Do i really need an extraction?

Joined
Mar 8, 2017
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Hello everyone. A few months ago I had a filling come out and last week I got an abscess from food getting in there. My whole lower raw jaw was swollen and it as you can imagine was painful. I went to the er to have most of it drained and was put on antibiotics. A week later it is pretty much back to normal and I went to my dentist who said it needs an extraction. He showed me the xrays where there is a cavity that looks like a half moon on the side of my lower molar that extends almost to the nerve (on the tooth next to the one with the filling that fell out)
Now my question is if it really needs to be extracted, or if a root canal would be a better option?
 

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