Toothache face is painful and swollen may be periodontal abscess, alveolar abscess, gap infection and other causes, mainly through drug treatment and surgical treatment and so on. 1. Periodontal abscess: anti-inflammatory treatment with antibiotics, such as cephalosporin, penicillin, etc. This kind of drug is not recommended for long-term application. If the pain is severe, non-steroidal drugs such as ibuprofen extended-release tablets and aspirin can be taken. If necessary, surgical drainage can be taken. 2. Alveolar abscess: Metronidazole, cephalosporin and other drugs can be applied to reduce inflammation and relieve pain. If drug treatment is not effective, surgical treatment can be taken to open the pulp drainage, abscess incision and drainage. 3. Maxillofacial gap infection: surgical incision and drainage, daily dressing change, and anti-inflammatory treatment, such as cephalosporin, metronidazole and so on. In addition to the above reasons, periapical infections can also cause the above symptoms. It is recommended to go to the hospital in time to identify the cause of the disease and carry out regular treatment. The above medications should be used under the guidance of a doctor, avoid self-medication, if to avoid adverse reactions.