What should I do if my topmost tooth is rotten?

The inner most teeth of the upper jaw are recommended to be extracted after examination if they are wisdom teeth, and if they are other molars, they need to be restored and filled.
1. Wisdom teeth: After examination, if the decayed teeth are wisdom teeth, it is recommended to remove them as soon as possible, due to the large variation of the root canals of the wisdom teeth and the wisdom teeth are located in the last part of the jawbone of the mouth, it is difficult to clean them, and the teeth are more prone to caries, except for the wisdom teeth that have a normal occlusion, it is generally recommended to remove the wisdom teeth.
2. Other molars: If the inner most teeth of the upper jaw are the first or second molars, it is recommended to remove the decayed tooth tissue as soon as possible after resin filling, and if the pulp is exposed after removing the decayed tooth, root canal treatment is also needed before filling.
It is recommended to have regular oral checkups and to deal with caries as soon as possible in order to avoid tooth pain.