instruction: hi doctor I have a severe toothache that prevents me from sleeping and eating and there is a big hole in my teeth I am currently using tylenol
output: hi thanks for describing your dental pain it clearly indicates that the tooth is visibly decayed and gone deeper to involve the nerves and blood vessels of that particular tooth ideally there will be sensitivity if the first two layers of the tooth are affected enamel and denting if the third layer pulp is involved and further the bugs percolate inside the length of the teeth then the symptoms you feel would be there now the situation looks like you must visit a nearby dentist for either root canal treatment or extraction depending on your preference the steps involved would be an ray first to check the shape of the roots of the tooth two or three roots if it is a molar tooth you sound like an emergency please visit the hospital or ring the dental practices who attend patients with an emergency during the couid 19 times also adding that pain killers will not help you come out of this for not more than three hours I highly recommend you to visit the dentist closely