“Do I need any teeth removed?”
Male | 21 years old
Complaint duration: 4 days
Medications: None
Conditions: Asthma, bipolar, depression, anxiety, PTSD

11 Answers
DentistDentistWith gratitude
Sheena Bhatia, DDS
You need a comprehensive exam and road map to your oral health. Tooth extractions are the last resort.
I am sorry but is not that easy to diagnose with a picture only. It is better if you go to a Dental Office, so they can take you few x-rays and make a clinical evaluation, then they'll be able to give you an accurate answer.
You may need root canal treatment, extractions, crowns and/or fillings. Just by the photo it appears that the decay is pretty extensive.
See care with a dentist as soon as possible.