Should you save your tooth or have it pulled? The debate of root canal vs tooth extraction is one of the most common dilemmas patients face in a dental chair. At Smile Dental Care Centre in Faridabad and East of Kailash, New Delhi, Dr. Ashish Garg (BDS, MDS, FICOI) encounters this question daily — and the answer depends on your unique clinical situation. Whether you are experiencing a throbbing toothache at 2 AM or have been told your tooth is “too far gone,” understanding the difference between a root canal treatment and tooth extraction can save you time, money, and years of dental complications. In this expert guide, we break down everything you need to know about root canal vs tooth extraction so you can make the smartest decision for your oral health. Smile Dental Care Centre has helped thousands of patients in Faridabad — including Sector 27, Sector 32, Sector 34, and Ashoka Enclave — and East of Kailash, New Delhi, make this important choice with confidence.
Table of Contents
- What Is Root Canal Treatment?
- What Is Tooth Extraction?
- Root Canal vs Tooth Extraction — Comparison Table
- When Is Root Canal the Better Choice? (5 Scenarios)
- When Is Extraction Necessary? (5 Scenarios)
- What Happens After Extraction? (Replacement Options)
- Cost Comparison — Root Canal vs Extraction in 2026
- The Root Canal Process Step by Step
- Why Saving Your Natural Tooth Is Always Better
- Why Choose Smile Dental Care Centre
- Frequently Asked Questions (FAQ)
- Clinic Locations — Faridabad & East of Kailash
- Related Articles, CTA & Author Bio
What Is Root Canal Treatment?
A root canal treatment is a dental procedure designed to save a tooth that has been severely infected or damaged. During the procedure, the dentist removes the infected pulp tissue from inside the tooth, cleans and disinfects the root canals, and then fills and seals the space to prevent re-infection. At Smile Dental Care Centre in Faridabad, Dr. Ashish Garg performs root canal treatment using advanced rotary endodontic systems, digital radiography, and apex locators to ensure precision and comfort.
Many patients fear root canal treatment because of outdated myths, but modern painless root canal treatment has transformed the experience entirely. With the use of local anaesthesia, rubber dam isolation, and magnification, the procedure is no more uncomfortable than getting a filling. Dr. Ashish Garg at Smile Dental Care Centre in Faridabad and East of Kailash has performed over 5,000 successful root canal procedures, making it one of the most trusted root canal treatment clinics in the NCR region.
When considering root canal vs tooth extraction, it is essential to understand that root canal treatment preserves your natural tooth structure. The treated tooth continues to function like any other tooth — you can chew, bite, and smile naturally. After the root canal, a dental crown is typically placed over the tooth for added protection and strength.
“A root canal treatment does not kill the tooth — it saves it. The tooth remains functional, anchored in your jawbone, and continues to preserve the bone density around it. That is something no artificial replacement can fully replicate.” — Dr. Ashish Garg, Smile Dental Care Centre, Faridabad
When Is Root Canal Treatment Needed?
Root canal treatment becomes necessary when the pulp — the innermost layer of the tooth containing nerves and blood vessels — becomes inflamed or infected. Common causes include deep decay, repeated dental procedures on the same tooth, cracks or chips, and trauma. If you are experiencing persistent tooth pain, prolonged sensitivity to hot or cold, darkening of the tooth, or swelling in the gums, you may need a root canal treatment. Visit Smile Dental Care Centre in Faridabad or East of Kailash for a thorough examination to determine whether your tooth can be saved.
What Is Tooth Extraction?
Tooth extraction is the complete removal of a tooth from its socket in the jawbone. While modern dentistry always prioritises saving natural teeth, there are situations where extraction becomes the only viable option. At Smile Dental Care Centre in Faridabad, Dr. Ashish Garg recommends extraction only as a last resort — when the tooth is damaged beyond repair or poses a risk to surrounding teeth and overall oral health.
There are two types of tooth extraction: simple extraction and surgical extraction. A simple extraction is performed on teeth that are visible above the gum line, while a surgical extraction is needed for teeth that have broken off at the gum line or have not fully erupted — such as impacted wisdom teeth. Both procedures are performed under local anaesthesia at our clinics in Faridabad and East of Kailash, ensuring a pain-free experience.
