Hi ,carious lesion is near to pulp horn so first go with the temporary filling with dical base n keep it on observation for 21 days if pain goes off then go for Permanand filling of laser/GIC...according to yr budget.if pain persists then it mean pulp(tooth nerve)is effected then RCT is compulsory with crowning bcz it’s masticatory tooth it may fracture without crown later on.
Next Steps
Personal visualisation is necessary....
Health Tips
Always take care of dietary habits specially sweets (prone to caries) n try to come early in touch of dentist (as u r in advanced stage)...