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Root Canal vs Implant: 7 Differences and Which One is Better?

Root Canal vs Implant: 7 Differences and Which One is Better?

Deciding between a root canal and an implant can feel like standing at a crossroads, especially if you need to determine which path will lead to the best outcome for your oral health. Both treatments have unique benefits and are used to solve different dental issues. 

A root canal often saves a tooth that’s severely infected or decayed. Conversely, dental implants are considered when a tooth is beyond saving or missing and a replacement that looks, feels, and functions like a natural tooth is needed. 

In this blog, we’ll carefully unpack the seven key differences between these two procedures, guiding you through their pros and cons to help you confidently make an informed decision.

When is a Root Canal or Implant Needed?

Understanding when a dentist might recommend a root canal or a dental implant is crucial for making an informed decision. Here’s a concise overview of common scenarios for each treatment:

Situations where a Root Canal might be recommended:

  • Deep cavity: When a cavity penetrates deep into the tooth, reaching the pulp.
  • Infected tooth pulp: Infection that has reached the tooth’s core, causing pain and swelling.
  • Cracked or chipped tooth: Where the damage has extended into the pulp, making it susceptible to infection.
  • Repeated dental procedures on the tooth: Numerous procedures can cause significant stress to the tooth, leading to the need for a root canal.

Situations where an Implant might be recommended:

  • Missing tooth: To fill the gap and restore functionality without affecting adjacent teeth.
  • Severely damaged tooth beyond saving: When a tooth is too damaged to be repaired with a crown or a root canal.
  • Extensive bone loss in the jaw area: Implants can stimulate bone growth, unlike other tooth-replacement methods.
  • Preference for a more permanent solution: For those looking for a long-term solution that closely mimics the natural tooth in appearance and functionality.

Choosing the right one depends on your condition, lifestyle, and long-term oral health goals. Your dentist will guide you through decision-making, ensuring you choose the best option for your needs.

7 Key Differences Between Root Canals and Implants

Dentist and his assistant working with a patient in a dentist chair in dentist office

Root canal and Implants Procedure

Root canal treatment and dental implants are common dental procedures that aim to restore teeth’ health and functionality. While they serve similar purposes, they involve different approaches and techniques.

The process of getting a root canal typically involves the following steps:

  • Consultation and X-rays: Your dentist will start by thoroughly examining your tooth and taking X-rays to assess the extent of the damage.
  • Anaesthesia: To ensure comfort during the procedure, the area around the tooth is numbed with local anaesthesia.
  • Pulpectomy: An opening is made through the tooth’s crown to access the pulp chamber. The infected pulp is then removed.
  • Cleaning and Shaping: The root canal is cleaned and shaped to prepare it for filling.
  • Filling the Canal: The empty, cleaned root canal is filled with a biocompatible material, usually gutta-percha, and sealed with dental cement.
  • Restoration: Often, a tooth with a root canal will need a crown to protect and restore it to full function.

The typical steps for getting a dental implant include:

Infographic of human in structure of the dental implant
  • Initial Assessment and Planning: This stage may involve X-rays or CT scans to assess your bone density, discuss the treatment plan, and possibly take impressions of your mouth.
  • Tooth Extraction: If the damaged tooth is still present, it must be extracted before a dental implant can be placed.
  • Bone Grafting (if necessary): If there is not enough bone to support the implant, a bone graft may be required. This will extend the treatment time as the graft heals.
  • Implant Placement: A titanium implant post is surgically inserted into the jawbone, acting as the new tooth’s root. The area is left to heal and integrate with the bone, which can take several months.
  • Abutment Placement: Once healing is complete, an abutment, which serves as the base for your new tooth, is attached to the implant.
  • Implant Crown Fitting: The final step involves fitting and securing the crown (the artificial tooth) onto the abutment, providing a functional and cosmetic replacement for the missing tooth.

While differing significantly in approach and objectives, these procedures are common solutions to dental issues that can restore function and improve oral health. Your dentist can offer guidance on which procedure is more appropriate for your situation.

Recovery Time

Due to the different natures of the procedures, the recovery timeline for a root canal and dental implant placement can vary significantly. After a root canal, you might experience some sensitivity or discomfort for a few days, but most people can return to normal activities almost immediately. Following your dentist’s advice on oral care during this period is important to ensure a smooth recovery. 

On the other hand, the recovery process after a dental implant placement is somewhat longer. After the initial surgical procedure to place the implant, a healing period of three to six months is usual, as the implant needs to integrate with the jaw bone adequately, a process known as osseointegration. 

Following this, additional appointments may be needed to place the abutment and the artificial tooth. Throughout this time, patients are advised to adhere strictly to their dentist’s care instructions to ensure successful healing and integration of jaw bone with the implant.


When discussing the longevity of dental treatments, both root canal-treated teeth and dental implants are known for their durability but under different conditions. A well-executed root canal treatment can allow a tooth to last a lifetime, provided that the tooth receives proper care, including good oral hygiene and regular dental check-ups. However, the longevity of a root canal-treated or implanted tooth often also depends on how effectively the tooth can be restored and protected—often with a crown—to prevent future fractures or decay.

Conversely, dental implants are renowned for their strength and can last a lifetime with appropriate care. Their longevity mostly hinges on the patient’s oral hygiene routine and the absence of underlying conditions that might affect bone health, such as osteoporosis. Regular dentist visits are crucial to monitor the implant, surrounding gum, and bone health. 

An individual’s lifestyle choices, like smoking, can significantly impact the longevity of both, potentially leading to complications or failure. Thus, the commitment to meticulous oral care and regular dental consultations is key to extending the life of both root canal treatments and dental implants.


