Hello In the image attached, it seems like there is a lot of infection so root treatment cannot be done. We need to go for extraction followed by implant is a better option.

Based on the attached X-ray, the tooth appears to have advanced damage with poor remaining tooth structure and bone support. In such situations, root canal treatment may not give a predictable or long-term result, which is why an implant has been advised. As a general rule, a tooth can be saved with root canal treatment only if there is sufficient healthy tooth structure and surrounding bone. When the damage is extensive or the prognosis is weak, preserving the tooth may lead to repeated problems. In these cases, extraction followed by a dental implant is a more reliable and long-lasting solution, especially at this age. A final decision should be made after a clinical examination and discussion of risks and benefits, but based on the X-ray, the recommendation for an implant appears appropriate.

See an endodontist that is root canal specialist If they can preserve it with root canal and a post and core which is an additional procedure post root canal and then give a crown The life of the tooth is short lived but can try one last time before extracting Long term outcome if you want then extraction and implant is the best

Prognosis of rct is poor , better go with removal followed by implant placement ,for better chewing and aesthetics

There is a significant bone loss around the teeth. Also, there seems to be infection around distal root of the tooth. Suggestive of the root canal if having enough of patience to undergo the root canal procedure with the infection. It may save the teeth, provided with post and core and abridge unit along with their adjust teeth. It may give the longevity of the life of the teeth. You can try on this treatment, and if in future, any issues is there, you can go for an implant later on.

Tooth is grossly carious and less chance to save by doing a root canal....if  you want to save you can consult endodontics ..

Infection has spreaded beyond the border which is a demarcation line between rct and extraction. You should go for extraction in such cases ,however if you still want to try your luck you can consult an endodontist ( root canal specialist) and see wat he says .

Hi I would advice you to go for an Implant for replacement, as the tooth is see is grossly decayed and the distal root also has infection .

From the X-ray provided, the concerned lower tooth appears to have extensive structural and/or periapical involvement, which is likely why implant replacement has been suggested. However, the final decision between saving the tooth and extraction depends on certain clinical factors that cannot be judged by X-ray alone. Root canal treatment can be considered only if sufficient healthy tooth structure is present, the fracture (if any) is not extending below the bone level, and the surrounding bone support is adequate. If the tooth is grossly damaged, vertically fractured, or has severe bone loss, long-term prognosis after RCT may be poor, making implant a more predictable option. In many cases, preserving the natural tooth is always preferred when prognosis is favourable. I would suggest evaluation by an endodontist to assess restorability, periodontal support, and fracture status before proceeding with extraction and implant placement. If you are comfortable sharing, a clinical photograph and information regarding pain, swelling, or mobility of the tooth can help in giving a more precise opinion.

Hello, The X-ray shows severe decay with minimal tooth structure left, so the prognosis for root canal is poor. While an endodontic opinion can be taken if the patient wishes to try saving it, extraction followed by implant is the more predictable long-term option. Hope this helps.

Hello Since the cavity is too deep It is better to get the tooth extracted in this case