- by Dr Kalpana Raje
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- Dec 18 2017
What is Gingivectomy and Gingivoplasty?
The procedure is the total removal of the gingiva (gum) from in and around a tooth or teeth in order to treat gum disease or to lengthen the height or width of a toot or a section of teeth. The procedure 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.
Surgeries are completed with a surgical scalpel, however, in some instances, a low-frequency laser may be employed instead. The diseased tissue is trimmed and removed, the remaining gums are reattached in and around the teeth by sutures, and the area is cleaned with saline and special rinses. A local anaesthetic is used to keep the patient comfortable during the procedure.
After the completion of a procedure, a surgical dressing, or pack, is placed in and around the teeth and gums. This dressing is left in place for about a week. Swishing with an antibacterial mouthwash can help in the healing process.
Most patients can return to a normal oral care regimen in less than a month after the procedure.
It is a surgical reshaping of gum tissue around the teeth. It is often is done to make gums look better. They may have an unusual shape or may not be formed normally. The causes 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.
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
- Gingival enlargement
Gingivoplasty procedure is usually done with local anaesthetics. There are usually three steps to follow:
First, a periodontal probe is used to measure and mark pocket depth, followed by marking of the beveled incision with a scalpel blade or laser. By laser, the gum tissues in excess are cut. The irregularities reshaped and the unattractive gums contoured. Laser equipment also minimizes bleeding and finally, the end result of the procedure finishes in the scalloped border of the normal gingival that has been recreated.
Healing after gingivoplasty is very quick. Optimal plaque control is required for healing so brush daily as recommended to avoid any stray debris and bacteria that could cause irritation or infection.
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