Do I need a crown and root canal for this cavity?

Based on the X-ray, there appears to be a cavity on the circled tooth, potentially reaching close to the pulp (nerve) chamber. A root canal is typically recommended when the cavity has reached the pulp, causing inflammation or infection. Symptoms include severe pain, sensitivity to hot/cold, swelling, or discoloration of the tooth. If you're experiencing these, a root canal might be necessary. However, if the cavity is deep but hasn't reached the pulp, a large filling or an onlay/inlay might be an alternative. These options preserve more of the natural tooth structure. A crown is often recommended when a large portion of the tooth is damaged or weakened, whether by a large filling or decay, to protect it from fracture. Here's what to consider: * Get a second opinion: Consult another dentist for an independent assessment. * Discuss your concerns: Communicate your worries about overtreatment with the dentist. * Ask about alternatives: Specifically inquire about large fillings or onlays/inlays and their suitability for your case. * Evaluate symptoms: Assess whether you're experiencing pain or sensitivity that indicates pulp involvement. Without a clinical examination, it's difficult to definitively say if a root canal is absolutely necessary. Remember, it's your right to seek multiple opinions and make an informed decision about your treatment.