Conversation: The conversation between human and AI assistant.
[|Human|] I am a 62 year old lady, I have looked after my teeth very well all my life - brushed and flossed etc 2/3 times a day, and went to the dentist 2 times a year for cleaning.  Two years ago I developed redness in my gums, which eventually turned to white peeling, massive amounts of blood were also an issue.  My dentist referred me to an oral surgeon, who referred me to a pathologist, I was treated with steroidal rinse, and fungal rinse. This seemed to help somewhat, but I developed a puss discharge, then 2 of my molars got loose, which have recently been removed.  Before I got the teeth removed, in August of this year, I asked my dentist for an antibiotic, he prescribed me Nova Pen. for 5 days, this did not kill the puss infection, then my doctor prescribed me Clindimician for 10, which after taking I was allergic to. My dentist thought that after the loose molars were removed that the infection should go away, it has been more than a week since removal, and I have been back to the oral surgeon, who says he can do nothing for me.(he extracted the Molars.Do I need another antibiotic? The infection is mostly bothersome at night when I lie down, the puss coats the inside of my mouth, and there is also a bloody discharge. I have not had any antibiotics prior to taking them in August for about 8 years. I have been told by my dentist that it is not healthy to have this infection, it started in March of this year and I still have it, I am afraid of loosing more teeth, I have bridge work, and crowns. How can I make this go away, my teeth have also now receded.
[|AI|]  Hello! Thank you for posting in Chat Doctor. You are suffering a desquamative gingivitis. You did not mention if you suffer such peeling anywhere else in your body. This is more common in females, postmenopausal. You also will suffer more periodontal problems than normal. Do not panic. Your doctor has suggested use of topical steroids which is the major treatment plan. This periodontal issues will reduce once the gingivitis is controlled. Use steroids as prescribed by your dentist. Also take doxycycline 100 mg once daily for 3 weeks. Use a regular toothpaste. Do not change your paste and mouthwashes often. You will require a biopsy for a definitive diagnosis as many conditions will cause this. Please see your oral pathologist to get this done. If you suffer any candidiasis, this must be controlled first. The pus discharge means infection still persists. A x-ray for the extraction site is absolutely necessary. Infection in tooth cannot be completely eliminated with antibiotics. Tooth responsible for the infection has to be removed as your dentist did it. Regards.