Swollen and painful gums generally can not be pierced, swollen and painful gums are mostly due to local inflammation of the gum tissue caused by the self-poke may lead to pathogens invasion and serious infections, damage to the health of the body. The patient to seek medical treatment, by the doctor for the cause of the scientific treatment measures. If the patient has swollen and painful gums, the first thing to do is to find out the cause of the disease, most often considered to be gingivitis, periapical periodontitis and other diseases. It is generally not recommended to poke the abscess, if not done properly, it may cause infection, leading to aggravation of the disease, which is not conducive to the recovery of the disease. Therefore, if it is caused by gingival abscess, you can use local cephalosporin and chlorhexidine mouthwash under the guidance of the doctor. For apical periodontitis, oral antibiotic drugs such as metronidazole, amoxicillin, etc. can be prescribed by the doctor. Gum abscess needs to be treated after the cause of the disease, can not be tied at home by themselves to break the shot, in order to avoid the spread of inflammation. If the patient has swollen and painful gums, should go to the regular hospital. Carry out relevant examinations, after the cause is clear, actively cooperate with the doctor to take relevant treatment measures.