Swollen and painful gums may be wisdom teeth pericoronitis, periodontal abscess, chronic periapical inflammation and other conditions, usually diet and medication can not be cured, need to remove wisdom teeth, periodontal sequence treatment and root canal treatment.
Gum swelling and pain of the “fire”, because many people think it is caused by fire. However, from the point of view of dentistry, swollen and painful gums are caused by a variety of reasons and need to be treated for the disease in order to be effective. Common conditions are as follows.
1. Wisdom tooth pericoronitis: due to the wisdom tooth obstruction, resulting in covering the upper part of the gums due to food blockage, bacterial concentration leading to inflammation. In the acute stage, cephalosporin antibiotics and nitroimidazole antibiotics can be taken orally to control the inflammation, and the wisdom teeth can be extracted after the symptoms are relieved.
2. Periodontal abscess: Due to the resorption of alveolar bone, the bacteria in the periodontal pockets gather and become inflamed, thus forming an abscess. Cephalosporin antibiotics, such as cefaclor and cefuroxime, combined with nitroimidazole antibiotics such as metronidazole, can also be used in the acute stage to control the inflammation, and then periodontal sequential treatment can be carried out after the symptoms are relieved, and if they can’t be retained, they can be extracted.
3. Chronic apical periodontitis: mainly the inflammation of the tooth, spread to the apical part of the root, in the apical part of the gums to form a fistula-like drainage channel, resulting in chewing pain with gingival swelling and pain phenomenon. Root canal treatment is needed to remove the infected pulp before cure.
It is recommended that patients with swollen and painful gums go to a regular hospital stomatology department for consultation. According to the history and symptoms to clarify the disease and symptomatic treatment.