Conversation: The conversation between human and AI assistant.
[|Human|] I am scared that I may have Oral Cancer? Hey. I am 16 years old and i am a smoker. I have been smoking for about 4 or 5 years now. I got arrested for Auto Burglaries almost 3 years ago. I was locked up for 2 years. In Jail, they gave me a tiny toothbrush, with really cheap toothpaste * it was clear and said Maximum Security and had no flavor at all and did not foam up when i was brushing* The guards would only let you brush your teeth Once a day at 9:00 P.M. They also did not let you floss, or use mouthwash . Sense ive been out, i kind of kept to the jail rutine. I got use to brushing once a day *With Colgate* and leaving it at that. I have ADHD and servier Axiety. I grind my teeth ALOT at night and also like practicually chew my gums. I just do it without thinking about it. About 2 days ago, when i was brushing my teeth, i noticed blackish patches . One on each side of my cheeks. There was also the ripped skin from were i bite my cheeks. But i also noticed that on my first front two bottom teeth, in the gumlines, there was some blackness there too. I did a full oral exam, and i have in atleast 3 different spots in my gums. And on the back of my bottom teeth, right before the gum line, its almost like crusty. When i was researching Oral Cancer, these were some symptoms. I would love to just goto a dentists, but i live in a small town and the closiest Dentiest Office is 4 and a half hours away.I am really scared that this is Cancer. I havent ever had any fillings so it is not that Tattoe thing. The symptoms also matched Gingervital *And Gingervitas*. Oh yea, and also i have ruff patch on my left cheek. Please help me out guys! I am 16 years old and SCARED! You: I am scared that I may have Oral Cancer? Hey. I am 16 years old and i am a smoker. I have been smoking for about 4 or 5 years now. I got arrested for Auto Burglaries almost 3 years ago. I was locked up for 2 years. In Jail, they gave me a tiny toothbrush, with really cheap toothpaste * it was clear and said Maximum Security and had no flavor at all and did not foam up when i was brushing* The guards would only let you brush your teeth Once a day at 9:00 P.M. They also did not let you floss, or use mouthwash. Sense ive been out, i kind of kept to the jail rutine. I got use to brushing once a day *With Colgate* and leaving it at that. I have ADHD and servier Axiety. I grind my teeth ALOT at night and also like practicually chew my gums. I just do it without thinking about it. About 2 days ago, when i was brushing my teeth, i noticed blackish patches. One on each side of my cheeks. There was also the ripped skin from were i bite my cheeks. But i also noticed that on my first front two bottom teeth, in the gumlines, there was some blackness there too. I did a full oral exam, and i have in atleast 3 different spots in my gums. And on the back of my bottom teeth, right before the gum line, its almost like crusty. When i was researching Oral Cancer, these were some symptoms. I would love to just goto a dentists, but i live in a small town and the closiest Dentiest Office is 4 and a half hours away.I am really scared that this is Cancer. I havent ever had any fillings so it is not that Tattoe thing. The symptoms also matched Gingervital *And Gingervitas*. Oh yea, and also i have ruff patch on my left cheek. Please help me out guys! I am 16 years old and SCARED!
[|AI|]  The lesions that you have described do not appear to be cancerous. However, they appear to be the early changes that occur in smokers before they develop cancer. These black patches are called melanoplakia. The crusting can be because of an infection. If you have an ulcer or white or red patch anywhere in the mouth then you need to immediately consult a cancer specialist no matter how far away he is. You also need to quit smoking otherwise the chances of you developing cancer in the future are quite high. At present I would advise you to take Tab. Ciprofloxacin 500 mg, Tab Fluconazole 150 mg and a multivitamin, all twice daily for 15 days. If the crusting is still there then consult your doctor.