Hi, Effectiveness of Ayurvedic remedies depends on the  state of tooth decay. Also it is important to know your body type to prescribe the best treatment. Presently Ayurveda is extremely effective in prevention of tooth problems. However Ayurvedic surgical procedures are lost in the history. Please try following general treatment for a week and note the difference. It can be safely followed for 1 month. Dashmooladi kwath 10 ml early morning empty stomach. Avoid food for 30 mins after taking the medicine. Karpuradi vati - 1 tab 3 times a day, to be sucked. Lavangadi vati - 1 tabs 5-6 times a day, to be sucked. Triphala 1 tsp with warm water before bed at night. Hope this helps!