Root Canal vs Tooth Extraction: Which Is Right for You?
The honest cost comparison
| Option | Upfront cost | Long-term cost |
|---|---|---|
| Root canal + crown | ~PKR 38,000+ | Minimal — lasts decades |
| Extraction only | ~PKR 8,000–15,000 | High — bone loss, shifting teeth |
| Extraction + implant later | ~PKR 8,000–15,000 now | PKR 90,000+ for the implant |
| Extraction + bridge later | ~PKR 8,000–15,000 now | Bridge cost + filing healthy teeth |
When root canal is the right choice
- The tooth's structure is largely intact (even with deep decay or infection)
- You want to preserve your natural bite and avoid replacements
- The tooth is visible when you smile — nothing looks like your own tooth
When extraction is the right choice
- The tooth is fractured below the gumline and unrestorable
- Severe bone loss around the tooth (advanced gum disease)
- A badly impacted wisdom tooth with recurring infection
- Root canal retreatment has failed and surgery isn't viable
A trustworthy dentist recommends extraction only in these situations — not as the easy option. If you're told to extract a tooth that seems saveable, a second opinion is worth it.
Frequently asked questions
Is it better to save a tooth or extract it?
Saving the tooth with a root canal is almost always better — it preserves your bite and avoids the much higher cost of replacement later.
How much is a root canal vs extraction in Karachi?
A root canal is PKR 20,000/tooth at our clinic; extraction starts lower, but replacing the tooth later (implant from PKR 90,000) makes extraction far more expensive overall.
Can every tooth be saved with a root canal?
No — teeth fractured below the gumline, with severe bone loss, or failed retreatments may need extraction. We assess with X-rays and tell you honestly.
What happens if I extract and don't replace the tooth?
Neighbouring teeth tilt into the gap, opposing teeth over-erupt, chewing shifts, and jawbone shrinks — causing bite and aesthetic problems over time.
Book your free first consultation
Call or WhatsApp us today — we usually offer same-week appointments in DHA Karachi.