In the root canal vs tooth extraction debate, extraction may seem like the quicker and cheaper solution initially, but it often leads to a cascade of additional dental problems. When a tooth is removed, the surrounding bone begins to resorb, adjacent teeth start shifting, and your bite alignment can change. These consequences often require more expensive treatments down the line, including dental implants, bridges, or dentures.
Dr. Ashish Garg at Smile Dental Care Centre in Faridabad always explains the long-term implications of extraction to patients before proceeding. In many cases, what a patient believes is a tooth that needs pulling can actually be saved with a well-executed root canal treatment.
Root Canal vs Tooth Extraction — Detailed Comparison Table
Understanding the key differences between root canal vs tooth extraction can help you make an informed decision. Below is a comprehensive comparison that Dr. Ashish Garg at Smile Dental Care Centre in Faridabad often shares with patients during their consultation:
| Factor | Root Canal Treatment | Tooth Extraction |
|---|---|---|
| Upfront Cost | Moderate (RCT + crown) | Lower initially, but replacement adds significant cost |
| Recovery Time | 1–3 days of mild discomfort | 5–14 days; surgical extractions may take longer |
| Bone Loss | No bone loss — tooth root preserves jawbone | Significant bone resorption begins within weeks |
| Effect on Adjacent Teeth | No impact on surrounding teeth | Adjacent teeth shift, leading to misalignment |
| Pain During Procedure | Minimal — painless with modern anaesthesia | Minimal during; more post-operative soreness |
| Treatment Duration | 1–2 sittings (45–90 minutes each) | Single sitting (20–60 minutes), plus replacement visits |
| Success Rate | 90–97% success over 10+ years | 100% removal success, but replacement longevity varies |
| Aesthetics | Natural appearance with crown restoration | Gap visible unless replaced; facial structure changes over time |
| Future Treatment Options | Re-treatment or apicoectomy if needed | Implant, bridge, or denture required for replacement |
| Long-Term Cost | Lower — one-time investment preserves the tooth for decades | Higher — extraction + implant/bridge + potential future replacements |
As this root canal vs tooth extraction comparison table clearly shows, saving your natural tooth through root canal treatment is almost always the better long-term investment. Smile Dental Care Centre in Faridabad provides honest, transparent consultations to help you choose the right path for your dental health.
When Is Root Canal the Better Choice? (5 Scenarios)
At Smile Dental Care Centre in Faridabad and East of Kailash, Dr. Ashish Garg always evaluates whether a tooth can be saved before recommending extraction. Here are five common scenarios where root canal treatment is the clear winner in the root canal vs tooth extraction debate:
1. Deep Cavity That Has Not Reached the Root Tips
When a cavity has reached the pulp chamber but the infection has not spread to the root tips or surrounding bone, a root canal treatment can effectively remove the infection and seal the tooth. At our root canal treatment clinic in East of Kailash and Faridabad, Dr. Ashish Garg uses digital X-rays and CBCT scans to determine the exact extent of infection before recommending treatment. In most cases of deep decay, root canal vs tooth extraction tilts heavily in favour of saving the tooth.
2. Cracked or Fractured Tooth Above the Gum Line
If a tooth is cracked or fractured above the gum line but the root structure is intact, a root canal followed by a crown can restore the tooth to full function. Smile Dental Care Centre in Faridabad sees many patients with cracked teeth from biting hard foods or accidents who are able to keep their natural tooth through timely root canal treatment.
3. Front Teeth With Aesthetic Importance
Losing a front tooth has significant aesthetic and psychological consequences. In the root canal vs tooth extraction comparison for front teeth, root canal treatment is almost always preferred. Dr. Ashish Garg at Smile Dental Care Centre combines root canal treatment with high-quality ceramic crowns at our East of Kailash and Faridabad locations to create a result that looks completely natural.
4. Teeth That Are Critical for Bridge Support
If a tooth serves as an anchor (abutment) for an existing dental bridge, extracting it would compromise the entire bridge structure. In such cases, performing a root canal treatment saves the tooth and protects the existing prosthetic work. Patients visiting our root canal treatment clinic in Faridabad frequently benefit from this approach.
