The last swollen and painful gums can be relieved by medication, and if accompanied by abscesses, it is also necessary to be treated by surgery. 1. Medication: If the swollen and painful gums are caused by gingivitis, accompanied by difficulty in opening the mouth, headache and other symptoms, you can use amoxicillin tablets, ibuprofen tablets and other medications under the guidance of a professional doctor for treatment, and also need to carry out cleaning to remove plaque, calculus and other irritating factors. 2. Surgery: If the gums are swollen and painful with abscesses, you need to go to the regular hospital to make incision and drainage through surgery to discharge the pus, which can play a more effective therapeutic effect. It is recommended that patients pay attention to oral hygiene, brush their teeth every day, rinse their mouths after eating, and use medication as prescribed by the doctor.