Conversation: The conversation between human and AI assistant.
[|Human|] I AM WORRIED ABOUT MY LAST LOWER JAW WISDOM TOOTH. THERE IS A CAVITY SINCE 2011, I DO NOT HAVE ANY PROBLEM THERE RIGHT NOW BUT VERY NEXT TOOTH OF LOWER RIGHT JAW HAS BROKEN AND IF THERE IS COLD I FEEL TOOTH PAIN AND ANOTHER PROBLEM IS THERE THERE IS A SWELLING IN THE GUM. I AM TAKING AMCLAID 625 TWICE A DAY. BUT THE SWELLING IS NOT GOING. IS IT NECESSARY TO ERADICATE THE TOOTH. IF I KEEP IT - IS THERE ANY PROBLEM? PLEASE INTIMATE ME WHAT ELSE I DO OR WHAT MEDICINE I CAN CONTINUE TO STOP SWELLING.
[|AI|]  Hello and welcome to Chat Doctor, The history that you have given suggests that you are having caries in your tooth which lies adjacent to the wisdom tooth. Cold feeling in the tooth is indicative of caries in the tooth. Associated swelling is secondary to the caries in the tooth. Since, the selling is secondary to the swelling, treatment of the underlying disease process is necessary to eliminate the swelling. You can take painkillers and saline gargles for symptomatic relief. However, these measures will provide relief for some time only. Permanent relief requires treatment of the caries tooth. You need to consult your dentist soon. A clinical examination is required to determine whether the tooth can be salvaged or not. Root canal treatment (RCT) is a technique which can salvage teeth in advanced stages also. If the wisdom tooth is also carious, management of that tooth is also needed. So, consult your dentist at the earliest for fast relief. Thanks and take care Chat Doctor.