5. Young Patients With Fully Developed Roots
For young adults with fully formed root structures, saving every natural tooth is critically important. The jawbone is still adapting, and losing a tooth early can trigger a chain reaction of shifting, bone loss, and bite problems. Dr. Ashish Garg at Smile Dental Care Centre strongly advocates root canal treatment over extraction for younger patients in Faridabad and East of Kailash whenever clinically feasible. Learn more about root canal treatment myths vs facts to put any fears to rest.
When Is Extraction Necessary? (5 Scenarios)
While saving a tooth is always the priority, there are situations where extraction is the only responsible option. At Smile Dental Care Centre in Faridabad, Dr. Ashish Garg recommends extraction in the following five scenarios after careful evaluation:
1. Severely Fractured Tooth Below the Gum Line
When a tooth fractures vertically or below the gum line into the root, it cannot be predictably restored with a root canal or crown. In such cases, the root canal vs tooth extraction decision clearly favours extraction. Smile Dental Care Centre offers immediate replacement planning with dental implants in Faridabad so that patients do not have to live with a gap.
2. Extensive Bone Loss Around the Tooth
Advanced periodontal disease can destroy the bone that supports a tooth. Even if a root canal treatment clears the infection inside the tooth, the tooth may remain loose and non-functional due to insufficient bone support. Dr. Ashish Garg at our Faridabad clinic uses CBCT imaging to assess bone levels before making a final recommendation on root canal vs tooth extraction.
3. Non-Restorable Tooth Structure
If the decay or damage has destroyed so much tooth structure that a crown cannot be supported, extraction is necessary. A root canal treatment is only successful when enough healthy tooth structure remains to hold a restoration. At Smile Dental Care Centre in East of Kailash and Faridabad, we thoroughly assess remaining tooth structure before advising patients.
4. Failed Previous Root Canal Treatment
While root canal re-treatment is often possible, there are cases where a previously treated tooth develops a persistent infection that does not respond to retreatment or apicoectomy. In such scenarios, extraction followed by a dental implant may provide the best long-term outcome. Dr. Ashish Garg evaluates each case individually at Smile Dental Care Centre in Faridabad.
5. Impacted or Problematic Wisdom Teeth
Impacted wisdom teeth that cause recurring infections, cysts, or damage to adjacent teeth are best extracted. Root canal treatment on wisdom teeth is rarely recommended because they are difficult to access, hard to restore, and do not contribute meaningfully to chewing function. Read our comprehensive wisdom tooth removal guide for more details. Smile Dental Care Centre performs safe, painless wisdom tooth extractions at both the Faridabad and East of Kailash locations.
What Happens After Extraction? (Replacement Options)
If you and Dr. Ashish Garg at Smile Dental Care Centre determine that extraction is the right choice in your root canal vs tooth extraction decision, the next step is replacing the missing tooth. Leaving a gap is never recommended, as it leads to bone loss, teeth shifting, bite problems, and facial sagging over time. Here are the three primary replacement options available at our clinics in Faridabad and East of Kailash:
Option 1: Dental Implant (The Gold Standard)
A dental implant is a titanium post surgically placed into the jawbone to act as an artificial tooth root. Once integrated with the bone (a process called osseointegration), a custom crown is placed on top. Implants look, feel, and function like natural teeth, and they prevent bone loss. At Smile Dental Care Centre in Faridabad, Dr. Ashish Garg places implants from world-renowned brands with a success rate exceeding 98%. Check out our detailed dental implant cost guide for 2026 to plan your budget.
Option 2: Dental Bridge
A dental bridge uses adjacent teeth as supports to hold an artificial tooth (pontic) in the gap. While bridges are more affordable than implants, they require shaving down healthy neighbouring teeth and do not prevent bone loss. At our East of Kailash and Faridabad clinics, we offer high-quality ceramic and zirconia bridges that provide excellent aesthetics.
Option 3: Removable Denture
A partial denture is a removable appliance that replaces one or more missing teeth. It is the most affordable option but also the least comfortable and functional. Dentures do not prevent bone loss, and many patients find them inconvenient for daily use. Smile Dental Care Centre in Faridabad recommends dentures primarily as a temporary solution while patients plan for implants.
Understanding these post-extraction options is crucial in the root canal vs tooth extraction decision because the total cost of extraction plus replacement almost always exceeds the cost of a root canal treatment with a crown. Dr. Ashish Garg ensures every patient at Smile Dental Care Centre understands this before making a final decision.
