When you have a toothache and face swelling, you must find out the cause of the toothache, if you can not find out the cause of the disease, it is difficult to achieve the effect of swelling. 1. Acute attack of periapical periodontitis is often accompanied by toothache and facial swelling, at this time you need to consult a doctor, professional root canal treatment to remove the lesions at the root tip, under the guidance of specialists with the use of anti-inflammatory drugs such as metronidazole. 2. Periodontal abscess can also cause facial swelling, the acute stage needs to carry out local rinsing and medicine, and actively carry out anti-infective treatment, and then in the remission of the disease, the whole mouth periodontal disease treatment. 3. Wisdom tooth pericoronitis is the inflammation of the gums around the incompletely erupted third molar, this disease caused by toothache and swelling of the face, need to be in the acute phase of anti-infective treatment, such as local rinsing and medication, oral cephalosporin under the guidance of the doctor, metronidazole and other medications, if recurrent episodes, should be in the remission of the disease will be extracted wisdom teeth. Therefore, if there is a toothache and swelling of the face, you should consult a doctor in time.