Patients with swollen gums that form a fleshy pile are usually suffering from periodontal abscesses or gingival tumors, which can be caused by a variety of conditions such as external irritation and cellular mutations. If it is a gingival tumor it is necessary to further differentiate the type and then take a targeted solution. Patients are advised to visit a hospital in a timely manner to clarify the cause and to treat it so that the symptoms do not continue to worsen.1. Periodontal abscess: If a patient has a periodontal abscess, it can be manifested as a swollen gum forming a fleshy heap, usually caused by factors such as periapicalitis, gingivitis, periodontitis, etc. It is mainly divided into acute periodontal abscess and chronic periodontal abscess. In case of acute periodontal abscess, it can be treated by incision and drainage. Further treatment with pain-relieving and anti-infective medication is also required under the guidance of a professional doctor. If it is a chronic periodontal abscess, periodontal surgery can be performed after oral cleaning treatment, mainly including abscess removal as well as flap surgery, and combined with the application of antibiotics such as penicillin and cephalosporins, which can prevent infection; 2. Gingival tumor: If the patient suffers from gingival tumor, it can also be manifested as swollen gums and the formation of a sarcoma, mainly divided into granuloma-type gingival tumor, fibroma-type gingival tumor, vascular-type gingival tumor, congenital gingival tumor, etc. If the patient has gestational gingival tumor and it does not subside after delivery, or if the patient has other gingival tumors, they need to be removed surgically and completely. Depending on the specific situation, the treatment should also be combined with subgingival scaling, removal of bad restorations, scraping of periodontal membrane, etc. to eliminate irritating factors to avoid recurrence.