Gum swelling and pain can not open the mouth, may be caused by gingivitis, periodontitis, periapical periodontitis or wisdom teeth pericoronitis and other oral diseases, should cooperate with a professional doctor for medication, surgical treatment, and so on.
1. Gingivitis: If gingivitis leads to swollen and painful gums, you can apply antibiotic drugs, such as amoxicillin, cefaclor, cefuroxime, and so on, as well as vitamin C, vitamin A and so on. If the teeth have plaque and calculus, you can take the scaling procedure to remove them, and rinse your mouth with chlorhexidine gargle. If the teeth growth is obvious, you can take gingivectomy.
At the same time, but also under the guidance of a specialized doctor to take antibiotics, such as penicillin, cefaclor, cefuroxime, metronidazole and so on.
3. Periapical inflammation: If the periapical inflammation leads to swollen gums and pain and can’t open the mouth, in the acute stage, it is necessary to open the pulp drainage or incision and drainage of pus, and the main treatment is to take the root canal treatment or pulp hemodialysis reconstruction surgery, to retain the affected tooth, and if necessary, to extract the affected tooth, and cooperate with the professional doctor to take anti-inflammatory and pain-relieving medicines, such as metronidazole, cefixime, ibuprofen, and so on.
4. Wisdom tooth pericoronitis: Wisdom tooth pericoronitis may cause swelling and pain in the gums around the wisdom tooth, and in severe cases, it will invade the surrounding soft tissues, resulting in difficulty in opening the mouth, generally choose hydrogen peroxide, saline alternately rinse the blind pocket, at the same time, you can take metronidazole, cephalosporin and other antibiotics for anti-inflammatory, and after the elimination of inflammation, consider the removal of the wisdom tooth.
If the gums are swollen and painful and can not open the mouth, it is recommended to go to the regular hospital stomatology clinic as soon as possible, a clear diagnosis, timely and symptomatic treatment, the use of drugs need to follow the doctor’s instructions.