There appears to be an infection near the root and back side (distal/apical area) of your upper left wisdom tooth. This could be due to decay, an impacted position, or an infected nerve. Extraction is commonly advised in such cases to avoid further spread of infection.If you're having pain, swelling, or other symptoms, extraction is usually recommended to prevent the infection from spreading or recurring! And also, Filling alone is not sufficient; placing a crown after RCT is important. Without a crown, there's a higher risk of RCT failure and reinfection.
Health Tips
Proper crown placement is also very important to protect the tooth. As for the 38 molar, it’s usually okay to extract it if needed — it doesn’t affect chewing much.
Swelling after lower wisdom tooth (38) extraction can be normal for a few days. Apply cold compress, take prescribed medications, and avoid hard or hot foods. If swelling increases or pus/pain worsens, visit your dentist