Generally, in pulpitis or apical inflammation, spontaneous pain will occur and will be aggravated at night. The following points are recommended: i. If it is pulpitis, you can contain cold water, which will cause vasoconstriction, reduce the edema of the pulp tissue, and reduce the pain. The pain can be relieved by massaging the buccal point or acupuncture the buccal point. However, the most important thing is to go to the dentistry department for open pulp drainage in order to solve the pain problem completely. Second, periapical inflammation. The inflammation is located in the periapical tissue, so it is recommended to take oral antibiotics, mainly cephalosporin antibiotics, with metronidazole drugs, which can control the growth of anaerobic bacteria around the root tip, and can massage or needle prick the buccal car point. The next day as early as possible to the regular hospital stomatology department, root canal treatment.