Is my dentist scamming me?
Reviewed by a licensed dentistTreatment: Root canalCode: D3310–D3330Question: Alternatives

Are there alternatives to a root canal?

The short answer

The main alternative is removing the tooth. After that, you can fill the gap with an implant or bridge, or leave the space open.

Your options

  1. Root canal, almost always followed by a crown on back teeth, and often on front teeth too.
  2. Extraction, then an implant. A post placed in the jawbone holds a new crown. It usually costs more than a root canal and crown, and the whole process often takes several months. Some plans don't cover implants, and others pay only for a cheaper option, such as a partial denture. See Why did insurance only pay for a cheaper treatment?
  3. Extraction, then a bridge. The teeth on either side are shaped to hold it.
  4. Extraction, leave the space. Lowest cost now, but over time the neighboring teeth can tip into the gap, the opposing tooth can drift toward it, and chewing on that side can get harder.

Questions to ask

  • Is this tooth worth saving, in your opinion?
  • What would each option cost me, after insurance?
  • Before we schedule, can I get my cost in writing? (A predetermination if I'm using insurance, or a good faith estimate if I'm paying myself.)

When a second opinion makes sense

Get one if you're told the tooth can't be saved, or that it must be saved, and you're unsure.

Related questions

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