Saving Smiles: Root Canal Treatment Vs. Removal | North York

Root canal treatment in North York dental office

One of the most important aspects of general health is dental health. When a tooth becomes infected or severely decayed, there are typically two options to consider: root canal treatment or tooth extraction. Let’s explore both options to assist you in making an informed decision.

Understanding both options

The goal of root canal treatment is to preserve a severely decayed or infected tooth. The soft pulp—the portion of the tooth that includes connective tissue, blood arteries, and nerves—will be removed in order to treat the infection. The dentist carefully cleans and disinfects the root canals before filling them with a rubber-like material called gutta-percha. Finally, they place a dental crown over the tooth to protect it and restore its functionality.

On the other hand, tooth extraction is the complete removal of a tooth from its socket in the jawbone. They usually consider this procedure when a tooth is beyond repair due to extensive decay, trauma, or overcrowding. During a tooth extraction, the dentist numbs the area with local anesthesia before loosening the tooth using special tools. Once they extract the tooth, the dentist may place a gauze pad to control bleeding and promote clot formation. In some cases, they may recommend a dental implant or bridge to replace the missing tooth.

Who needs root canal therapy?

Root canal treatment in North York dental office is typically necessary for patients who have an infection or inflammation in the roots of a tooth due to deep decay, repeated dental procedures on the same tooth, or a crack or chip in the tooth. The following signs may indicate the need to consider root canal treatment in North York:

  • Severe tooth pain while chewing or applying pressure to the tooth

  • Prolonged sensitivity or pain in response to hot or cold temperatures, even long after the removal of the heat or cold

  • Discoloration or darkening of the tooth

  • Swelling and tenderness in the surrounding gums

  • A recurrent or perpetual zit on the gums.

However, sometimes there are no symptoms present. In such cases, the dental professional may detect the issue during a regular dental checkup. Consult with a dental office in North York if you experience any form of tooth discomfort or changes. Timely intervention can prevent the need for more complex treatments.

Who needs tooth extraction?

Tooth extraction may be necessary in several circumstances, often when a tooth is damaged beyond repair. Here are some instances when you may need a tooth extraction:

  • Severe tooth decay or infection: When tooth decay reaches the pulp (the center of the tooth containing nerves and blood vessels), bacteria can enter the pulp, leading to infection. Oftentimes, dental professionals can correct this with root canal treatment in North York. However, if the infection is too severe, extraction may be necessary to prevent the spread of infection.

  • Crowded mouth: In order to prepare the mouth for orthodontics, dentists occasionally remove teeth. If your teeth are too large for your mouth, they may not be able to correctly align them. Similarly, if a tooth cannot break through the gum because there is no room in the mouth for it, your dentist may recommend extraction.

  • Gum disease (Periodontal disease): If gum disease has caused loosening of the teeth, it may be necessary to extract a tooth or teeth.

  • Impacted teeth: These teeth have been blocked from breaking through the gum. With wisdom teeth, this is typically the case.

  • Risk of infection: If your immune system is compromised (for example, if you are receiving chemotherapy or are about to have an organ transplant), the risk of infection in a single tooth may give sufficient justification for extraction. 

  • Severe damage due to trauma or accident: If a tooth is fractured or breaks due to trauma and cannot be repaired, it may need to be extracted.

However, you should make the decision to remove a tooth in consultation with a dentist who will consider all possible treatment options and discuss them with you.

Making your decision

When you face the need for dental intervention, it can be a challenging decision to make between root canal treatment in North York and teeth removal. Both options come with their own set of advantages, making it vital to carefully consider each before making a choice. This treatment focuses on preserving the natural tooth by removing the infected pulp and sealing the canal. Dental professionals often recommend this option when they can save the tooth and there is enough healthy structure to support the restoration. 

On the other hand, teeth removal involves extracting the tooth completely, usually when it is severely damaged or beyond repair. This procedure may be the only solution if the tooth is causing severe discomfort, infection, or overcrowding. Understanding the key factors in this decision-making process can help you make an informed choice that suits your dental needs and overall oral health.

Endodontic therapy: A lifeline for your tooth

A root canal is often the first line of defence when it comes to saving a damaged or infected tooth. This treatment involves removing the infected pulp from the tooth, cleaning and disinfecting it, then filling and sealing it. The procedure is often performed under local anesthesia, so it’s usually no more uncomfortable than getting a regular filling.


  • Tooth preservation: The most significant advantage of root canal treatment in North York is that it saves your natural tooth, helping maintain your natural smile and ensuring efficient chewing.

  • Cost-effective: Although the upfront cost may be higher than extraction, it is usually less expensive in the long run as it avoids the need for a replacement tooth.

  • Aesthetically pleasing: A crown is usually placed over the treated tooth, matching the colour and shape of your natural teeth.

Tooth extraction: A clean slate

Sometimes, the tooth may be too damaged for endodontic therapy to be effective, and extraction may be the best option. This procedure involves removing the entire tooth from its socket.


  • Solves the problem completely: Once you remove an infected tooth, it eliminates the chance of that tooth causing further problems.

  • Cheaper upfront cost: Tooth extraction is generally less expensive upfront compared to endodontic therapy.

Consult with us for your root canal treatment in North York

If you’re experiencing severe tooth discomfort, it may be time to consider seeking professional dental care. Our experienced dental team is here to help you find the best solution for your oral health needs. Book a consultation today to discuss your options, including root canal treatment in North York. 

During your consultation, our North York dentist will thoroughly examine your teeth and assess the extent of the damage or infection. We will explain the procedure in detail and answer any questions you may have. Our priority is to ensure that you have a clear understanding of the process and feel comfortable moving forward with the necessary treatment. Don’t hesitate to schedule a consultation with Sheppard Centre Dental now. Your oral health is our priority.

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