Hello
As per the x Ray left lower wisdom tooth needs to be extracted as its impacted and avoiding that would lead to affecting the adjacent teeth as well and rest all teeth needs to be clinically examined to come up with a clear diagnosis and prognosis of your teeth. Always remember diagnosis is the most important aspect and both clinical and x ray evaluation tells us the right treatment plan. Always try to save your teeth rather than extracting them provided they can be saved.
Next Steps
visit your dentist for getting more clarity with the other wisdom teeth and carious molars
Health Tips
Don't neglect more and visit ASAP