Root Canal Alternatives: Everything You Need to Know

If you’re in need of a root canal, you may be wondering if there are any alternative options. Truthfully, if a dentist has determined that a root canal is the best course of action, it may be difficult to find another alternative. However, there are some alternatives available in certain cases, and for those who are interested in exploring alternative treatments, it’s worth doing a bit of research. In this article, we’ll cover some alternative options to root canals, so you can make an informed decision about your dental treatment.

How Come Root Canals Are Usually the Only Option?

Before diving into alternative options to root canals, it’s important to understand why a root canal procedure is often the only viable solution. A root canal is used when bacteria has damaged the pulp of your tooth. This pulp is the soft tissue inside of your tooth, which contains nerves and blood vessels. If bacteria reach this area, they can cause an infection, which can lead to serious pain and discomfort.

Root canal procedures are effective because they remove the infection and clean the pulp out of your tooth to prevent bacteria from growing within it. Essentially, a dentist removes the living part of your tooth and replaces it with a filling material, which helps to restore the shape and strength of your tooth and prevent bacteria from ever being able to grow inside of it. If even part of your pulp remains, there is room for bacteria to grow, and infection to occur. Therefore, a root canal procedure is often necessary, once bacteria have reached the inside of your tooth, in order to completely remove the possibility of infection later on down the road.

Root canals are a long-term, least-invasive, solution that is meant to save a damaged tooth. When alternative options exist, they are typically short-term solutions or may do more harm than needed in the long run.

The ideal scenario is to prevent the need for a root canal in the first place. To do this, it’s important to practice good oral hygiene habits and attend regular check-ups with your dentist. If dental decay occurs, it can still be caught early before it reaches the pulp of the tooth. In these cases, alternative treatments may be more viable. This includes fluoride treatment (which can reverse a cavity) and fillings (such as composite fillings).

Alternative Treatments for Root Canals

When alternative treatments are an option, they should always be explored with your dentist’s guidance. The following treatment options may be available alternatives depending on your individual case:

Tooth Extraction

Tooth Extraction: Root Canal Alternatives

A tooth extraction is a last-resort alternative to root canals, as it involves completely removing the damaged tooth (Read more about tooth extraction vs root canal). Ideally, your dentist wants to keep as much of your original tooth as possible as nothing is better than nature’s design. Once your tooth has been removed, there is no going back to the original state, and you will have to explore alternative tooth replacement options such as:

  • Dental Bridges: A dental bridge is when a false tooth (known as a pontic) is fused between two crowns (typically your actual teeth) to fill the gap where your missing tooth used to be. However, they typically result in bone reabsorption where your original tooth used to be, as well as detract from the natural strength of your teeth.
  • Dental Implants: Dental implants are an alternative to bridges, and are the closest alternative to having your natural tooth. A titanium post is surgically inserted into your jawbone, and a crown is then placed over the top, creating a natural-looking alternative to your missing tooth.
  • Dentures: Dentures are removable false teeth that can replace an entire row of missing teeth or just a few individual teeth. These usually result in similar bone reabsorption as dental bridges but are a cheaper alternative when multiple teeth need to be replaced.

Many patients think that a tooth extraction is less costly than a root canal, but this is not always the case. Depending on what alternative treatments you choose after your tooth has been extracted, the total cost of your treatment may be more than a root canal.

In certain cases where the damage is too severe for a root canal, tooth extraction may be the only alternative. This is especially the case when damage to the tooth has structurally ruined the tooth’s ability to perform its function.

To perform a tooth extraction, your dentist will anesthetize the area, then use special tools to gently rock the tooth back and forth until it is completely removed. If necessary, your dentist may have to cut the tooth into smaller pieces in order to make it easier to extract.


Pulpotomy: Alternative to Root Canal

A pulpotomy is an alternative to root canals, but it’s not something your dentist will usually recommend to an adult. It involves removing the portion of the pulp that is damaged and replacing it with a medicated material in order to prevent bacteria from growing within the tooth.

Unlike a root canal, which removes all traces of living tissue from the tooth, a pulpotomy leaves some of the pulp intact. The benefit to this is that it may help preserve some of the natural vitality and feeling in your tooth.

Pulpotomies are most commonly used on primary teeth (baby teeth) as they will eventually be replaced by permanent teeth anyway. In these cases, a pulpotomy could be an alternative to a root canal as it is less invasive and cheaper.

However, in adults, a pulpotomy is not recommended as it may lead to further infections down the road. The medicated material used in this procedure will eventually deteriorate, and bacteria may be able to enter into the pulp of the tooth, leading to infection. This is why adults who receive pulpotomies are usually not permanent solutions, and root canals are preferred.

Pulp Capping

Pulp Capping: Alternative to Root Canal

This procedure involves placing a medicated material onto the exposed pulp in order to protect it from further damage and infection.

The benefit of this alternative is that it does not require the removal of any living tissue, which means your tooth will remain alive for longer periods of time. This can be especially helpful if the damage to your tooth is very minimal and you’d like to avoid a root canal or extraction.

However, pulp capping is not always effective and is typically only done in children for similar reasons to a pulpotomy. In adults, it is more likely that a root canal or a tooth extraction will be required in order to fully protect the tooth from infection.


When it comes to alternative treatments for root canals, it’s important to always consult with your dentist and discuss the best treatment option for you. Depending on your individual case, alternative treatments such as pulpotomy, pulp capping and tooth extraction may be recommended.

No matter what alternative you choose, it’s important to remember that nothing is better than nature’s design, and your dentist will always want to keep as much of your original tooth intact as possible. Taking good care of your teeth should always be a priority in order to avoid the need for alternative treatments.


The contents of this website, such as text, graphics, images, and other material are for informational purposes only and are not intended to be substituted for professional medical advice, diagnosis, or treatment. Nothing on this website constitutes the practice of medicine, law or any other regulated profession.

No two mouths are the same, and each oral situation is unique. As such, it isn’t possible to give comprehensive advice or diagnose oral conditions based on articles alone. The best way to ensure you’re getting the best dental care possible is to visit a dentist in person for an examination and consultation.


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