Conversation: The conversation between human and AI assistant.
[|Human|] Hello,Three years ago; I had my wisdom teeth removed. I bled a lot and it was extremely painful for weeks. The surgeon had difficulties extracting them as they were big and werent growing in the right direction (too big for my mouth) some of my teeth began moving, re-adjusting into my mouth, creating a gap between two of the top back teeth whereas I lost the temporary bandage I had on the bottom back teeth. I had a check up a year or so later and everything was fine. But then, my jaw began making incredibly loud noises when I chewed, opened my mouth and often began to crack while the side would hurt a little but nothing major. I never had any real pain, just mainly my jaw cracking and making noises. Later again, my tooth began being more sensitive to cold, showing a deep hole where the bandage used to be. Until recently, the side of the tooth seemed to have weakened, being loose. One evening, I ran my tongue over it and it fell into my mouth. I didnt bleed, it didnt hurt or anything. The inside was a little darkened and the piece that broke wasnt big, shorter than a pinky nail. Now, it hurts a little and I looked into the mirror and the inside of the tooth is gone, leaving my flesh/gum bare... I think it is the sensation of having no tooth when I move my tongue or it being exposed like that that hurts, but it goes through phases... Sometimes it will, sometimes it wont. How can I stop it from being like this? It brings me more discomfort than pain, as if something was stuck when it isnt. I live in the country side and my car broke down, leaving me unable to travel far. The dentist near my house cant give me an appointment until mid-August... will it be okay until then? I feel it is already partially late but I have tried many times to get dentist appointments and with life getting in the way and all the waiting for appointments, moving out, exams, it was simply impossible. Could the tooth breaking be a result of it getting damaged when I got my wisdom teeth removed? Is it possible to fix the tooth so I can not lose it as it is my second molar. I know it may sound silly but I am really scared and one of my fears is to lose my teeth. Thanks for your kind response.
[|AI|]  Hi. Welcome to Chat Doctor. I have gone through your query and can understand your health concerns. As per your explanation I have come to a conclusion that the second molar which is bothering you got fractured not due to any trauma but due to loss of bandage[filling] and infection leading to caries due to which the tooth got weakened and a part of it has got broken. Due to fracture of the tooth the inner portion of the tooth that is the inner dentin is exposed and the central portion of the tooth that is PULP which contains nerves and blood vessels has got a thinner covering on it now, so whenever you eat or Chat Doctor. . As per the symptoms I can evaluate that the tooth can be saved, but it needs treatment and consulting a dentist is needed. The dentist will take an x-ray and evaluate the condition of the tooth. In case if the Pup is not exposed and there is a considerable layer of dentin over the pulp then filling of the tooth with a permanent filling material followed by Capping of the tooth is the treatment to be done. In case if the pulp is exposed then the Root Canal Treatment has to be done and then the tooth has to be capped after 15 to 2O days. As of now if there is pain you can take Advil [Ibuprofen]. You should not wait and get appointment with a dentist soon as more the time will go off more will be the decay and there are chances that the tooth can fracture completely as well as there can be an outbreak of severe pain. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards.