Gingivectomy
Definition: a periodontal procedure that removes any excess of the gingiva (gum tissue), and gets rid of pockets. Pockets form when the gum is pulled away from the tooth it surrounds, making it difficult for the plaque to be removed, and are usually the result of poor oral hygiene. This creates suitable conditions for the growth of plaque-producing bacteria, which causes gingivitis (inflammation of the gingiva) over time. The progression of gingivitis eventually affects the bone structures that support the teeth, leading to periodontitis, which may eventually cause tooth loss. If needed, the periodontist may perform gingivoplasty (surgical reshaping of gum tissue).
How does it work?
The doctor injects the gum with local anesthetic, numbing it, and then removes the excess gum tissue with a laser (the most used technique). There are also other techniques such as:
● Surgical gingivectomy - performing the procedure with a scalpel blade;
● Electrosurgery - performing the procedure with an electric blade;
● Chemosurgery - performing the procedure with the use of a cotton saturated in paraformaldehyde that will cause tissue coagulation.
The procedure ends by cleaning the tartar from the teeth produced by the plaque.
What are the risks?
● Infection of the gum tissue;
● Unsuccessful procedure;
● Allergic reaction to the anesthetic;
How to prepare for the procedure?
There is no specific thing to be done before the procedure other than brushing your teeth.
How long does the procedure take?
Usually, one visit is meant for one quadrant of your teeth, so you will need approximately 3-4 appointments to get it done.
How to recover after the procedure?
After the procedure, the doctor might put a putty over your gums to protect them until they heal. Your gums will recover completely in a couple of days or a week. Maintain proper oral hygiene to prevent gum infection.
For those interested in Gingivectomy, review the Dental Treatment Packages offered by clinics on our platform.
Our articles on Flap with Bone Graft and Gum Contouring offer more insights into similar periodontal procedures.