, and maintenance needs.
At your visit, we’ll give you a clear estimate for each path — including what happens if you choose to replace an extracted tooth later on.
Recovery: What People Really Experience
After a root canal, most people are surprised at how little discomfort there is once the numbness wears off. Any soreness you feel usually subsides within a couple of days.
Extractions can require a bit more downtime in the first 24–48 hours. You might feel tenderness or mild swelling, and we’ll give you steps to manage that (things like gentle rinsing and avoiding heavy chewing on that side). The body heals at its own pace, but most people are back to normal within a few days.
Complete healing of the bone where the tooth was extracted takes longer, which is part of why we talk about replacement options sooner rather than later — especially if adjacent teeth might shift into the gap.
So How Do You Choose?
There’s no universal right answer — the better choice depends on:
- How much healthy tooth structure remains — If there isn’t much left, extraction might be more predictable.
- Infection and inflammation — Severe infection sometimes favors extraction.
- Your goals for the future — Do you want to preserve your natural bite? Are you open to implants or other replacements if the tooth comes out?
- Your budget and timeline — We’ll walk through realistic estimates so there are no surprises.
There’s no “right answer” for everyone, but there is a right answer for you when we look at these factors together.
Restoring Function After Extraction
If extraction is the path you choose, you still have good options for restoring that space:
- Dental implants — mimic a natural tooth and feel stable
- Fixed bridges — anchor to neighboring teeth
- Partial dentures — removable and often more budget‑friendly
Each has pros and cons, and we can talk through those based on your habits, priorities, and long‑term oral health.
Root Canal vs. Tooth Extraction in Oakboro — Your Next Step
Whether you choose to save a tooth with a root canal or remove it with an extraction, the goal is the same: eliminate pain, stop infection, and support your comfort and function.
At Oakboro Family Dentistry, Dr. Charles T. Bobo, Dr. Austin Mogy, and Dr. John Bedingham approach these decisions with transparency and respect. We’ll break down cost, recovery expectations, and long‑term outcomes honestly, so you can choose with confidence — not uncertainty.
If you’re dealing with ongoing tooth pain or a cracked or broken tooth, call Oakboro Family Dentistry in Oakboro, NC. We’ll walk you through what we see, what you can expect, and what makes sense for your smile — not someone else’s.
Schedule your evaluation today — and let’s find the solution that fits your life and your smile.
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Categorised in: Dental Extractions, Dental Tips, Root Canal Therapy