Conversation: The conversation between human and AI assistant.
[|Human|] i am 18 years old and used smokeless tobacco frequently. My lower gum on the right side started to recede causing pain in those teeth and that area. Between the two teeth there were 2 tiny black spots tht have disappeared. saw a GP nd said it was fine just a small infection i quit  have been using a new tooth paste nd OTC mouthwash that has peroxide in it for about 5 days. Now suddenly my top left gum began to hurt yesterday way in the back of my mouth. There is a black spot on my upper tooth on the last molar however the pain starts at the tooth before and continue to the first tooth in front of the molars. My gum has a texture, is inflamed, and feels very warm. the pain seems to be in the upper gums.
[|AI|]  Hello, Thanks for consulting Chat Doctor Read your query, as you have pain in tooth having black spot this can be due to your tooth is carious causing pain and gums are receding due to gingival inflammation may be due to improper oral hygiene, deposition of sublingual calculus causing gingival recession don't be worried I will advise you to consult your dentist and go for examination of tooth with black spot and if needed go for Iowa X-ray of tooth if it is deep carious discuss with your dentist and go for Root canal treatment, and for gingival recession you should go for scaling and root planing. In meantime do warm saline gargle, for pain you can take analgesic like Painted or Diploma by consulting with your doctor and go for its treatment as early as possible. Hope this will help you. Wishing you good health.