Cost Comparison — Root Canal vs Tooth Extraction in 2026
Cost is often a major factor when patients weigh root canal vs tooth extraction. Below is an updated cost comparison for 2026 based on pricing at Smile Dental Care Centre in Faridabad and East of Kailash. Note that actual costs may vary depending on the tooth location, complexity, and materials used:
| Treatment | Estimated Cost Range (INR) | Notes |
|---|---|---|
| Root Canal Treatment (Anterior Tooth) | ₹3,000 – ₹6,000 | Single canal; 1–2 sittings |
| Root Canal Treatment (Molar) | ₹5,000 – ₹10,000 | Multiple canals; may require 2 sittings |
| Dental Crown (Post-RCT) | ₹3,000 – ₹15,000 | Metal, PFM, zirconia, or ceramic options |
| Total: RCT + Crown | ₹6,000 – ₹25,000 | One-time investment; tooth lasts 15–25+ years |
| Simple Tooth Extraction | ₹500 – ₹2,000 | Quick procedure; but requires replacement |
| Surgical Extraction | ₹2,000 – ₹5,000 | Impacted or broken teeth |
| Dental Implant (Post-Extraction) | ₹25,000 – ₹60,000 | Implant + abutment + crown |
| Dental Bridge (Post-Extraction) | ₹9,000 – ₹45,000 | 3-unit bridge; requires shaving adjacent teeth |
| Total: Extraction + Implant | ₹27,000 – ₹65,000 | Higher upfront; additional healing time |
The cost comparison makes it clear: when deciding between root canal vs tooth extraction, root canal treatment is usually the more economical choice in the long run. At Smile Dental Care Centre in Faridabad, we also offer flexible EMI options and work with all major insurance providers to make best dental care accessible to everyone. Contact us on WhatsApp to discuss pricing for your specific case.
The Root Canal Process Step by Step
Understanding what happens during a root canal treatment can help eliminate anxiety. Here is the step-by-step process followed at Smile Dental Care Centre in Faridabad and East of Kailash by Dr. Ashish Garg:
Step 1: Diagnosis and X-Ray
A thorough clinical examination and digital X-ray are taken to assess the extent of infection, the number of root canals, and the condition of the surrounding bone. This helps Dr. Ashish Garg determine whether root canal treatment is viable or whether extraction is necessary — the first step in the root canal vs tooth extraction evaluation.
Step 2: Local Anaesthesia
The tooth and surrounding area are completely numbed with local anaesthesia. At Smile Dental Care Centre, we use advanced anaesthetic techniques to ensure a truly painless root canal treatment experience. Patients consistently report feeling no pain during the procedure at our Faridabad and East of Kailash clinics.
Step 3: Rubber Dam Isolation
A rubber dam is placed around the tooth to isolate it from saliva and bacteria. This is a critical step that improves the success rate of root canal treatment. Smile Dental Care Centre is one of the few clinics in Faridabad that consistently uses rubber dam isolation for every root canal procedure.
Step 4: Access Opening and Pulp Removal
A small opening is made in the crown of the tooth to access the pulp chamber. The infected or dead pulp tissue is carefully removed using specialised instruments. Dr. Ashish Garg uses rotary NiTi files for efficient and precise cleaning of the root canals.
Step 5: Cleaning, Shaping, and Disinfection
The root canals are cleaned, shaped, and disinfected using irrigating solutions. This step removes all bacteria and debris from the canal system. At Smile Dental Care Centre in Faridabad, we use ultrasonic activation of irrigants for superior disinfection.
Step 6: Filling and Sealing
Once the canals are completely clean and dry, they are filled with a biocompatible material called gutta-percha and sealed with a dental cement. This prevents re-infection and provides structural stability to the tooth.
Step 7: Crown Placement
After the root canal treatment is complete, a dental crown is placed over the treated tooth to protect it from fracture and restore its natural appearance and function. Smile Dental Care Centre offers a wide range of crown materials — from metal to ceramic to zirconia — at both the Faridabad and East of Kailash locations.
Why Saving Your Natural Tooth Is Always Better
Every dental expert agrees: nothing beats a natural tooth. When patients ask Dr. Ashish Garg at Smile Dental Care Centre in Faridabad about root canal vs tooth extraction, his answer is consistent — save the natural tooth whenever possible. Here is why:
Natural chewing efficiency: Your natural tooth provides the best chewing efficiency. Even the most advanced dental implant cannot replicate the proprioceptive feedback (the ability to sense pressure and force) that a natural tooth provides through its periodontal ligament. This is a crucial advantage in the root canal vs tooth extraction equation.
