Tooth Extraction is the alternative, but it's always best to try and save your tooth rather than remove it. Root canal treatment is a common procedure that has an extremely high success rate of over 90%. Removal of your tooth should be your last resort. Keeping your tooth can help prevent dental troubles, such as bite problems from drifting teeth, difficulty eating, and loss of jawbone mass and structure, down the road. The benefits of root canal therapy versus extraction come down to the fact that no matter how good a teeth replacement option might be, nothing is as good as your natural tooth.