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There is some amount of "opinion" involved in deciding if endodontic treatment is needed. Just today I saw a patient that had a root canal about two years ago (not sure when, I didn't do it), but has a pariapical lesion today on that tooth. I consulted with an endodontist and we agreed that his x-ray that I took today looked better than the x-ray I have of his tooth from 1 year ago. However, we think he should have it retreated because I am taking off his current crown so that I can replace it with a survey crown for a partial denture. Since the crown is going ot be off, we think he should have it done. I left it up to him to decide, because he could risk it and be fine. But, if it gets worse in time he will be getting the endo and another new crown to replace the one I am about to redo!
It certainly looks like you need at least one of those endo/crowned because of the amount of tooth structure that is gone. The others I would have to see in person myself.
By the way, if he were an endodontist, he most likely wouldn't be doing any general dentistry. Why would he waste his time fixing a filling for $120 when in the same amount of time he could be making $700 doing a root canal! There are enough general dentist referring patients to endo's to keep them busy full time doing root canals and apicoectomies, etc.
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