What does this circle one show on x-ray?

Based on your description, it seems that you are experiencing severe gum pain and have received different opinions from dentists regarding the treatment needed for your second molar tooth (#47). It's essential to consult with a qualified dental professional for a definitive diagnosis and personalized treatment plan based on your specific condition and dental history. If the pain is severe and throbbing, and you are experiencing gum inflammation, it's essential to address the issue promptly. Severe gum pain could be indicative of an infection or another dental problem that requires attention. Ignoring dental pain can lead to complications and potentially worsen the condition. Since you mentioned that you are planning to get treated in India in two months, it's essential to stay in communication with your current dental professionals and seek their guidance on managing the pain and discomfort until you can receive treatment in India. They may be able to provide you with temporary relief measures or further advice. If you are experiencing severe pain and inflammation, it's crucial to prioritize your oral health and seek immediate attention from a dentist or dental professional. They can assess your condition, prescribe appropriate medications if necessary, and provide further guidance on whether root canal treatment or extraction is the best option for your tooth. Remember, I can only offer general information, and it's essential to consult with a dentist for a proper evaluation and personalized treatment plan. Dental issues should not be left untreated, especially if you are experiencing severe pain and inflammation. I encourage you to seek prompt dental care to address your concerns and alleviate your symptoms.

Small one could be carious tooth (appears radiolucent compared to the rest of the tooth). Needs to be physically examined. Big one could be a bony spicule after extraction. If so, soft tissue overlying the area will be tender and sore to touch. There's absolutely no indication for extraction of 47. If the small circle turns out to be caries, that could give you immense pain but the radiolucency is NOT very close to the pulp to present with such symptoms. However, since you are giving history of pain in second molar only, then you can give it a benefit of doubt. I don't see any urgency for any treatment. You can come back to India and get yourself treated. Meanwhile manage with painkillers. But before even jumping on to RCT please get your ipsilateral Ear, TMJ, and opposing quadrant evaluated and rule out a vertical fracture in second molar that's troubling you. Only after ruling out these all possibilities you must undergo RCT. Proper examination by a qualified dentist, preferably an Endodontist or Oral medicine expert, is essential for you.

Ask your dentist to check for a catch point on distal aspect of second molar before proceeding onto RCT.

Don't get tooth extracted. Your problem needs evaluation rather than extracting teeth one after the other.

I don't clearly see any indication for RCT or even extraction.Please be in followup and maintain oral hygeine this will suffice. However a clinical examination would give a better insight for further treatment needs.

Hi … smaller circle is tooth and bigger circle is shadow of bone and soft tissue

Hello 1 is tooth part,2nd is not like any thing