Bone preservation: A natural tooth root stimulates the surrounding jawbone, maintaining its density and volume. Extraction leads to bone resorption, which can cause facial sagging and make future implant placement more difficult and expensive. Dr. Ashish Garg at Smile Dental Care Centre in Faridabad has seen many patients who delayed implant placement after extraction and subsequently required bone grafting.
No impact on adjacent teeth: When you save your natural tooth with a root canal treatment, the surrounding teeth remain untouched. Extraction and bridge placement, on the other hand, require shaving down perfectly healthy adjacent teeth to support the bridge.
Lower lifetime cost: A well-done root canal with a quality crown can last 20 years or more. The cumulative cost of extraction, replacement, maintenance, and potential re-replacement of artificial teeth far exceeds the one-time investment in a root canal treatment.
Psychological well-being: Keeping your natural teeth contributes to confidence and self-esteem. Patients who have lost teeth often report feeling self-conscious about their smile. At Smile Dental Care Centre in Faridabad and East of Kailash, we see the emotional relief patients experience when they learn their tooth can be saved.
The American Association of Endodontists strongly recommends saving natural teeth through root canal treatment whenever possible, and Dr. Ashish Garg follows this philosophy at every consultation.
Why Choose Smile Dental Care Centre for Root Canal vs Tooth Extraction Decisions
Choosing the right clinic is just as important as choosing the right treatment. Here is why thousands of patients in Faridabad and East of Kailash trust Smile Dental Care Centre for their root canal vs tooth extraction decisions:
- Expert Leadership: Dr. Ashish Garg (BDS, MDS, FICOI) brings over 15 years of clinical experience and has performed 5,000+ root canal treatments and complex extractions. His conservative approach prioritises saving natural teeth.
- Advanced Technology: Our clinics in Faridabad and East of Kailash are equipped with digital X-rays, CBCT scanners, rotary endodontic systems, ultrasonic units, and apex locators for precise diagnosis and treatment.
- Painless Procedures: We use advanced anaesthetic techniques and gentle protocols to ensure every painless root canal treatment is truly comfortable. Our patients consistently report zero pain during procedures.
- Honest Consultations: Dr. Ashish Garg never recommends unnecessary extractions. Every patient receives an honest, evidence-based recommendation on whether root canal treatment or extraction is the better option.
- Affordable Pricing: Smile Dental Care Centre offers competitive pricing for root canal treatment and extractions in Faridabad and East of Kailash, with EMI options and insurance acceptance.
- Two Convenient Locations: Whether you are in Faridabad (Sector 27, Sector 32, Sector 34, Ashoka Enclave) or South Delhi (East of Kailash), you have easy access to world-class best dental care.
- Comprehensive Care: From root canal treatment to dental implants, crowns, bridges, and cosmetic dentistry, Smile Dental Care Centre handles every aspect of your dental journey under one roof. Meet our dentists to learn more about our team.
- Stellar Patient Reviews: With 4.9-star ratings on Google and hundreds of five-star reviews, Smile Dental Care Centre is the highest-rated dental clinic in Faridabad and East of Kailash for root canal treatment and general dentistry.
Frequently Asked Questions — Root Canal vs Tooth Extraction
1. Is root canal treatment painful?
No. Modern painless root canal treatment at Smile Dental Care Centre in Faridabad and East of Kailash uses advanced anaesthesia to ensure complete numbness. Most patients compare it to getting a simple filling. Dr. Ashish Garg ensures every procedure is pain-free.
2. How do I know if I need a root canal or extraction?
The decision between root canal vs tooth extraction depends on several factors: the extent of decay, amount of remaining tooth structure, bone support, and the tooth’s strategic importance. A thorough examination with X-rays at Smile Dental Care Centre in Faridabad will provide a definitive answer. Dr. Ashish Garg will explain all your options clearly.
3. Is it cheaper to extract a tooth than to get a root canal?
Extraction is cheaper upfront, but when you factor in the cost of replacement (implant, bridge, or denture), root canal treatment is almost always more economical in the long term. At Smile Dental Care Centre in Faridabad, we help patients understand the full financial picture before making a decision.
