When you’re dealing with a severely damaged or infected tooth, you may face a critical decision: save the tooth with a root canal, or remove it with an extraction. At iSmile Dental in Langley, BC, our dentists help you weigh the pros and cons of each option based on your unique situation.
A root canal (endodontic treatment) removes the infected pulp inside your tooth while preserving the outer tooth structure. It’s typically the preferred option when the tooth structure is still strong enough to support a crown, the infection hasn’t spread to the surrounding bone, the tooth is important for biting or chewing function, and you want to maintain your natural smile without a gap or replacement.
Modern root canals at iSmile Dental are nothing like their reputation. With local anesthesia and sedation options, most patients report the procedure feels similar to getting a filling. Treatment takes 1–2 visits, and the tooth is protected with a permanent crown afterward. Root canal treated teeth can last a lifetime with proper care.
Sometimes extraction is the better or only option: when the tooth is cracked vertically below the gum line, when there’s severe bone loss around the tooth from advanced periodontal disease, when the tooth has already had a failed root canal, when the tooth is too damaged to support a crown, or when the cost of root canal plus crown exceeds the patient’s budget and an implant or bridge is preferred long-term.
A root canal plus crown typically costs $1,500–$2,500 at iSmile Dental and is covered by most insurance plans and partially by CDCP. A simple extraction costs $200–$450, while a surgical extraction costs $300–$650. However, after extraction you’ll likely need a replacement (implant at $3,000–$6,000, bridge at $2,500–$5,000, or partial denture at $800–$2,000).
When you factor in the cost of tooth replacement after extraction, saving the tooth with a root canal is often the more economical choice long-term.
Is a root canal painful? No. With modern anesthesia and techniques, a root canal at iSmile Dental is no more uncomfortable than a filling. We also offer sedation for anxious patients.
How long does recovery take? Root canal recovery is typically 2–3 days of mild soreness. Extraction recovery takes 5–7 days, with surgical extractions requiring up to 2 weeks.
Can I get an emergency root canal or extraction? Yes. iSmile Dental offers same-day emergency appointments for severe tooth pain. Call 604-510-3232 and we’ll get you in as quickly as possible.
What happens if I delay treatment? Delaying treatment for an infected tooth can lead to abscess formation, spread of infection to surrounding teeth or jawbone, increased pain, and more complex (and expensive) treatment later.
Every situation is different. If you’re experiencing tooth pain or have been told you need a root canal or extraction, get a second opinion at iSmile Dental. Our Langley dentists will thoroughly evaluate your tooth, explain all your options, and help you make an informed decision. Call 604-510-3232 or book online.
