The short answer: when a tooth has enough sound structure and healthy support, preserving it is generally considered first. Extraction may be appropriate when predictable restoration is no longer possible.
What makes a tooth “restorable”?
A dentist checks how much healthy tooth remains above and below the gum, where any crack ends, the condition of the surrounding bone, and whether a final filling or crown can protect the tooth. An examination and X-ray are essential.
When root canal treatment may help
Root canal treatment removes inflamed or infected tissue from inside the tooth, disinfects the space, and seals it. It may be considered when the nerve is irreversibly inflamed or infected but the outer tooth and supporting tissues can still provide a reliable foundation.
When extraction may be considered
A tooth may be non-restorable when it has a deep vertical fracture, decay extending too far below the gum, severe loss of bone support, or insufficient structure for a durable restoration. The replacement plan—implant, bridge, or another option—also matters.
Why earlier assessment matters
Dental problems can progress quietly. Prompt assessment may preserve more healthy structure and more treatment choices. It can also prevent an infection or fracture from becoming more difficult to manage.
Worried about a tooth?
Use our educational checker or arrange an examination with Dr. Ashwini.