Itchy and painful gums may be related to gingivitis, periapical periodontitis, periodontitis, etc. The causes are different and the treatment methods are different, you should go to the hospital stomatology department in a timely manner, by the doctor through the oral examination, and according to the specific circumstances of the targeted treatment, including general treatment, medication, surgical treatment and so on. Gingivitis can lead to gum congestion and swelling, resulting in symptoms of itchy and painful gums. In patients with more severe inflammation, topical hydrogen peroxide, chlorhexidine and other medications can be used for local rinsing. At the same time, plaque and tartar can be removed by scaling and oral hygiene can be maintained. In the case of apical periodontitis, the inflammation can break through the bone wall, causing gum swelling, itching, pain and other symptoms, serious cause of tooth loosening, abscess formation needs to be incised and drained, while root canal treatment. Itchy and painful gums caused by periodontitis can also be accompanied by gum edema and pus overflow. Need periodontal systemic treatment, at the same time can follow the doctor’s prescription of local use of minocycline gel, chlorhexidine acetate solution, etc., and follow the doctor’s prescription of the systematic use of metronidazole, amoxicillin and other antibiotics, in order to destroy the pathogenic bacteria. In severe cases, the condition can also be treated by surgical procedures such as tooth extraction and dental implantation. Patients with itchy and painful gums should seek timely medical attention and standardized treatment according to the cause of the disease, and should not blindly use a certain toothpaste, mouthwash, or prescription to control it.