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What can a dentist do when the decay is under gum line?

He said the decay is in a really wrong place, on the side of the tooth, under the large filling and goes below gum line... he put in a tenporary filling but still hurts :(
(It was root canaled 10 years ago)
What's next? Only option to extraxt the tooth or..? (I was so afraid to ask, tried to focus on the positive things first...)
Thank you!
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