Need an x-ray to evaluate the extent of the decay. If it’s salvageable with a root canal then it won’t require an extraction.

Hello The tooth is affected with caries, but the extent of the carries can be known by the RVG x-ray Please visit the dentist for the same

Observing the picture the tooth has dental caries the extent of which is unknown.

As seen on the picture grossly carious with respect to 37.

Hello Visit your dentist I think there must be a deep cavity,Go for root canal treatment.

Upon review these were the findings - C/c- Patient complains of problem with left lower back teeth region since 2 days. Enclosed intraoral photograph shows worn out cusp and grossly decayed lower left second molar tooth, third molar? Elaborately these are to be done for - Debridement of caries, cavity preparation, if tooth painful pulp proximity to be evaluated with xray, evaluation of mobility of teeth Cavity restoration, in case pulp involved RCT with crown If grossly decayed and cannot be restored, extraction irt lower left second molar tooth followed by crown and bridge pontic tooth or implant restoration for missing tooth after extraction. other symptoms leading to extraction of grossly decayed tooth, pain with pulp involvement, grade III mobility. History of pain? Mobility of tooth? for clinical review Provisional diagnosis - Class II caries irt lower left second molar tooth with mesio occlusal cusp involvement and worn out disto occlusal cusp. Differential diagnosis - Grading for mobile tooth Evaluation of third molar tooth on the lower left back teeth region Diagnostic tests - IOPA irt 2nd molar tooth Treatment advise for - Caries debridement followed by cavity preparation, in case pulp involved RCT, followed by restoration Prognosis - fair

Hi, From the picture shared, it looks like the tooth requires a root canal treatment. Visit a dentist and get an X-ray followed by the advised treatment.