At Mikula DDS, we know that dealing with tooth pain can be overwhelming — especially when you’re faced with the decision of whether to save a tooth through a root canal or have it removed with a tooth extraction. As a trusted family and cosmetic dental practice based in Bay Village, Ohio, we’re here to guide you through that decision with compassion, clarity, and expert care. Serving patients throughout Cleveland’s west side, including Westlake, Lakewood, and Rocky River, Mikula DDS offers advanced solutions in a patient-focused environment.
If you’re dealing with a severely decayed or damaged tooth, this guide will help you understand your options so you can choose what’s best for your health and your smile.
What Is a Root Canal?
A root canal is a restorative dental procedure that allows us to save a tooth that’s infected or inflamed deep in the pulp (the soft tissue inside the root). Left untreated, this type of infection can lead to abscesses, swelling, and even bone loss.
At Mikula DDS, we perform gentle, effective root canals using modern technology to ensure comfort and long-lasting results. The procedure involves:
- Removing the infected pulp
- Cleaning and disinfecting the inner canals
- Sealing the tooth with a filling or crown
This preserves your natural tooth while eliminating the source of infection — a win-win for many of our patients in Bay Village and beyond.
What Is a Tooth Extraction?
A tooth extraction involves completely removing a tooth from its socket. While we prioritize saving teeth whenever possible, sometimes an extraction is the healthier choice — particularly when a tooth is too badly damaged to be repaired.
Common reasons for extractions include:
- Severe decay that extends below the gumline
- Advanced gum disease and bone loss
- Cracked or broken teeth that cannot be restored
- Impacted wisdom teeth
- Failed root canal treatments
Tooth extractions are safe and routine procedures at our Bay Village dental clinic, and we always offer follow-up options such as dental implants or bridges to restore your bite and smile.
Signs You May Need a Root Canal or Extraction
It’s important to know the signs that indicate a tooth may be in serious trouble. If you experience any of the following symptoms, schedule a visit with our team right away:
Common Signs You May Need a Root Canal:
- Persistent pain or pressure in a specific tooth
- Sensitivity to hot or cold that lingers
- Swelling or tenderness in the gums
- A pimple-like bump (abscess) near the tooth
- Deep decay visible on x-rays
Common Signs You May Need an Extraction:
- Loose or mobile teeth
- Severe pain or swelling that doesn’t subside
- Fractured teeth that extend below the gumline
- Recurrent infections despite prior treatment
- Overcrowding or preparation for orthodontics
Root Canal vs. Extraction: What Are the Pros and Cons?
Root Canal Advantages
- Preserves your natural tooth
- Less impact on surrounding teeth
- Avoids jawbone loss
- Faster recovery time than surgical extractions
Root Canal Considerations
- May require a crown for durability
- Slight risk of reinfection if not properly sealed
- Not viable if the tooth is too structurally compromised
Tooth Extraction Advantages
- Eliminates infection completely
- Often less costly upfront
- Quick procedure with fewer follow-up visits
Tooth Extraction Considerations
- Can lead to shifting teeth if not replaced
- May require restorations like implants or dentures
- Longer healing time
- Potential for jawbone loss over time
At Mikula DDS, we’ll walk you through these pros and cons during your appointment, always prioritizing your comfort, health, and long-term smile goals.
How Do I Know Which Option Is Right for Me?
Every patient is different — and so is every tooth! That’s why we take a personalized approach to help you decide between a root canal or extraction.
Generally, we recommend a root canal if:
- The tooth’s structure is still intact
- The infection is confined to the pulp
- There’s a good chance of long-term success with restoration
We may recommend extraction if:
- The tooth is cracked below the gumline
- There’s significant bone loss from gum disease
- The tooth has failed previous root canal therapy
- You’re preparing for dentures or orthodontic work
Our Bay Village team uses digital x-rays and in-depth clinical exams to help you make a confident, informed decision.
Aftercare and Healing: What to Expect
After a Root Canal:
Most patients return to normal activities within a day. You may experience mild tenderness, but it’s typically manageable with over-the-counter medication. A crown may be placed to strengthen the treated tooth and prevent fractures.
After an Extraction:
Recovery takes a few days. To aid healing, we recommend rest, avoiding straws or smoking, and eating soft foods. We’ll also discuss long-term tooth replacement options to protect your bite alignment and bone health.
Frequently Asked Questions (FAQs) About Root Canals and Tooth Extractions
Is a root canal painful?
No — root canals have a reputation for being painful, but with modern techniques and local anesthetics, most patients report that it feels similar to getting a filling. Our comfort-focused care ensures a stress-free experience.
How long does a root canal last?
With proper care, a root canal-treated tooth can last a lifetime. Regular brushing, flossing, and checkups at Mikula DDS help extend its life.
What are my tooth replacement options after an extraction?
We offer several solutions, including dental implants, bridges, and full or partial dentures, depending on your individual needs and preferences.
Can I just leave a decayed tooth untreated?
We strongly advise against it. Untreated infections can spread to other parts of your mouth — or even your body — and lead to severe health complications. Early treatment is key.
Trust Mikula DDS for Expert Tooth Preservation and Replacement in Bay Village
Whether you’re facing persistent tooth pain or have been told you need a root canal or extraction, we’re here to help. At Mikula DDS, we provide compassionate, expert care to patients across Bay Village, Westlake, Rocky River, Lakewood, and surrounding Cleveland communities. Our practice is built on family values, advanced dental technology, and a commitment to your comfort and oral health. We’ll take the time to explain your options and help you choose the best path forward.
If you’re struggling with tooth pain or infection, don’t wait. Schedule an appointment or call Mikula DDS today and let our experienced team restore your smile with care you can trust.