Compare preserving a restorable tooth with removing and possibly replacing it.
Begin with restorability
The central question is whether the affected tooth can be predictably treated and restored. Root canal therapy treats the inside while retaining the tooth; extraction removes it. A severe fracture, extensive decay or poor support may narrow the choices. Ask the dentist to explain the examination findings that support each option.
Include the replacement decision
If removal is proposed, ask whether a missing tooth should be replaced and what bridge, implant or denture options fit the space. The ADA notes that a gap can affect chewing, speech or neighboring teeth. A comparison that counts extraction alone but ignores potential replacement is incomplete.
Compare visits and estimates
A root canal plan may include a later crown or filling. Extraction may lead to healing, possible additional procedures and a replacement restoration. Ask for separate itemized estimates, expected visit sequences and insurance treatment. Neither a generic price nor a blanket claim that one choice is always cheaper applies to every case.
Seek a second view when useful
If the prognosis is uncertain, ask whether an endodontist or other specialist can assess the tooth before an irreversible removal. Share your goals, medical history and ability to maintain the proposed restoration. The office lists root canal therapy and replacement services; availability does not establish which option you need.
Questions to ask
Can every tooth be saved with a root canal?
No. The tooth must also have adequate support and be restorable after treatment.
Must every extracted tooth be replaced?
Discuss the particular space, bite and long-term effects with your dentist; needs differ.
Which estimate should be compared?
Compare the complete treatment sequences, including any crown or tooth replacement, not a single procedure line.