Based on the symptoms there may be infection in the apical area. Root canal treatment or extraction are the permanent solution for this. Medicines will give temporary relief only.

Sometimes rct can save such tooth and if infection is worse you may also need to get it extracted. Thats the permanent solution. You may call your doctor and tell him that the medicine is not working, he will sujjest you .

Hello It means there is infection with the tooth You need to get the tooth treated that is the only correct treatment then only pain will subside Medicines will give you temporary relief

Based on your symptoms and the X-ray finding (a black area near the root), it suggests that the tooth has pulp infection extending up to the root tip, commonly called a periapical infection/abscess. This usually happens due to previous trauma (injury), deep decay, or a crack in the tooth, allowing bacteria to reach the nerve and surrounding bone. Why Racsol-PS is not helping: Racsol-PS is a painkiller with anti-inflammatory action. It may temporarily reduce pain, but it cannot eliminate the infection inside the tooth. As long as the infected nerve remains, pain will persist. Permanent Treatment Options Root Canal Treatment (RCT) – This is the best and permanent solution if the tooth structure is restorable. The infected nerve is removed, the canal is disinfected, and the tooth is sealed. After that, a crown is usually advised to protect the tooth.