Swollen and painful teeth and gums may be caused by diseases such as gingivitis, apical periodontitis, wisdom teeth pericoronitis, etc. Local treatment and systemic treatment can be taken.
1. Gingivitis: Most of them are due to the stimulation of plaque, calculus, food residues, etc., which can also lead to swollen and painful teeth and gums.
It can be treated by dental scaling, which can effectively remove plaque, calculus and soft tartar. If the pain is severe, take ibuprofen and diclofenac sodium to relieve the symptoms.
2. Periapical periodontitis: It is caused by the inflammatory reaction of the tissues around the root tip of the tooth, resulting in the swelling and pain of the gums of the tooth.
Local treatment can be taken to open the pulp cavity drainage; the formation of subperiosteal abscess, can be incised and drained; acute symptoms are relieved to take root canal treatment; systemic treatment can be taken orally or intravenously using cephalosporin, metronidazole and other antibiotic treatment.
3. Wisdom tooth pericoronitis: Wisdom teeth in the process of eruption caused by the crown and gums of the inflammatory reaction, can also lead to teeth and gums swelling and pain.
Local treatment can first use saline, potassium permanganate, etc., to rinse the blind pocket to the blind pocket after the injection of tincture of iodine, iodine glycerin and other drugs; abscess formation needs to be incised and drained, after the inflammation subsides, remove the wisdom teeth; inflammation can be used orally or intravenously during the acute stage of cephalosporin, metronidazole and other drugs.
Tooth and gum swelling and pain, you need to go to the hospital to check the cause of the disease, drugs need to be used under the guidance of a doctor.