Do I have to extract the second last tooth or can it be saved?

[helger]

Lower right-side teeth as shown in the picture.

Very painful (seems from the nerve inside the tooth) since the Christmas period. No pain at all before.

The pain is intermediate (not consistent), but if it comes, can wake up from sleep.

Currently taking amoxicillin for the infection.

My question is: do I have to extract the second last tooth or can it be saved using method using root canal treatment?

 

[Dr M]

Good day

There is a high risk of losing the second molar unfortunately, due to the cavity extending into the distal root as well as the bone loss distally