Conversation: The conversation between human and AI assistant.
[|Human|] I have had a filling come out and while it was exposed the same tooth chipped a little more off, i was diagnosed with periodontis and have been keeping the area clean of food and debris I put a temporary filling in and now my gums are swollen and sore to the touch.. Is this infected from too much digging and scraping or a worse problem?
[|AI|]  Hello, No this is not infected from too much digging and scraping.the problem u had discussed arose basically due to food lodgment in between the teeth. Because of that cavity/caries (proximal) occurred in tooth... for which filling for first time in tooth was done few years back. If i m not wrong your problem of food lodgment in region was temporarily solved. And you missed your regular check up appointments. Now when your old filling/restoration got dislodged. The chipping of tooth indicates. That u had secondary caries(caries in tooth around the restored area).to treat the secondary caries the further digging/ removal of all carious part of tooth was done which was necessity. It might be possible that caries has infected your pulp/nerves of tooth. So you are still having pain in the region after temporary filling. This pain can go only by endodontic therapy or RCT of involved tooth.You’re gums need to be scaled/ clean properly now and if required periodontal surgery(minor) should be done to prevent food lodgment in region again. And proper oral hygiene including brushing, flossing, interdental aids, mouthwashes should be followed.with proper follow up in future appointments.