Gums are swollen and painful and can not sleep may be periodontitis, periapical periodontitis and other diseases caused by the cause of the need to take medication, surgical treatment and other ways. 1. Periodontitis: Gums are swollen and painful, and sleeplessness may be caused by periodontitis. Patients can seek medical treatment for cleaning and scraping to remove tartar, plaque and other local irritants, relieve periodontitis after the pain will disappear. 2. apical periodontitis: swollen gums can not sleep is also considered to be due to apical periodontitis, patients can follow the doctor’s instructions oral pain medication, such as ibuprofen, celecoxib, or oral antibiotic drugs, such as metronidazole, cefuroxime, and so on. At the same time, it is necessary to seek medical treatment in time for root canal treatment to solve the problem of toothache. There are many reasons that lead to swollen and painful gums and can not sleep, it is recommended that patients go to the hospital in time to identify the cause of the disease and receive treatment.