Gums are swollen and painful, and you are afraid to chew when eating, considering that it is due to apical periodontitis, endodontitis, wisdom tooth pericoronitis, etc. It can be dealt with by local treatment, systemic treatment and other measures.
1. Periapical periodontitis: inflammatory reaction in the root of the tooth and the surrounding tissues.
Local treatment: the pulp cavity can be opened for drainage, and the formation of submucosal abscess requires incision and drainage, and root canal treatment after the inflammation subsides.
Systemic treatment: oral ibuprofen, diclofenac sodium to relieve the symptoms of pain, along with metronidazole, cefadroxil anti-infection treatment.
2. Pulpitis: Most of them are caused by secondary deep caries.
Local treatment: remove food debris and softened dentin in the carious cavity, open the pulp to decompress and relieve pain, and carry out perfect root canal treatment.
Systemic treatment: with ibuprofen, celecoxib and other anti-inflammatory analgesic drugs.
3. Wisdom tooth pericoronitis: Inflammation of the tissues around the crown of the tooth caused by the process of wisdom tooth eruption.
Local treatment: after rinsing the blind pocket with saline, inject iodized glycerin, tincture of iodine and other drugs into the blind pocket, abscess formation can be incised and drained, and after the inflammation subsides, the wisdom tooth is issued.
Systemic treatment: Penicillin, metronidazole and other antibiotics can be used to fight infection.
It is recommended to go to the hospital for examination and treatment under the guidance of the doctor. The use of drugs need to follow the doctor’s prescription.