Thailand Root Canal vs Extraction Cost Guide
**Thailand Root Canal vs Extraction Cost Guide**
When you have a tooth problem in Thailand, one of the most common questions is: “Should I go for a root canal or an extraction?” Both treatments are widely available in Bangkok, Chiang Mai, Phuket, and most provincial cities, and each option comes with different costs, recovery times, and long-term effects. If you’re trying to make an informed choice, understanding the cost differences and what those prices include is essential.
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### Understanding the Treatments
**Root Canal Treatment (RCT)**
A root canal in Thailand is done when the tooth’s pulp is infected or damaged, but the outer structure can still be saved. The dentist removes the infected tissue inside the tooth, cleans and shapes the canal, and then seals it. Usually, a crown is placed afterward to protect the weakened tooth.
**Tooth Extraction**
Extraction simply means removing the tooth completely. This can be a simple pull for a loose or damaged tooth, or a surgical extraction if the tooth is broken or impacted. After extraction, you might consider options like dental implants, bridges, or partial dentures to replace the missing tooth.
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### Root Canal Costs in Thailand
The price of a root canal in Thailand depends on the tooth position (front teeth are generally cheaper than molars), clinic reputation, and location.
- **Front teeth:** THB 5,000 – 8,000 per tooth
- **Molars:** THB 8,000 – 12,000 per tooth
- **Additional crown cost:** THB 6,000 – 15,000 depending on material
For example, in Bangkok’s Sukhumvit area, high-end dental clinics often quote higher prices due to advanced equipment and internationally trained dentists. On the other hand, provincial clinics may charge less, but still maintain professional standards—especially if they cater to local patients.
Most root canal quotes include X-rays, anesthesia, and follow-up appointments. You can also find dental packages for tourists that combine RCT with crown placement over a short visit.
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### Tooth Extraction Costs in Thailand
Simple extractions are generally cheaper:
- **Simple extraction:** THB 800 – 2,500 per tooth
- **Surgical extraction:** THB 3,000 – 6,000 per tooth
The big difference is what comes after. If you choose extraction without replacement, your upfront cost is minimal. However, missing teeth can lead to shifting of other teeth, changes in bite, and possible jawbone loss over time. Therefore, many dentists recommend replacing extracted teeth with an implant or bridge.
Dental implant prices in Thailand range from THB 45,000 – 75,000 per tooth, while bridges can cost THB 12,000 – 24,000 depending on materials. This means that although extraction seems cheaper at first, replacing the tooth later will significantly increase overall expenses.
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### Comparing Costs: Root Canal vs Extraction
If we look at the basic numbers:
- Root canal with crown: THB 11,000 – 27,000
- Extraction without replacement: THB 800 – 6,000
- Extraction with implant: THB 45,800 – 81,000
- Extraction with b

ridge: THB 12,800 – 30,000
From a purely financial perspective, root canal treatment is more expensive than simple extraction—but often cheaper than extraction followed by an implant. Many Thai dentists recommend saving the natural tooth when possible, as it avoids further replacement costs and preserves bite alignment.
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### Factors Influencing the Price
1. **Clinic Location**
Dental clinics in central Bangkok or near tourist areas often have higher operating costs and therefore charge more. If you’re based in Thailand long-term, you can save by visiting a clinic in your local hometown.
2. **Dentist’s Experience**
Specialists in endodontics (root canal experts) typically charge more than general dentists. Some overseas-trained doctors may have higher consultation fees.
3. **Treatment Complexity**
Multiple canals, curved roots, or infections that require extra visits can increase costs for root canals. For extraction, impacted wisdom teeth often require surgical intervention and a higher fee.
4. **Materials Used**
Crowns can be made from porcelain, zirconia, or metal-ceramic, and prices vary. Implants differ in brand and quality, affecting long-term durability.
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### Insurance & Payment Options
Many local Thai insurance plans cover basic dental services, but they often exclude high-cost treatments like crowns and implants unless you have a premium plan. For expats and dental tourists, international travel insurance may help, but it’s essential to check coverage before starting treatment.
Some clinics offer installment payment plans, especially for expensive procedures like implants. If budgeting is a concern, discuss payment terms openly with your dentist—Thais appreciate honest, clear communication in these matters.
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### How to Decide
When you face the choice between root canal and extraction in Thailand, consider:
- **Long-term function** – Keeping your natural tooth often supports better chewing efficiency.
- **Cost over time** – Root canal may cost more upfront than simple extraction, but less than extraction plus a high-quality replacement.
- **Health factors** – If the surrounding bone and gum are healthy, a root canal could extend the tooth’s life for years.
- **Lifestyle and location** – If you live far from dental specialists, simpler treatments might be more practical, but remember future needs.
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### Conclusion
In Thailand, dental care is generally affordable compared to Western countries, but prices can vary widely depending on treatment type, clinic, and location. A root canal saves the tooth and might be more cost-effective if you need the function preserved. Extraction is simpler and cheaper initially, but could lead to higher expenses if you replace the tooth later.
The best approach is to consult a trusted Thai dentist, get a detailed cost breakdown, and weigh both immediate and future expenses. With the right information, you can make a decision that suits your health, budget, and lifestyle—and walk away with both a healthier smile and peace of mind.
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