There are many causes of swollen and painful gums, different causes of swollen and painful gums treatment program is not the same, the main treatment options are incision and drainage, medication and root canal treatment. 1. Incision and drainage: Gums swollen and painful due to periodontal abscess, alveolar abscess, etc., can be rinsed locally with medication, and if there is pus formation, incision and drainage is needed to rinse and drain the pus. 2. Medication: Swollen and painful gums can be treated with antibiotics as prescribed by the doctor, such as cephalosporin capsules, metronidazole, etc., which can usually be cured. 3. Root canal treatment: If it is pulpitis, apical periodontitis and other dental diseases caused by swollen gums, the general drug treatment can not play a significant role, the need for root canal treatment to remove inflammatory substances, can play an effective role in swollen gums. It is recommended to go to the regular hospital by the oral specialist to clarify the causes of swollen gums, under the guidance of the doctor for medication and treatment.