Left gum swelling and pain may be periodontitis, apical periodontitis, wisdom tooth pericoronitis and other diseases, need to take general measures, medication, surgical treatment for the cause of the disease.
1. Periodontitis: common symptoms are red, swollen and painful gums. Patients need to cooperate with the doctor to take subgingival scraping or supragingival scaling to remove calculus, severe symptoms need to comply with the doctor’s instructions to use tetracycline, doxycycline, amoxicillin and other antibiotics, the doctor will be based on the causative organisms for the patient to choose the appropriate drugs. Topical chlorhexidine acetate solution is also required.
For the serious condition, the basic treatment is ineffective patients, then need to take surgical treatment, such as flap surgery, bone grafting and so on.
2. Apical periodontitis: the main manifestation of the apical part of the gum swelling and pain, for the gum swelling and pain is obvious, in the acute stage of the patient, need to comply with the doctor’s instructions for the use of metronidazole, ceftriaxone and other antibiotics, as well as ibuprofen, acetaminophen and other painkillers, and at the same time, need to be taken to take open the pulp drainage operation, if the pus has already been taken to take incision and drainage of pus operation. Surgical treatments such as root canal therapy are also needed.
3. Wisdom tooth pericoronitis: the typical symptoms are swelling and pain in the area behind the tooth. Patients need to follow the doctor’s instructions to use saline, 1% ~ 3% hydrogen peroxide solution to rinse the blind pocket, the use of cotrimoxazole gargle, cotrimoxazole lysozyme and other gargles.
Patients in the acute stage need to use antibiotics such as clindamycin and metronidazole, and those with severe pain need to use painkillers such as ibuprofen. In the chronic stage, surgical treatment such as wisdom tooth extraction or pericoronary gingivectomy can be considered.
It is recommended that people with left gum swelling and pain go to the hospital, complete the relevant examinations, and actively treat the primary disease.