Please visit a dentist for a clinical examination, including pulp vitality testing (cold test/EPT), percussion and palpation. A good-quality intraoral periapical/bitewing radiograph should also be taken to assess the depth of the decay and its relation to the pulp. If the decay is not involving the pulp, it may be managed conservatively with caries removal and a restoration. If there is evidence of irreversible pulpitis or necrosis, root canal treatment may be required.

The absence of pain or cold sensitivity does not by itself prove that the nerve is healthy. Deep caries can sometimes progress without symptoms. Avoid delaying evaluation, particularly if the cavity is large. Do not start RCT based on the X-ray alone without correlating it with clinical and pulp-testing findings.