The only way to know for sure is with a thorough examination and X-rays. If you’re experiencing a true toothache, especially severe or spontaneous pain, the tooth may need either a root canal or an extraction. In some cases, there may not be enough healthy tooth structure left to save the tooth, making extraction the best option. In many cases, however, the tooth can be saved with a root canal. We’ll carefully evaluate your tooth and explain your options so you can make an informed decision about your care. If you’re having tooth pain, give our Knoxville office a call. We’re happy to help!