What is gingivectomy?

Gingivectomy is a surgical procedure that removes overgrown gum tissue (gingiva). Periodontists specializing in gum health use this technique to treat certain types of periodontal disease. Additionally, gingivectomy is a popular cosmetic dentistry procedure to fix a gummy smile.

A gingivectomy may be suitable for you if you have:

  • Gingivitis
  • Periodontitis
  • Periodontal pockets (areas where your gums have receded from your teeth)
  • Braces or other orthodontic devices
  • Tooth malposition (where the position of your tooth leads to excess gum tissue)

Inform your healthcare provider if you notice puffy or overgrown gums after starting a new medication. They may be able to adjust your medication or dosage.

 

Preparing for a Gingivectomy

Your periodontist will explain what to expect before the gingivectomy. Generally, no special preparations are needed. If you choose sedation, please bring a trusted family member or friend to drive you to and from the appointment.

During the Procedure

Here's what typically happens during a gingivectomy:

  1. Anesthesia: Your dentist will use medication to numb your gums. If you're receiving sedation, additional medications will help you relax.
  2. Tissue Removal: A scalpel or laser will remove excess gum tissue.
  3. Gum Reshaping: The remaining gum tissue will be reshaped to ensure its proportionate to your teeth.
  4. Bone Reshaping: If necessary, the dentist may reshape the underlying bone with tiny incisions.
  5. Stitches: Stitches may be used to close incisions, though this may not be needed if a laser is used.
  6. Dressing: A soft putty may be placed over the surgical area for protection and typically falls out on its own.

Duration

Most gingivectomies take between 30 and 60 minutes, depending on the number of teeth involved.

Post-Procedure Expectations

You can go home the same day, and your surgeon will provide post-operative care instructions.

Benefits

Gingivectomy can:

  • Remove excess gum tissue
  • Correct a "gummy smile."
  • Reduce harmful bacteria
  • Decrease periodontal pockets
  • Improve oral hygiene
Risks

Common side effects include:

  • Bleeding
  • Mild discomfort
  • Swelling
  • Bruising
  • Tooth Sensitivity
Recovery and Aftercare
  • Keep the surgical area clean, brushing gently.
  • Take prescribed medications as directed.
  • Use an ice pack to reduce swelling.
  • Stick to soft foods for at least a week.
  • Avoid touching the surgical area.
Returning to Activities

Most people can return to work or school within a day or two but avoid strenuous activities for at least 48 hours.

Eating After the Procedure

You can eat after the procedure but wait until the anesthesia wears off. Start with soft foods and then introduce solids as you feel comfortable.

When to Call Your Dentist

Contact your surgeon if you experience:

  • Uncontrolled bleeding
  • Pus or drainage from the surgical site
  • Persistent pain despite medication.
Conclusion

Gingivectomy can effectively treat gum disease and improve the appearance of a "gummy smile." Consult a dentist at PrimeCare Family Dental to determine if this procedure is correct for you.