What Is the Difference Between a Root Canal and a Root Extraction?

If your dentist discovers a problem with your tooth’s anatomical root, they may recommend a root canal or root extraction. You may assume these treatment approaches are identical, but they are diametrically opposed. While root canal treatments are a restorative attempt to save a tooth, a root extraction intends to remove the rest of a tooth after decay or trauma have severely compromised it.

How Do These Procedures Differ?

How is it possible for two techniques involving the same part of the tooth to differ so much? Dentists must consider various treatment alternatives for severely damaged teeth.

When longstanding dental decay or trauma have affected a tooth, simple composite fillings can’t repair it. While patients’ desires are always our top priority, the approach we recommend will primarily depend on how extensive the damage is.

If a tooth’s root has become compromised, it’s undoubtedly a serious problem. Still, root canals and root extractions have different indications.

  • Root canal: As we’ve already touched on, root canals are a final effort to restore severely damaged teeth. Completing a root canal requires a dentist to place a filling or a dental crown in the tooth. Though this technique can restore function and aesthetics, it also weakens the affected tooth. The only condition affecting this treatment’s success is how much tooth structure remains after the procedure. For severely compromised teeth, dentists need to consider alternative solutions.
  • Root extraction: Sometimes, when cavities or trauma have eroded your teeth, the crowns are no longer present, and the only structure left is the roots. At this point, fillings are not an option, and roots can only support dental crowns in rare cases. If the damage is this extensive, there’s no choice but to extract the root and consider tooth replacement alternatives.

Which Treatment Is More Convenient?

Ultimately, this decision isn’t a question of accessibility. Dentists who have your best interests at heart will recommend the most practical solution for your circumstances. Where possible, root canals will always be the better choice, since they preserve your teeth while saving you money and time. But if this is out of the question, you need to have the root extracted, and our surgeons will explain your options from that moment onward.

Expert Oral Surgeons for Your Needs

In many cases, the same dental problem has several solutions, so it’s always advisable to get an assessment from an experienced dentist or oral surgeon who can walk you through your various alternatives. At Hill Country Oral Surgery, we look forward to welcoming you to either of our locations in Austin and Buda, Texas.

If you have any questions about your dental care, do not hesitate to contact our team and schedule a consultation!


Best Treatments for Sensitive Teeth


Does the idea of eating ice cream or having a cold drink make you wince? If so, you may be dealing with a common dental issue — sensitive teeth.

According to the Academy of General Dentistry, roughly 40 million people in the United States face tooth sensitivity daily. This painful zinging is hard to ignore, especially when it happens continually.

Fortunately, you can address sensitive teeth with multiple strategies, without needing to avoid cold and hot foods for the rest of your life.

What Causes Tooth Sensitivity?

A critical substance called enamel protects your teeth. Sensitive teeth develop when that enamel erodes, revealing its underlying layers: cementum and dentin.

The dentin layer contains microscopic canals and tubes loaded with nerve endings. Healthy teeth have enough enamel to shield the dentin layer and protect tooth sensitivity.

When enamel wears down or our gums recede, it exposes the cementum and dentin layers. This problem makes cold and hot foods and drinks aggravate cells and nerves to cause painful sensations and sensitivity.

Sensitive teeth develop from these factors:

  • Cracked teeth
  • Gum disease
  • Tooth grinding (bruxism)
  • Tooth decay
  • Enamel erosion from sugary and acidic foods
  • Harsh or forceful brushing

Regular dental visits and oral hygiene are essential to keep teeth from becoming sensitive. If you’re suffering from tooth sensitivity, here are some additional things you can do to help resolve the issue.

Desensitizing Toothpaste

For minor tooth sensitivity, desensitizing toothpaste is a practical solution. These kinds of toothpaste contain active agents like strontium salts, fluoride, and potassium.

Potassium decreases fluid flow through tubules in the dentin. Clogging the tubules decreases dental nerve activity. When used twice daily for consecutive months, desensitizing toothpaste will reduce the number of sensory signals reaching the brain.

When shopping for desensitizing toothpaste, choose one with the ADA Seal of Acceptance, which ensures the product meets its criteria for safety and effectiveness.

Fluoride

If desensitizing toothpaste does not address your sensitive teeth, you may require professional fluoride treatments. This procedure involves applying a potent fluoride gel to your teeth to restore damaged enamel and protect against future decay.

In-office treatments supplement the fluoride already in your toothpaste. You also may need custom trays and prescription fluoride for home treatment.

White Fillings or Crowns

If tooth sensitivity results from a decaying or cracked tooth, a crown or filling may be the best solution. Tooth damage exposes a nerve. A crown or white filling can recover the roots and restore your damaged tooth back to health quickly.

Root Canal

When the root canal experiences decay or injury, the nerves may cause pain or sensitivity. Root canal therapy removes the infected pulp. The process is typically painless thanks to anesthesia. It resolves exposed nerves in the root canal, eliminates sensitivity, and saves the tooth.

Get Help With Your Sensitive Teeth

Don’t suffer the discomfort or pain of sensitive teeth. The team at Hill Country Oral Surgery in Austin is here to provide exceptional dental care for your comfort and appearance.

Call our Austin oral surgery office at 512-327-7233 to request a consultation.