Toothache and swollen gums may be due to wisdom teeth pericoronitis, gingivitis, apical periodontitis and other diseases, need to take medication, surgical treatment for the cause of the disease. 1. Wisdom tooth pericoronitis: common symptoms include toothache and swollen gums. Patients need to use saline, 1:5000 potassium permanganate solution for rinsing under the guidance of the doctor. If there is anaerobic infection, need to follow the doctor’s instructions to use metronidazole, clindamycin and other antibacterial drugs. If an abscess is present, an abscessotomy is required. If there is malposition, no space eruption, etc., then need to consider the wisdom tooth extraction. 2. Gingivitis: toothache and gum swelling are typical symptoms of this disease. Patients need to follow the doctor’s instructions to use 1% ~ 3% hydrogen peroxide solution rinsing and gingival scraping, if necessary, need to follow the doctor’s instructions to use 0.12% ~ 0.2% chlorhexidine and other antibacterial rinses. For severe recession after the existence of gingival form can not be restored, it is necessary to consider the gingivoplasty. 3. Apical periodontitis: mainly manifested as tooth pain, gum swelling. When the inflammation is obvious, patients need to follow the doctor’s instructions to use ceftriaxone, amoxicillin and other antibiotics, as well as painkillers, such as ibuprofen, acetaminophen and so on. Patients will also need to cooperate with their doctor in performing root canal procedures, or if that is not effective, micro apical surgery or intentional reimplantation. It is recommended that patients with toothache and swollen gums go to the hospital for a consultation to determine the specific cause of the problem and then cooperate with the doctor for active treatment and medication.