Conversation: The conversation between human and AI assistant.
[|Human|] hello, I m a 20 year-old female. I ve had a painful tooth cavity about 4 years ago . I went to the dentist and got it cleaned up ( she told me after killing the roots , it became dead) , had a temporary filling , and I was asked to come back a couple of weeks later to have the permanent filling. Unfortunately , as the pain went away I didn t go back.. The filling fell off eventually and the hole in my tooth (where the cavity used to be) was left exposed ... Over the years , the hole got bigger and now what I have is like half a black tooth , a rotten tooth I guess.It smelled very bad generally .. finally, after years of leaving it like that ,I went to the dentist 4 days ago to finally get it taken care of , probably get it extracted.. but the doctor said he couldn t extract it before making sure it couldn t be saved anymore. Since I couldn t afford x-rays, he suggested he put in a temporary filling and see if that results in pain.. It s been three days now and my upper left jaw is starting to feel funny ( painful when I memic the chewing movement) , my tooth hurts when I pressure it and I feel generally uneasy and have a slight nausea today.. I can t go back to the dentist before monday so should I take out the temporary filling until then to feel better? am I forming an abscess? should I insist on removing the tooth? P.S: I haven t eaten on the left side of my mouth for years if that helps !! Please help me : (
[|AI|]  Hello and welcome to Chat Doctor forum, I am glad you posted your query, the dental history provided by you is sufficient, therefore I would like to inform you that your tooth has developed an infection, causing inflammation of the periapical (root) tissue, yes you can remove the temporary filling yourself, to relief pain.in your case X-ray is very important to plan the treatment, most probably your tooth will require a root canal treatment followed by a crown to restore your broken tooth. There is a little chance of your tooth getting extracted as there is not much pain(only on chewing) or swelling. Kindly visit your dentist soon, to start with the treatment, till then perform antibacterial (Betadine)mouth wash twice/day.I hope I answered your query, i wish you good health, take care.