4. How long does a root canal treated tooth last?
A well-performed root canal treatment with a quality crown can last 15 to 25 years or even a lifetime with proper care. At Smile Dental Care Centre, Dr. Ashish Garg uses premium materials and meticulous techniques to maximise the longevity of every root canal treated tooth in Faridabad and East of Kailash.
5. What happens if I do nothing — neither root canal nor extraction?
Ignoring an infected tooth is dangerous. The infection can spread to surrounding teeth, jawbone, and even other parts of the body through the bloodstream. It can cause abscess formation, severe pain, facial swelling, and in rare cases, life-threatening infections. Whether the answer is root canal or extraction, delaying treatment is never an option. Visit Smile Dental Care Centre in Faridabad immediately.
6. Can a root canal fail? What happens then?
Root canal treatment has a 90–97% success rate. In rare cases of failure, Dr. Ashish Garg at Smile Dental Care Centre may recommend retreatment or an apicoectomy (surgical removal of the root tip). If neither option is viable, extraction followed by a dental implant is the next step. The root canal vs tooth extraction decision is always revisited based on clinical findings.
7. How many sittings does a root canal take?
At Smile Dental Care Centre in Faridabad and East of Kailash, most root canal treatments are completed in 1 to 2 sittings, each lasting 45 to 90 minutes. Complex cases with multiple canals or severe infections may require an additional sitting. Dr. Ashish Garg plans each case for maximum efficiency and comfort.
8. Is root canal better than extraction for back teeth (molars)?
Yes, in most cases. Molars are essential for chewing, and losing a molar can significantly impact your ability to eat and can cause adjacent teeth to shift. When evaluating root canal vs tooth extraction for molars, Dr. Ashish Garg at Smile Dental Care Centre in Faridabad almost always recommends saving the tooth if enough tooth structure and bone support remain. A root canal treatment on a molar, followed by a crown, is a predictable and cost-effective solution.
Clinic Locations — Faridabad & East of Kailash
Whether you need a consultation about root canal vs tooth extraction or are ready to begin treatment, Smile Dental Care Centre has two conveniently located clinics staffed by Dr. Ashish Garg and his expert team:
Smile Dental Care Centre — Faridabad
Serving patients from Sector 27, Sector 32, Sector 34, Ashoka Enclave, Sector 15, NIT, Old Faridabad, Greater Faridabad, and surrounding areas. Our Faridabad clinic is a state-of-the-art facility offering the full range of dental services, from root canal treatment in Faridabad to dental implants, crowns, orthodontics, and cosmetic dentistry.
Find us on Google Maps: Smile Dental Care Centre, Faridabad — Directions
Smile Dental Care Centre — East of Kailash, New Delhi
Our East of Kailash clinic serves patients from Greater Kailash, CR Park, Lajpat Nagar, Nehru Place, Sarita Vihar, Jasola, Okhla, and surrounding South Delhi areas. Patients looking for expert root canal treatment in East of Kailash can visit this location for the same world-class care delivered at our Faridabad centre.
Find us on Google Maps: Smile Dental Care Centre, East of Kailash — Directions
Book your appointment now: Call or message us on WhatsApp at +91-9318339020 to schedule your consultation for root canal vs tooth extraction evaluation at either location.
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Book Your Appointment Today
Do not let a damaged tooth compromise your health, confidence, or quality of life. Whether you need root canal treatment or a tooth extraction, Dr. Ashish Garg at Smile Dental Care Centre will guide you to the best outcome. With clinics in Faridabad and East of Kailash, expert care is always within reach.
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About the Author
Dr. Ashish Garg (BDS, MDS, FICOI) is the founder and lead dental surgeon at Smile Dental Care Centre, with clinics in Faridabad (Sector 27) and East of Kailash, New Delhi. With over 15 years of experience in restorative, implant, and endodontic dentistry, Dr. Ashish Garg has earned a reputation as one of the most trusted dental professionals in the Delhi-NCR region. He is a Fellow of the International Congress of Oral Implantologists (FICOI) and is passionate about educating patients on preventive care and evidence-based treatment choices — including helping thousands make informed decisions about root canal vs tooth extraction. Learn more about Dr. Ashish Garg and our team.