At Eastpoint Endodontics in Lehi, Utah, our number one goal is to save your natural teeth whenever possible. Root canal therapy is one of the most effective ways to do that — it removes infection, relieves pain, and preserves the tooth’s structure.
However, in some cases, even the best endodontic treatment can’t save a tooth forever. There are times when extraction may be the healthiest and most predictable option for your smile.
Here’s when that might happen — and what to expect if it does.
1. The Tooth Is Cracked Below the Gum Line
A vertical root fracture or crack that extends deep below the gum line often means the tooth cannot be repaired.
Even if the tooth was previously treated with a root canal, a deep crack allows bacteria to re-enter and cause infection. In these cases, extraction may be necessary to stop the spread of infection and protect surrounding teeth and bone.
Tip: Early diagnosis is key. The sooner a fracture is identified, the better the chances of saving the tooth — so don’t ignore new or recurring discomfort.
2. Severe Bone Loss Around the Tooth
Advanced periodontal (gum) disease or long-term infection can lead to significant bone loss around the tooth’s root. When there isn’t enough bone to support the tooth, it can become loose or unstable.
If bone loss is extensive, even a successful root canal may not be enough to restore proper function, and extraction might be the most stable long-term solution.
3. Persistent or Recurrent Infection
While root canal therapy has a high success rate, some teeth may develop new or lingering infections over time — often due to complex canal anatomy, missed bacteria, or new decay.
In many cases, retreatment (a second root canal) or apical surgery (apicoectomy) can resolve the issue. But if the infection persists despite retreatment or if the surrounding bone has been compromised, extraction may be necessary to protect your overall oral health.
4. Structural Weakness or Tooth Breakdown
If a tooth has undergone multiple dental procedures or has very little healthy structure left above the gum line, it may not be strong enough to support a crown or filling long-term.
In these cases, extraction may be the most predictable way to prevent further problems — and allow for a more stable tooth replacement, such as a dental implant or bridge.
5. Compromised Surrounding Teeth or Restorations
Sometimes, a severely damaged tooth can threaten the stability or health of neighboring teeth or restorations (such as bridges or implants).
When this happens, your endodontist may recommend extraction to protect the rest of your mouth and prevent the spread of infection or decay.
Extraction Is Always the Last Resort
At Eastpoint Endodontics, we believe extraction should always be a last resort — after all options to save your tooth have been carefully evaluated.
We use advanced diagnostic technology such as 3D CBCT imaging, microscopes, and the EdgePro® Laser System to ensure every possible treatment option is explored before considering extraction.
If extraction is truly the best course of action, we’ll work closely with your general dentist or oral surgeon to ensure a smooth, comfortable process and discuss the best options for tooth replacement.
Compassionate, Specialist-Level Care in Utah County
Located in Lehi, Utah, Eastpoint Endodontics proudly serves patients from Highland, American Fork, Saratoga Springs, Pleasant Grove, and across Utah County.
Whether your tooth needs retreatment, evaluation after trauma, or an honest opinion about extraction, our goal is always the same — to help you make the most informed, confident decision about your dental health.
Schedule a Consultation Today
If you’ve had a root canal and are experiencing new pain, swelling, or discomfort, don’t wait — early diagnosis can make all the difference.
📍 Eastpoint Endodontics – Lehi, Utah
Experts in saving smiles — and knowing when it’s time for a new start.
📞 Call today to schedule your consultation and learn about your best treatment options.
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