When a tooth is severely infected, cracked, or damaged, the main question is often whether it can be saved with root canal treatment or needs to be removed. The answer depends on the amount of healthy tooth and bone remaining, the position of the tooth, the extent of infection, and your overall oral health.
When root canal treatment may save a tooth
Root canal treatment removes infected tissue from inside a tooth, cleans the root canals, and seals them to prevent further infection. It may be suitable where the tooth has enough healthy structure to be restored and the supporting bone and gums are stable.
Saving a natural tooth can help maintain normal chewing, preserve the position of neighbouring teeth, and avoid the need for a replacement. After treatment, a crown may be recommended for a heavily damaged back tooth to protect it from fracture.
When extraction may be recommended
Extraction may be the more predictable option if a tooth is split below the gum line, cannot be restored securely, has severe gum disease, or has an infection that cannot be managed successfully. Your dentist should explain why the tooth cannot be retained and discuss replacement options before treatment.
What happens after an extraction?
A missing tooth may sometimes be replaced with a bridge, denture, or dental implant. An implant can replace a missing tooth without preparing adjacent teeth, but it requires enough healthy bone and a suitable healing period.
How the decision is made
Dr Hamid Kiani will assess the tooth clinically and may use X-rays or 3D imaging where appropriate. The aim is to preserve natural teeth whenever a stable, long-term outcome is realistic. You will be given clear information about the benefits, limits, likely maintenance, and costs of each option.
Get a personalised assessment
Persistent toothache, swelling, pain on biting, or sensitivity to hot and cold should be assessed promptly. Book a consultation with Abi Dental Care in Maida Vale for a personalised diagnosis and treatment plan.
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