Conversation: The conversation between human and AI assistant.
[|Human|] I have a tooth (molar) that was fix, but apparently there was a lot of room for food to get stack so I can never seem to clean it good even with floss. I started feeling pain yesterday, I was able to get some food cough up in there but it just kept hurting. Today I look in the mirror and saw that the gums around that tooth are full of white little patches and is still hurting I clean the area with cotton and I was left with all this small blood red looking wholes. What can I do?
[|AI|]  Hello, I tell my patients that if you can keep your wisdom teeth clean and if they function as a pair, they should not be extracted. You describe an area that is constantly difficult to clean and now is infected. Continue to clean the area and rinse vigorously with warm salt water. Remove any debris from around the tooth. Interdental cleaners and a water pic may be helpful to flush the area successfully. It will not feel better immediately. Use a chlorhexdine gluconate or a Betadine rinse if available. Take anti-inflammatory medication such as Motrin or Tylenol. If swelling increases, you will need to have your dentist curettage the area under local anesthesia and take a prescribed antibiotic. This may reoccur and become a chronic condition best treated with an extraction. If the tissue does not improve, your dentist may need to prescribe medication and determine if the condition is due to a fungal, bacterial or viral condition. Did you bite the gum area while numb after the filling was completed? Is any of the filling missing? Deep fillings can be sensitive or need evaluation for an abscess by your dentist. I recommend a return visit to check for these conditions. Thank you for your inquiry. I hope that you feel better soon