Root Canal or Extraction? How Our Las Vegas Dental Team Helps You Choose the Best Option

Illustration explaining root canal versus tooth extraction and how a Las Vegas dental team helps patients choose the best treatment option.
By Alatorre Dental | February 13, 2026

Root Canals Vs Tooth Extractions in Las Vegas: Understanding Your Options

Hearing the words “root canal” or “tooth extraction” can instantly make anyone nervous. One sounds intimidating, the other feels permanent—and patients often wonder, “Which one is better?” or “Am I making the wrong choice?”

At Alatorre Dental of Las Vegas, we believe choosing between a root canal and an extraction should never feel rushed or confusing. Every tooth, every patient, and every situation is different. Our job isn’t to push a treatment—it’s to help you understand what’s happening with your tooth, what your options are, and what will protect your long-term oral health.

Let’s walk through how we help our Las Vegas patients make the best possible decision with confidence.


Understanding the Difference: Root Canal vs. Extraction

Before choosing a treatment, it helps to understand what each option actually does.

What Is a Root Canal?

A root canal is a tooth-saving procedure used when the inner pulp of a tooth becomes infected or inflamed. During treatment, we:

  • Remove the infected tissue
  • Clean and disinfect the inside of the tooth
  • Seal it to prevent future infection
  • Restore it with a crown for strength

Despite its reputation, modern root canal therapy is comfortable, precise, and highly effective.

What Is a Tooth Extraction?

An extraction involves removing a tooth that is too damaged or compromised to be saved. This may be necessary if:

  • The tooth is severely broken
  • Infection has destroyed too much structure
  • Bone loss is advanced
  • A crack extends below the gumline

When extraction is needed, we focus on gentle techniques and clear planning for what comes next.


Why Saving Your Natural Tooth Is Often the First Goal

Whenever possible, dentists aim to save natural teeth—and for good reason.

A successful root canal:

  • Maintains your natural bite
  • Prevents surrounding teeth from shifting
  • Preserves jawbone health
  • Often costs less long-term than replacement options

That said, saving a tooth only makes sense if it can remain healthy and functional for years to come. That’s where professional judgment matters.


How Our Las Vegas Dental Team Helps You Decide

At Alatorre Dental of Las Vegas, we don’t believe in one-size-fits-all dentistry. We take the time to evaluate every factor before recommending treatment.

1. Comprehensive Digital Imaging

We use advanced digital X-rays and imaging to see:

  • The extent of infection
  • Bone health around the tooth
  • Root fractures or cracks
  • Previous dental work failures

This allows us to make accurate, evidence-based recommendations.


2. Evaluating Tooth Structure and Stability

A tooth may technically be treatable—but that doesn’t always mean it should be saved.

We consider:

  • How much healthy tooth structure remains
  • Whether the tooth can support a crown
  • The likelihood of long-term success

If a root canal won’t hold up over time, we’ll be honest about it.


3. Assessing Infection Severity

Infections can spread beyond the tooth into the bone and surrounding tissue.

A root canal may be recommended if:

  • The infection is localized
  • Bone loss is minimal
  • The tooth is structurally sound

Extraction may be the safer option if the infection is advanced or recurring.


4. Considering Your Overall Oral Health

Your bite, gum health, and existing dental work all play a role.

We ask:

  • Will removing this tooth affect chewing or alignment?
  • Are nearby teeth already compromised?
  • Is an implant or bridge planned afterward?

The goal is to protect your entire smile, not just one tooth.


5. Listening to Your Concerns and Preferences

Some patients want to save every tooth possible. Others prefer a quicker, definitive solution.

We take into account:

  • Dental anxiety
  • Budget and insurance
  • Time constraints
  • Long-term goals

You’re part of the decision—not just a passenger.


When a Root Canal Is Usually the Better Option

A root canal is often recommended when:

  • The tooth is restorable
  • Infection hasn’t compromised bone support
  • The tooth plays a key role in chewing
  • You want to preserve your natural smile

With proper care, a root-canal-treated tooth can last many years—or even a lifetime.


When Extraction Makes More Sense

Extraction may be the better option if:

  • The tooth is severely cracked or broken
  • Infection has caused extensive bone loss
  • Previous root canals have failed
  • Wisdom teeth are impacted or problematic

If extraction is necessary, we’ll guide you through replacement options like dental implants to prevent future issues.


What Happens After an Extraction?

Removing a tooth without replacing it can lead to:

  • Shifting teeth
  • Bite problems
  • Jawbone loss

That’s why we often recommend:

  • Dental implants
  • Bridges
  • Partial dentures

Our Las Vegas dental team helps you plan the next step, not just the extraction itself.


Comfort Comes First at Alatorre Dental of Las Vegas

Many patients fear pain—but modern dentistry has changed that.

We prioritize:

  • Gentle techniques
  • Effective local anesthesia
  • Clear communication
  • A calm, patient-first environment

Most patients are surprised by how straightforward and comfortable treatment actually is.


Root Canal vs. Extraction: There’s No “One Right Answer”

The best choice depends on:

  • Tooth condition
  • Long-term prognosis
  • Overall oral health
  • Your personal comfort and goals

At Alatorre Dental of Las Vegas, our role is to give you clarity—not pressure—so you can make a decision you feel confident about.


Schedule a Consultation With a Trusted Las Vegas Dental Team

If you’re facing the decision between a root canal and an extraction, you don’t have to decide alone.

Alatorre Dental of Las Vegas is here to provide honest guidance, advanced diagnostics, and compassionate care—so you can choose the option that’s truly best for your health.

📞 Schedule your consultation today

FAQs

1. Are root canals in Las Vegas painful?

Modern root canals are designed to relieve pain, not cause it. With local anesthesia and advanced techniques, most patients feel comfortable during the procedure and notice significant relief afterward.

2. How do I know if I need a tooth extraction instead of a root canal?

If the tooth is severely damaged, cracked below the gumline, or lacks enough healthy structure to support a restoration, tooth extractions in Las Vegas may be the safer option. A dental exam and imaging will determine what is possible.

3. How long does a root canal take?

Most root canals in Las Vegas can be completed in one to two visits, depending on the level of infection and whether a crown is needed for protection afterward.

4. What happens after a tooth extraction?

After tooth extractions in Las Vegas, your dentist will discuss healing instructions and possible replacement options such as implants, bridges, or partial dentures to maintain proper bite alignment.

5. Is saving the natural tooth always better?

Whenever possible, keeping your natural tooth is ideal because it maintains jaw strength and normal chewing function. However, when a tooth cannot be saved, extraction may prevent more serious complications.

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