This has been discussed in previous answers, but I want to emphasize it. A lot of what is considered at the center of number theory and that has been so considered for centuries, if not millennia, is now understood to deal with properties of the integers which are reflective of the supplementary structures which arise when integers are studied with their embedding in all the completions of $\mathbb Q$, including $\mathbb R$, as well as in all algebraic field extensions of $\mathbb Q$.
Among the branches of arithmetic and number which belong to this category, one can certainly count the multi-secular strand which starts with Fermat's assertion that a prime number $p$ may be written $x^2+ny^2$ with $n\in\{1,2,3\}$ if and only if $p$ satisfies a given linear congruence, leads to quadratic reciprocity, algebraic number theory, class field theory, complex multiplication, Artin theory, the Langlands program etc., the strand which starts with the computation of the sum
\begin{equation}
1-\frac{1}{3}+\frac{1}{5}-\frac{1}{7}+\cdots
\end{equation}
by Madhava's school in the 14th century, leads to Euler's computation of $\zeta(1-s)$ and continues with Gauss's and Dirichlet's studies of $L$-functions, then to the Birch and Swinnerton-Dyer conjecture, conjecture on special values of $L$-functions, Iwasawa theory etc., or the one which starts in the Arithmetica of Diophantus, passes through the tangent and chord method and leads to Mordell's conjecture, the theory of heights, Chabauty's method, the Weil conjectures, Faltings's work etc. (with innumerable interplays between these three strands).
The supplementary structure I am referring to can roughly be classified (to the best of our current very conjectural understanding) in the following way:
• The theory of motives, that is to say the idea that there is an absolute rational cohomology theory whose realizations in the various completions of $\mathbb Q$ (including $\mathbb R$) and the relations between them elucidate the arithmetic properties of the original motive.
• The interplay between automorphic and Galois representations, that is to say the idea that infinite-dimensional complex representations of adelic points of reductive groups are intimately linked with the algebraic properties of equations.
• Algebro-geometric methods which translate problems of integers into intersection problems in geometric spaces.
Seen from that perspective, the answer to question 1. certainly should be
The high concept explanation of why real numbers are useful in number theory is that the properties of integers we got interested in are the shadows in the world of integers that cannot even begin to be described without constant reference to the completions of $\mathbb Q$, including at the real place.
In fact, retrospectively, I would even invert question 1. Because there are such supplementary structures, integers satisfy remarkable properties that we got to notice, so in some sense, I would say that the question of why $\mathbb R$ plays a role in number theory is the wrong one: a theory in which $\mathbb R$ would play no role could not be linked with any of the three structures above, and so it would not exhibit any of the interesting properties that created number theory in the first place. If Fermat had asked himself when is a number the sum of a square and a prime times a cube, he would have not found anything noticeable, and number theory would have had to wait another couple of decades to get (re)born (in a sense, this is not an hypothetical, because alongside questions like $x^2+y^2=p$ and $x^n+y^n=z^n$ which proved incredibly fruitful and somehow at the very core of the intersections of the three structures outlined above, he also studied the question of whether $2^{2^{n}}+1$ was prime, and that did not prove to be nearly as interesting, probably because that question is not reflective of any supplementary structures that we know of at the moment).
Moving to question 2, the adjective minimal carries a technical meaning I am not at all equipped to address, but certainly I can give a purely number theoretic statement which Euler would have perfectly understood and recognized as number theoretic in the mid-18th century and for which the best proof certainly requires the rich interplay with the theory of $L$-functions alluded to in the first and second bullet above (so in particular, real numbers) because the only proofs known do so (to the best of my knowledge). Namely, Dirichlet proved in 1839 the following fact:
If $p\equiv 3\operatorname{ mod }4$, the quadratic excess between $1$ and $p/2$ is strictly positive, that is to say there are strictly more numbers which are squares modulo $p$ than numbers which are non-squares in that interval.
The statement is elementary enough so that it can explained to a clever and motivated elementary school kid, but requires (again to the best of my knowledge) relating the quadratic excess to the special values of the complex $L$-function of a quadratic extension whose positivity can then be showed.
"We know that calculus works well, so we are tempted to apply it to anything and everything. But perhaps it is in fact the wrong tool for Number Theory. Perhaps there exists a rational-number-based approach to Number Theory waiting to be discovered, whose discoverer will win a Fields Medal, which will replace all the analytic tools in Number Theory with dicrete tools."
We may yet discover completely new tools and ideas that will transform our understanding of number theory, but that will not show that the current approach is wrong.
The supplementary structures are there. At the heart of them, one finds harmonic analysis on some $L^2$ spaces, tauberian theorems, sheaves of differential forms, motivic integration and differential equations attached to $p$-adic Galois representations (among many much more surprising things). For the people whose contributions to number theory have been the greatest in the last three centuries, this has been number theory, almost by definition. Let us imagine that future mathematics contain purely discrete solutions of problems dealing with integers. Suppose someone were to find an elementary proof of
\begin{equation}
|\pi(x)-\operatorname{Li}(x)|\leq\frac{1}{8\pi}\sqrt{x}\log(x)
\end{equation}
for $x$ sufficiently large (something I would consider about as surprising as discovering that Mayan calendar were based on general relativity, but who knows). Or suppose, to take a more purely number theoretic statement, that someone could prove by elementary arguments that the primes $p$ such that $x^3-x-1$ splits in factors of degree 1 in $\mathbb F_{p}$ are precisely the primes $p$ such that the coefficient of $x^p$
\begin{equation}\nonumber
x\left(1-x\right)\left(1-x^{23}\right)\left(1-x^{2}\right)\left(1-x^{46}\right)\left(1-x^{3}\right)(1-x^{69})(1-x^{4})(1-x^{92})\cdots.
\end{equation}
is 2 (note that the infinite product is purely a notation, for any $p$ you can decide by purely finitely means if the coefficients is $2$ or not). Well that would a surprising and obviously extremely significant development in the history of mathematics, but thousand of number theorists (including your very humble servant) would still pursue with the same passion the study of the subtle interplay between structures which intrinsically involve $\mathbb R$ (among many other things) and their consequences on numbers.
From the paradise, created for us by Euler, Gauss, Eisenstein, Dirichlet, Kronecker, Jacobi, Abel, Galois, Hilbert, Artin, Hasse, Weil, Tate, Serre, Shimura, Grothendieck, Langlands, Deligne, Fontaine, Faltings, Kato, Wiles..., no-one shall be able to expel us.