Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, my teeth has been feeling weird lately and yesterday a piece of my teeth fell off between my gums and there is a hole. Ive looked online and it said it Periodontitis. The only treatment for it is surgery. I am very concern now. What can i do. I dont have health insurance at the moment.
[|AI|]  Thanks for your query, I have gone through your query. The part of the tooth structure lost is because of the decay, which has made the tooth weak. The periodontitis can be treated by scaling and root planing. The problems and findings what you are presenting looks like you have both tooth infection(apical periodontitis) and gum infection(localized periodontitis). So I would suggest you to consult an oral physician and get a radiograph done to rule out these two conditions. Treat the tooth with RCT or extraction.Meanwhile you can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care.