Root Canal vs. Extraction in San Diego: Which Option Is Right for You?

Share this article

Cross-section of tooth undergoing root canal; dental tool inside, surrounding tissue visible.

When you are dealing with severe tooth pain or infection, the decision often comes down to two choices: save the tooth with a root canal or remove it with an extraction. It is a choice that affects your finances, your comfort, and the long-term health of your smile.


At Diamond Dental Studio, we believe in empowering our patients with clear, honest information. Whether you are looking for a root canal in San Diego or considering an extraction, Dr. Faith-Roselle Barreyro and our team are here to guide you toward the solution that best fits your life and your oral health goals.


Understanding the Root Canal Procedure

What Happens During a Root Canal?


A root canal is a procedure designed to save a tooth that is badly decayed or infected. While the term often triggers anxiety, modern techniques have made it virtually painless—often comparable to getting a routine filling.


The process generally involves:


  • Diagnosis: We use digital X-rays to assess the extent of the infection.
  • Anesthesia: We numb the area completely. You should not feel pain during the procedure.
  • Cleaning: The dentist removes the infected pulp from inside the tooth, then cleans and disinfects the canals.
  • Sealing: The space is filled with a biocompatible material called gutta-percha to prevent future infection.
  • Restoration: Finally, the tooth is capped with a crown to restore its strength. At Diamond Dental Studio, we offer CEREC same-day crowns, meaning you can often get your permanent crown in a single visit rather than waiting weeks.


When Is a Root Canal the Best Choice?


Saving your natural tooth is almost always the preferred option. It maintains your natural bite, prevents other teeth from shifting, and preserves your jawbone structure. We typically recommend a root canal if:


  • You have persistent sensitivity to hot or cold.
  • There is severe decay that hasn't reached the point of no return.
  • You want to avoid the higher long-term costs of tooth replacement (like implants).


When Tooth Extraction Becomes Necessary

While our goal is to preserve natural teeth, sometimes extraction is the healthiest choice for your mouth.


Reasons for Tooth Extraction


We may recommend removing a tooth if:


  • The damage is too severe: The tooth structure is so compromised that a crown cannot restore it.
  • There is a severe fracture: The tooth is cracked below the gum line.
  • Crowding or Wisdom Teeth: The tooth is impacting the health or alignment of neighboring teeth.


The "Diamond Difference" in Comfort


We know the word "extraction" sounds scary. That is why we prioritize your comfort above all else. From our Wallaby Therapeutic Hug Blanket (which provides calming deep-pressure stimulation) to gentle sedation options, we ensure you feel safe and relaxed throughout the procedure.


Comparing Costs: Root Canal vs. Extraction

This is one of the most common questions we hear: Which one is cheaper?


Short-Term vs. Long-Term Costs


  • Upfront: A simple extraction is generally cheaper than a root canal procedure.
  • The Hidden Cost: Extraction is just the first step. If you pull a tooth, you are left with a gap. To prevent your other teeth from shifting, you will need tooth restoration in San Diego—such as a dental implant or bridge.
  • The Reality: When you factor in the cost of an implant or bridge to replace the missing tooth, extraction is often more expensive in the long run than saving the tooth with a root canal and crown.


The Impact on Your Smile and Oral Health

Maintaining Your Natural Smile


A successful root canal allows you to keep your natural tooth for a lifetime. It functions normally, looks natural, and requires no special maintenance beyond your regular brushing and flossing routine.


Replacing an Extracted Tooth


If you choose extraction, replacing the tooth is crucial. Leaving a gap can lead to:


  • Bone loss: The jawbone deteriorates where the tooth is missing.
  • Shifting teeth: Neighbors will drift into the gap, ruining your bite alignment.
  • Aesthetic changes: Missing teeth can eventually lead to a "sunken" facial appearance.


We offer several replacement options, including dental implants (the gold standard for natural look and feel) and dental bridges.


Recovery and Aftercare

Post-Root Canal Care


Recovery is usually quick. You may feel mild sensitivity for a day or two, which can be managed with over-the-counter pain relievers. Since we often place same-day crowns, you won't have to worry about nursing a fragile temporary cap for weeks.


Healing After Tooth Extraction


Extraction requires a bit more care. You will need to:


  • Bite on gauze to aid clotting.
  • Avoid using straws or spitting vigorously (to prevent "dry socket").
  • Stick to soft foods for a few days.
  • Apply ice packs to manage any swelling.


Choosing the Right San Diego Dentist

Whether you need a root canal or an extraction, the skill of your provider matters. You need a team that combines technical expertise with a gentle touch.


Why Choose Diamond Dental Studio?


  • Anxiety-Free Approach: We specialize in helping nervous patients feel at home.
  • Comprehensive Care: From the initial diagnosis to the final restoration (implants, bridges, or crowns), we handle your entire journey.
  • Transparent Pricing: We help you understand your insurance coverage and financing options so there are no surprises.


Ready to get out of pain?


Don't let fear or uncertainty keep you from getting the care you need. Contact Diamond Dental Studio today at 858-546-0500 or book your appointment online. Let us help you choose the path that keeps your smile healthy, beautiful, and pain-free.




Disclaimer: The information provided in this article is for educational purposes only and should not be considered dental or medical advice. Every patient’s oral health situation is unique. For an accurate diagnosis and personalized treatment plan, please consult a licensed dentist.

Woman in white coat, surrounded by snapshots, on blue background.

Recent Posts

Dental instrument probing a tooth, close-up. Light-colored teeth with pink gums against a blue backdrop.
December 10, 2025
Looking for tooth restoration in San Diego? Discover crowns, bridges, and same-day options for natural-looking, long-lasting results.
Woman lying in bed, holding cheeks, facial expression showing pain.
November 18, 2025
Relieve TMJ jaw pain and tension headaches with targeted Botox therapy at Diamond Dental Studio in San Diego, providing expert, compassionate care.
Woman in white shirt with hand on cheek, showing expression of pain.
November 18, 2025
Learn when a tooth extraction is necessary and how Diamond Dental Studio ensures safe, comfortable care with expert guidance and restorative options.
Understanding Buccal and Buckle: Key Terminology Explained
November 5, 2025
Dental language can be confusing, especially when words sound alike. In everyday conversations at Diamond Dental Studio
IV Sedation Medications in Dentistry: Types, Effects, and What to Expect
October 27, 2025
Are you afraid of the dentist? Diamond Dental Studio in San Diego offers gentle IV sedation to eliminate fear, gag reflexes, and stress.
Clear aligners scattered on a white surface, a diamond logo with
August 28, 2025
Is Invisalign worth it? Explore 10 professional reasons why clear aligners might be the perfect choice for your smile transformation.
Man brushing his teeth in bathroom, reflected in mirror. Diamond Dental Studio logo in the bottom left.
July 22, 2025
Discover how long do veneers last, signs they need replacement, and maintenance tips for optimal longevity.
Logo of
June 17, 2025
Discover how Invisalign in San Diego effectively straightens teeth with clear aligners. Learn about the process, benefits, and care.
Dentist in a mask working on a patient in a dental office; a laptop with dental X-rays is visible.
May 19, 2025
Discover what a cosmetic dentist is and explore the top reasons to enhance your smile with professional treatments.
Scattered human teeth on a wooden surface, with a dental studio logo in the top left corner.
By faith.barreyro May 9, 2025
Learn about chipped tooth restoration, causes, symptoms, and effective repair options for optimal dental health.
Show More