The inflammation and swelling of the gums at the end of the big teeth is considered to be caused by apical periodontitis, gingivitis, wisdom tooth pericoronitis, etc., which needs to be treated with medication or surgery according to the cause of the disease. 1. Apical periodontitis: If the end of the big teeth apical periodontitis can also lead to inflammation and pain in the gums, then you can follow the doctor’s instructions with cefuroxime, amoxicillin and other antibiotics. Some patients can also take apicoectomy, apical scaling, endodontics, endodontic surgery, endodontic blood flow reconstruction and other ways of treatment. 2. Gingivitis: inflammation and swelling of the gums at the end of the large teeth may also be caused by gingivitis, it is recommended that patients can use 1% hydrogen peroxide solution, potassium iodide solution and other solutions to rinse the gingival sulcus. If the patient’s gingival fibrous hyperplasia is obvious, it is necessary to take gingivoplasty treatment. 3. Wisdom tooth pericoronitis: Swelling and pain caused by wisdom tooth pericoronitis need to follow the doctor’s instructions with povidone-iodine mouthwash, compound chlorhexidine gargle and other gargle solution. For anaerobic bacteria caused by the support of pericoronitis need to be under the guidance of the doctor with metronidazole, clindamycin and other antibiotics. In addition, patients can be treated with incision and drainage, pericoronary gingivectomy, and wisdom tooth extraction. It is recommended that patients who experience inflammation and swelling of the gums at the end of the large teeth need to seek medical attention, and the doctor will treat them after clarifying the cause.