Conversation: The conversation between human and AI assistant.
[|Human|] hi- i had a filling that had fallen out about 2 years ago- i did not get it refilled- food was going into the gap but was washing out often. Now that i have started to use all in one mouth wash including protection from bacteria, i have got a big lump that has came out from the side on my gum, just by the side of were the filling was, before the last tooth on the upper jaw. The lump is touching with my tongue when i speak and swallowing food causing pain.Could you please advice- i am registered with Pru Health private mediacl scheme too- but not dental service on it.
[|AI|]  Hello there, According to your history I can suspect your tooth has undergone infection since the cavity was not filled and such a cavity in the tooth exposes the dentin to oral environment and food lodgment in the area leads to bacterial infection. The infection in the tooth has gone worse due to its spread to the underlying tissues that have lead to formation of lump like growth or a pus pocket.  The symptoms of pain and swelling needs to be subsided by a course of antibiotic and analgesics before starting treatment.  The infected tooth can be treated by root canal procedure to devitalize it permanently and save the tooth or of the prognosis is poor the tooth can be extracted.  Get an x-ray done the affected area and approach a dentist for the treatment.  Meantime you can start with antibiotic augmenting 625 mg with analgesics two times daily, this helps in subsiding the swelling and pain.  I hope this helps, take care.