When a Root Canal Isn’t the Best Option

While root canal therapy is often the preferred way to save an infected tooth, there are situations when it’s not advisable or practical. Below are circumstances where extraction or another solution may be the wiser route.

When You Shouldn’t Do Root Canal Treatment - Bayswater Dental Clinic

Scenarios Where a Root Canal May Be Unsuitable

Tooth Can’t Be Restored Properly
Even if the root canal technically succeeds, if the remaining tooth structure is too weak or severely damaged, it may not be possible to restore it reliably (e.g. with a crown). In such cases, extraction may be a safer long-term choice.
Limited Access or Visibility
Some teeth — particularly wisdom teeth — may be in positions that make access extremely difficult. If your dentist cannot reach or clean all the root canals, treatment success would be compromised.
Severe Infection or Damage
When an infection is overwhelming, or there is extensive bone loss or structural damage, the risks associated with root canal treatment may outweigh the benefits. Extraction may offer faster control of the infection.
Patient’s Treatment Tolerance
If a patient cannot tolerate the oral procedure — due to anxiety, medical conditions, or inability to lie comfortably for the duration — a root canal may not be feasible. Alternative strategies including sedation, extraction, or referral to a specialist may be considered.

What Happens Instead?

In these cases, your dentist will typically recommend extraction. Once the tooth is removed, attention shifts to managing the site and restoring function — often through implants, bridges, or dentures, depending on your overall dental plan.

Let Us Help You Decide

If you’re unsure whether a root canal is right for your tooth — or whether extraction is the better option — book a consultation at Bayswater Dental Clinic today. We’ll assess your tooth, walk you through pros and cons, and help you choose the safest, most effective route for your long-term oral health.