Portrait of patient and the dentist

Choosing between a root canal and a full dental implant procedure depends on various factors. To ensure the best possible outcome, it’s crucial to consider these aspects carefully:

  • Severity of Damage: The extent of damage to the tooth and its surrounding structures can significantly influence whether a root canal or a dental implant is more suitable. A root canal may be preferred if the tooth’s structure can be preserved.
  • Amount of Remaining Tooth Structure: The viability of root canal therapy largely depends on the amount of healthy tooth structure remaining. If the tooth is extensively damaged or decayed, a dental implant might be the better option.
  • Overall Oral Health: Patients with good oral hygiene and healthy gums are typically better candidates for dental implants, as these factors contribute to implant integration with the jawbone.
  • Bone Density and Volume: Adequate bone density and volume are critical for implant success. Patients with insufficient jawbone mass may require a bone graft before implanting.
  • Age-Related Considerations: While dental implants and root canals are suitable for a wide range of ages, the patient’s age can play a role in the decision-making process. For younger patients, especially those whose jawbones have not fully developed, delaying a dental implant and opting for root canal therapy might be preferable.

These factors underscore the importance of an individualized assessment by dental professionals. An in-depth examination and dialogue with your dentist can help determine the most appropriate treatment pathway, ensuring longevity and health for your teeth and mouth.

Pain Level

It’s important to know that root canal and dental implant procedures are performed with the patient’s comfort in mind. Advances in dental techniques and anaesthetics mean that discomfort during either procedure is typically minimal. Local anaesthesia is used to numb the area, ensuring that patients experience little to no pain during the treatment. 

Post-operative sensitivity or discomfort can vary between individuals but is generally manageable with over-the-counter pain relievers or prescribed medication from your dentist. It’s noteworthy, however, that some patients report experiencing more post-operative sensitivity following a dental implant treatment compared to a root canal. This is often due to the surgery’s nature and the jawbone’s healing process. 

Rest assured, your dental team will provide you with detailed aftercare instructions to help manage any discomfort and hasten your recovery. Remember, a brief period of sensitivity is a small price to pay for the long-term benefits these dental solutions offer.

Tooth Preservation

Woman patient at dentist

A root canal treatment is designed to save and restore your original tooth. During this procedure, the infected or damaged pulp inside the tooth is removed, the area is meticulously cleaned, and then it is sealed to prevent further issues. This approach eliminates the infection and dead tooth and preserves the natural tooth structure, maintaining your tooth’s integrity and function in your mouth.

Conversely, dental implants involve replacing the entire tooth with an artificial one. This process requires removing the damaged tooth and placing a dental implant that serves as a new tooth root with an artificial tooth (or crown) attached on top. While dental implants are an excellent solution for when a tooth cannot be saved, they do not preserve the original tooth structure.

Preserving your natural teeth whenever possible is highly beneficial. Natural teeth are always preferable for oral health because they maintain the natural alignment of your teeth, help in the efficient chewing of food, and support the health of your jaw bone and surrounding oral tissues. Whenever feasible, opting for a treatment that allows you to keep your teeth, like a root canal procedure, can offer significant long-term advantages for your dental health and overall well-being.


Root canal treatments are more economical upfront than dental implants. However, when factoring in the potential need for additional procedures, such as crown placements for root canals, the cost might edge closer to an implant’s. It’s crucial to note that the complexity of the case, the practitioner’s expertise, and the clinic’s location within Singapore can significantly influence the final cost. 

For instance, treatments performed in central business districts may command higher fees due to the prime location.

Another vital aspect to consider is insurance coverage, which can vary widely among policies and providers. Certain insurance plans may cover a substantial portion of a root canal procedure but have limitations or different coverage levels for dental implants. 

Given these variables, it is highly recommended that you have a detailed discussion with your dentist about the expected costs of each treatment option. They can provide specific cost estimates tailored to your situation, ensuring you make a well-informed decision based on dental and financial factors.

Which Option Is Right For You?

Deciding between a root canal treatment and a dental implant procedure involves weighing several key factors. The final decision should ideally be made in consultation with your dentist, who can offer a personalised diagnosis and treatment plan based on your specific needs. Here are some critical factors to consider:

  • Severity of Tooth Damage: Assess whether the damage to the tooth is repairable or if the tooth is beyond saving.
  • Desired Outcome: Consider whether preserving your natural tooth is a priority or replacing it with dental implants to better suit your needs.
  • Cost Considerations: Review your budget and insurance coverage to understand which option is more financially viable.
  • Long-term Viability: Reflect on the procedure’s long-term success and durability.
  • Health Conditions: Take into account any existing health conditions that might affect the success of the implant, such as diabetes or autoimmune diseases.
  • Lifestyle Considerations: Consider how each option fits your lifestyle, including recovery time and care requirements.

Your dentist can guide you through these considerations, considering your oral health history, preferences, and the technical aspects of each procedure. Don’t hesitate to ask questions and express your concerns; this decision is a collaborative process designed to ensure the best outcome for your oral health.


The main differences between root canal treatment and dental implants lie in the approach to solving dental issues. Root canals aim to preserve and restore the natural tooth by removing the infected or damaged pulp, whereas dental implants replace the entire tooth with an artificial one. Each option has unique advantages, with root canals generally being more cost-effective and focused on preserving natural tooth structure and dental implants offering a durable solution when a tooth cannot be saved.

It’s essential to understand that the choice between these two treatments depends on various factors, including the severity of existing tooth damage, overall oral health, budget considerations, and long-term dental goals. Therefore, scheduling a consultation with a skilled dentist is crucial. They can thoroughly examine your teeth, consider all relevant factors, and recommend the most suitable treatment for your needs. A personalised consultation ensures you receive the appropriate care for your dental health, leading to better outcomes and satisfaction with your treatment.

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