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HomeAnswersDentistrydental cariesShould I go for an RCT or extraction in case of a deep cavity?

Should I go for an RCT or extraction if I have no pain or swelling in the molar tooth with a deep cavity?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Nazima Anjum

Medically reviewed by

iCliniq medical review team

Published At July 8, 2022
Reviewed AtDecember 12, 2023

Patient's Query

Hello doctor,

My molar tooth has a deep cavity. It has no pain, but the doctor said the infection is too deep, reaching the bone area. He told me about the RCT process of four sittings. I want to ask, should I go for RCT or tooth extraction in this condition? What should I do if the infection is too deep, but I have no problems like pain and swelling?

Answered by Dr. Nazima Anjum


Welcome to icliniq.com.

As your dentist said, the cavity is too deep; one thing is a normal filling cannot be done since a deep cavity has to be cleaned, and then a filling has to be done; in that case, there are chances that the pulp chamber may get exposed then you may have pain. There are deep cavities that may be asymptomatic, which is without any pain but in which normal filling cannot be done, so to save your tooth, you may need a root canal treatment (RCT). Only when it is grossly damaged and cannot be restored will you be advised extraction. It is better if you go ahead with RCT. Otherwise, if you leave it for long, it will go for extraction.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nazima Anjum
Dr. Nazima Anjum


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