Tooth swelling and pain preferred oral local treatment, combined with interstitial infection with systemic anti-inflammatory. Gingivitis or periodontitis can lead to swollen and painful gums, tartar or soft tartar stimulation around the teeth, red, swollen and bleeding gums. Removing local irritants through scaling and rinsing around the gums can effectively improve the symptoms. Inflammation of the dental nerve can also cause gingival swelling and pain, necrosis of the dental nerve pus gathered to the apical part of the root, through the mucous membrane to the outward discharge of pus, serious combined interstitial infections, in the dental treatment at the same time need to cooperate with the systemic anti-inflammatory, such as the use of amoxicillin, metronidazole and so on, in order to avoid causing serious complications. Gingival swelling and pain combined with facial swelling need to cooperate with systemic anti-infective treatment. A visit to the dentist or internist is required. All medications should be used as prescribed.