Gingivectomy

What are the risks associated with gingivectomy and how are they managed?

Risks may include excessive bleeding, infection, or postoperative tenderness. The dentist will take steps to minimize these risks, such as providing detailed postoperative instructions, prescribing medications as needed, and scheduling follow-up appointments.

What is the typical procedure for a gingivectomy?

• Initial evaluation: Before performing the gingivectomy, the dentist will conduct a complete evaluation of the patient's oral health. This may include x-rays, periodontal testing, and medical history discussions.
• Local anesthesia: To ensure that the patient is comfortable during the procedure, local anesthesia will be administered to the area where the gingivectomy will be performed. This will numb the gum and surrounding tissue.
• Preparation of the area: Once the anesthesia has taken various effects, the dentist will prepare the area using instruments and, in some cases, dental lasers. Careful cleaning is performed to expose the gingival tissue that will be removed.
• Removal of excess tissue: With the area prepared, the dentist will proceed to cut and remove excess gingival tissue using a scalpel or laser. Precise cuts are made to correct the shape and size of the gums according to the treatment goals.
• Hemostasis and sutures: After the unwanted tissue is removed, hemostasis will be applied to control any bleeding. In some cases, sutures can be used to close the incisions, although in modern procedures, sutures are not always necessary.
• Postoperative instructions: The dentist will provide detailed instructions on post-operative care. This may include oral hygiene guidelines, temporary dietary restrictions, and the use of pain medications if necessary.
• Long-term follow-up and care: Follow-up appointments will be scheduled to evaluate recovery and ensure the patient is satisfied with the results. Additionally, long-term recommendations for maintaining gingival health can be provided.