Pull a Tooth or Get a Crown: Which One is Better?

Dr. Ash Sagar
Narre Warren Dental Care

Pulling out a tooth or tooth extraction is the removal of a tooth from its socket in the bone. A dental crown is a cap or covering placed over a tooth to restore its shape, size, strength, and appearance. Sometimes, patients are unsure if pulling out a tooth versus saving it with a crown is better for their oral health. In this case, you and your dentist will consider some factors in deciding between an extraction and a dental crown.

People who have:

  • Severely decayed tooth
  • Infection in the tooth
  • Crowded teeth
  • Extra teeth that are blocking other teeth from erupting

What Are the Long-Term Effects of Tooth Extraction?

  • Improper teeth alignment and bite collapse
    Teeth misalignment and bite collapse can occur when the surrounding teeth shift into the space left by the extracted tooth when not replaced immediately.

  • Nerve damage
    This happens when the tooth extraction is not performed correctly and the nerve that runs through the tooth’s roots is damaged.

  • Sinus problems
    If an upper tooth is extracted, there is a chance that it could damage the bones and tissues separating the sinuses from the mouth.

  • Dry socket (osteitis)
    This can occur when the blood clot that forms in the socket after an extraction doesn’t develop properly or gets dislodged.

  • Osteoradionecrosis
    This is a condition wherein the bone around the extracted tooth dies due to radiation therapy. People with a history of radiation treatment to the head and neck area are at a higher risk for this complication.

What Are the Benefits of Dental Crowns?

  • Protect a weak tooth
  • Restore a tooth that has been broken or worn down
  • Support a tooth with a large filling
  • Cover misshapen or discoloured teeth

When Is It Advisable To Get A Dental Crown Instead Of A Tooth Extraction?

There are instances when the dentist will have to decide between pulling out a tooth versus saving it with a dental crown. The following factors can help them decide which one to recommend:

  • The condition of the tooth
    If the tooth is extremely decayed or damaged, your dentist will perform an extraction instead of a crown. Sometimes, badly damaged teeth can still be saved by a root canal treatment. In this case, your dentist will place a crown after removing the infection through root canal therapy.

  • The adjacent teeth
    If the surrounding teeth are weak or have poor dental health, a dental crown would be the better option to avoid damaging them during extraction.

When Should I Choose Tooth Extraction Over Dental Crowns?

In some cases, you need to choose extraction instead of a crown because of the following reasons:

  • The tooth is too badly damaged by tooth decay or trauma
    A dental crown cannot save a badly damaged tooth because there is not enough tooth structure to support the crown.

  • The tooth is in a difficult location.
    A tooth in a hard-to-reach location, such as a back tooth, may be hard to put a crown on. Pulling out a tooth versus saving it with a crown may be the better option.

  • The tooth is impacted.
    Impacted teeth are not fully erupted or erupted in the wrong position. If they are damaged, extraction is necessary to avoid further damage, infection, or problems with the surrounding teeth.
Narre Warren Dental Care

Do Dental Crowns Cost Less Than Tooth Replacements?

There are three tooth replacement options available: dental implants, bridges, and removable dentures or artificial teeth. Though the total cost of these dental procedures varies, crowns are generally less expensive than these three procedures.

Final Thoughts

Dental crowns are devices used to cover damaged teeth, protect weak ones, and restore a severely discoloured tooth. On the other hand, an extraction is a dental process that involves pulling out a tooth. There are considerations you need to consider when choosing between extraction or a dental crown. Your dentist will help you decide which one suits your needs, depending on the severity of your case.

Which is the better option for you? Book an appointment with us now to find out.

Narre Warren Dental Centre can be your premier destination for dental needs, including crowns and extractions. We equipped our dental office with the latest technology, and our team of dental professionals has years of experience in providing quality dental crowns and extractions. One of the dentists will sit down with you to discuss whatever procedure you need so you can decide based on facts. You can also ask any questions you may have about these dental treatments. After evaluating your oral condition, they will create a personalised treatment plan and let you know if extraction or a dental crown is the better option.

Frequently Asked Questions

Dental crowns are not the same as veneers. Veneers are thin, custom-made shells designed to cover the front surface of your teeth. They are used for cosmetic purposes to improve the appearance of your smile.

There are two types of crowns: same-day and traditional. From the term itself, a same-day crown procedure is done in one day, while a traditional crown procedure takes two visits, usually two weeks apart. You have to wait for the dental lab to create your permanent crown based on the impression of your teeth. Meanwhile, they can place temporary crowns while you wait for the permanent ones.

You may experience some sensitivity to hot or cold temperatures a few days after your procedure. This is normal and should subside within a couple of days. However, if the sensitivity persists, call your dentist.

Bad breath may occur if your crown is not fitted properly. Bacteria may build up in the gaps and cause an unpleasant smell. If this happens, consult your dentist to adjust or replace your crown.

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