Pulp vs tooth structure

Joined
Apr 28, 2023
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In the long run, which is better. Sacrifice pulp by RCT and save tooth structure or sacrifice structure to a large composite filling and save pulp for now? Background - one lower molar has a small occlusal filling but mild pain happens on and off and sharp pain for stimulation except for hot stimulant. If possible please do not give much importance to the mentioned background. Thanks!
 

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