How to correctly read a panorama X-ray image

Joined
Aug 9, 2016
Messages
2
Hello,
I am looking to some knowledgeable people who can read this x-ray image and explain certain details to me. I can't really figure out how my dentist can decide on the basis of this photo, that a tooth has to be extracted.
Thank you in advance for your time.
CI20160808_092056_0544_00000C9D.jpg
 

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