Conversation: The conversation between human and AI assistant.
[|Human|] I have a bump above my right front tooth. It is pretty high up and when I push on it it shoots pain down the tooth but also up into my sinus area. My gums are not red nor is the bump, and it has been there for over a week. It is hard and does not feel like it has fluid in it. What could this be? It all started with tooth pain and sinus pain. I really am scared of dentists due to bad experiences but this has been causing migraines. Could this be a sinus infection? Cuz the tooth hurts but I can not locate a specific spot. I did have a filling on the tooth about 2 years ago and after the filling that tooth was extra sensitive to hot and cold.
[|AI|]  Thanks for your query, I have gone through your query. The bump on the gums could be because of the tooth infection or gum infection leading to periapical abscess or periapical cyst formation. Consult an oral physician and get a radiograph done to rule out the above said conditions. If it is an abscess then take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic) and treat the tooth with RCT or Extraction. If it is a cyst then treat the tooth with RCT or extraction with nucleation of the cyst. I hope my answer will help you, take care.