Gum swelling and pain in the large groove teeth may be caused by wisdom teeth pericoronitis, periodontitis, gingivitis and other diseases, patients can take medication, surgical treatment. 1. Wisdom tooth pericoronitis: for the wisdom tooth pericoronitis caused by swollen and painful gums in the large groove teeth, the patient can take metronidazole capsules orally under the guidance of the doctor, which is the first choice of medicine for the treatment of this disease, and it can play a role in relieving the effect of inflammation. In addition, patients can take surgical treatment after the swelling is reduced, such as incision and drainage, wisdom tooth extraction and other surgical methods. 2. Periodontitis: periodontitis can also lead to the phenomenon of swollen and painful gums of the teeth, patients need to carry out systematic periodontal treatment, such as cleaning, scraping, etc. to remove the irritating factors, you can follow the doctor’s instructions oral metronidazole, amoxicillin and other drugs. 3. Gingivitis: gingivitis caused by the large groove teeth gum swelling and pain, the patient can follow the doctor’s instructions to use the compound borax gargle, compound chlorhexidine gargle and other antibacterial effect of the gargle solution. If the patient’s gum shape does not return to normal after the swelling and pain disappears, the patient can take gingivoplasty for restoration. When the patient has the symptom of the large alveolar tooth gum swelling and pain, should consult the doctor in time, follow the doctor’s instructions for treatment, the use of drugs need to follow the doctor’s instructions.