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Root Canal vs Extraction — Which Is Better?

Root Canal vs Extraction — Which Is Better?

Quick Answer

Root canal treatment saves your natural tooth, which is almost always preferable. Extraction is simpler and cheaper but requires replacement (implant or bridge) to prevent bone loss and shifting.

Detailed Explanation

When a tooth is severely infected or damaged, the choice is often between root canal treatment (saving the tooth) and extraction (removing it). Root canal treatment removes the infected pulp, cleans and seals the canal, and restores the tooth with a crown. The tooth is saved and functions normally. Cost: PHP 5,000–15,000 for the root canal plus PHP 8,000–25,000 for the crown. Extraction is simpler and less expensive (PHP 2,000–8,000) but creates a gap that must be filled. Without replacement, adjacent teeth shift, bone loss occurs, and chewing is affected. Replacement with an implant costs PHP 80,000–150,000. In most cases, saving the natural tooth with root canal treatment is the better long-term choice. Extraction is appropriate when the tooth is too damaged to save or when the patient cannot afford root canal treatment.

Key Points

What You Need to Know

01

Root canal saves the natural tooth — almost always preferable

02

Root canal + crown: PHP 13,000–40,000 total

03

Extraction: PHP 2,000–8,000 but requires replacement

04

Without replacement, bone loss and tooth shifting occur

05

Implant replacement after extraction: PHP 80,000–150,000

06

Saving the natural tooth is the better long-term investment

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Modern root canal treatment is performed under local anesthesia and is no more painful than a filling. Most patients report relief from pain after the procedure.

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Root canal treatment costs PHP 5,000–15,000 per tooth in Manila depending on the tooth type and clinic.

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