Is extraction the only option if you have tooth decay?

No: If the decay is sever there may not be enough tooth to fix and yes it will have to be remove. Other then that a tooth can usually be fixed. It may require a root canal before it can be fixed if the nerve has been damaged. It may also require a crown if a large enough area has been damaged.

NO: Decayed teeth can be fixed if the decay doesn't extend too far down the root. Fixing decayed teeth treats the symptom but not the problem. The important thing here is to find out why the decay is happening and then make the necessary changes to prevent decay from occurring again. If not then expect to continue to get decay in your teeth regularly.

Usually, no.: There are many options for restoring decayed teeth depending on the extent of the decay. Consider first off what you can do to stop the decay process to prevent further damage. Talk with your dentist right away. The longer you wait, the fewer your options.