Gingivectomy vs Gingivoplasty
Babusahabpalya, Bengaluru Feb 9, 2017
Both Gingivectomy and Gingivoplasty, involve the surgical excision of gum tissue. While the former is defined as the excision of soft tissue wall of the pocket, the later is the recounting of the gingiva that has lost its physiological form rather than elimination of pockets.
Although both Gingivectomy and Gingivoplasty can be used independently or in conjunction, to treat both medical or cosmetic problems, they differ in terms of applications and causes. So the question arises, “What is the difference between Gingivectomy and Gingivoplasty?”
What is Gingivectomy?
Gingivectomy is the excision of the gingiva by removing the diseased pocket wall thereby exposing the surface of the tooth which provides the visibility and accessibility that are essential for the complete removal of the irritating surface deposits and thorough smoothening of the roots. The procedure is the total removal of the gingiva (gum) from in and around the tooth or teeth in order to treat the gum disease or to lengthen the height or width of the tooth or a section of teeth.
Gingivectomy is more likely to be done by a periodontist. The periodontist is a dentist with specialized training in the treatment of gums and gum conditions. It is necessary when the gums have pulled away from the teeth, creating deep pockets. The pocket makes it hard to clean away plaque.
Indications of Gingivectomy
Suprabony pocket: It is a periodontal pocket in which the bottom is coronal to the underlying bone
Fibrous enlargement: It is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems.
Crown lengthening: Crown lengthening is a procedure in which excess gum and bone tissue are reshaped to expose more of the natural tooth.
Perio Aesthetic: Perio aesthetic is an aesthetic crown lengthening can be a treatment option for patients with a 'gummy' smile.
Suprabony periodontal abscess: A periodontal abscess is a localized purulent infection of the periodontal tissues that can be a common finding in patients with moderate to severe chronic periodontitis.
Types of Gingivectomy
Gingivectomy by chemosurgery
Gingivectomy by Electrosurgery
Gingivectomy by cryosurgery
Gingivectomy by laser
Treatment for Gingivectomy
Surgeries are performed with a surgical scalpel; however, in some cases, a laser with low-frequency may be used instead. The diseased tissue is then trimmed and removed, and the remaining gums are reattached in and around the teeth by sutures. The area is then cleaned with saline and special rinses. A local anaesthetic is generally used to keep the patient comfortable during the entire procedure.
After the completion of the procedure, a surgical dressing is done, or the pack is placed in and around the gums and teeth. This dressing is left in the place for about a week.
You may experience some jaw pain, or your gums may also bleed for some days initially, so it is preferred to apply cold compresses on the cheeks to soothe the pain. Swishing with an antibacterial mouthwash can also help in the healing process. Antibiotics are used to prevent any kind of gum infections.
Most patients can return to a normal oral care regimen in less than or about a month after the procedure.
What is Gingivoplasty?
Gingivoplasty is a method reshaping of the gingiva to create physiological gingival contours with the sole purpose of recontouring the gingiva in the absence of pockets.
It is a surgical reshaping of gum tissue around the teeth.
Gingivoplasty is often is done to make gums look better in cases where they may have an unusual shape or may not be formed normally. It is used to correct the deformities in the gingiva that interfere with normal food excretion, collect irritating plaque and aggravates the disease process. The deformities are:
Gingival clefts and crater.
Shelf-like interdental paila caused by acute necrotizing ulcerative gingivitis and
Causes for gingivoplasty
The causes for gingivoplasty can include a person’s genes, disease or trauma. It can also be done along with a gum graft. This type of surgery adds tissue to the gum line. Gum is removed and further reshaped from around the top of the teeth to make it appear longer and more regularly shaped.
Treatment for Gingivoplasty
Gingivoplasty procedure is usually done with local anaesthetics. There are generally three steps to follow:
First, a periodontal probe is used to measure and mark pocket depth, followed by marking of the bevelled incision with a scalpel blade or laser. By laser, the gum tissues present in excess are cut. The irregularities are reshaped, and the unattractive gums are contoured. The laser equipment is also used to minimize the bleeding, and finally, the end result of the procedure finishes when the scalloped border of the normal gingival that has been recreated.
The healing after gingivoplasty is quite quick. Plaque control is required for healing, so brushing your teeth every day is recommended to avoid any kind of stray debris and bacteria that could cause irritation or infection.
However, amongst them both, Gingivoplasty is a less common treatment for gum disease. It may be done if your gums are affected by any kind of genetic condition or as part of other dental procedures performed to restore tooth and gum function, especially as you begin to lose gum definition and teeth over time.
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