Gingivectomy: A Complete Guide about Gingiva 2023 Edition

People who need gingivectomy are patients with gum diseases. There are different gum diseases that will need gingivectomy such as swollen gums due to use of blood pressure pills for some time, or even pregnancy can cause gum diseases due to the hormonal changes.

definition gingivectomy
definition of gingivectomy

The word “-ectomy” refers to a part being taken out such as tonsillectomy or appendectomy. Gingivectomy is basically removing the part that is not needed or harmful. Similar to Gingivectomy, Gingivoplasty is removal of the gingiva but for aesthetic purposes. 

first 24H gingiva

Gingivoplasty can be performed with different methods same as Gingivectomy. They basically aim for the same result but with different purposes. Having Gingivectomy for aesthetic or health reasons, it will result in an aesthetic and aligned gum line. 

What is Gingivectomy?

Having gingivectomy is getting your gums removed minimally invasive or moderately. The procedure will take the gum overgrowth under control and the gums of the patient will look healthier and more aesthetic. There can be many reasons why a gum overgrows. Some of the reasons behind a gum overgrow is: 

  1. Certain types of blood pressure pills
  2. Pregnancy, due to hormonal changes
  3. Removing braces after use

Gingivectomy is used to remove the excessive gum to make the smile of a person healthier and better. 

gingivectomy treatment
gingivectomy treatment How is it done

What is the difference between Gingivectomy and Gingivoplasty?

Although the two, gingivectomy and gingivoplasty, sound similar, the purpose is quite different however the result is similar as well. Gingivectomy is removal of the gum to make teeth look bigger and make gums healthy, Gingivoplasty is basically “gum lining” using a laser to make teeth look bigger and aesthetically pleasing gum linings. 

gingivectomy vs gingivoplasty
gingivectomy vs gingivoplasty

Do you need Gingivectomy or Gingivoplasty?

Gingivectomy is a simple procedure that increases the mouth health of the patient and provides a better smile. Patients can choose Gingivectomy or Gingivoplasty to improve their smile without having to pay an extreme amount of money. 

Of course, it will only improve the smile up to some point, it will not change the shape or the colour of the teeth of the patient. 

Gingivectomy plays an important role for the health of the patient as we have mentioned.  If the patient previously had gum diseases, there might be deep pockets left from the gum disease. These deep pockets will be extremely hard and almost impossible for the patient to keep clean. There will be some residues left that will, most likely, turn into another gum disease. Gingivectomy will be helpful to prevent such gum diseases and the procedure will result in a more aesthetic smile.  

If you are not sure whether or not you need a gingivectomy or gingivoplasty, you can always ask your dentist or reach us from this number below for an online consultation


How to detect Gingivectomy

If you have,

  1. Excessive gum tissue 
  2. Severe gingivitis
  3. Receding gums
  4. Injured gums
  5. Bacteria 
  6. Loose teeth
  7. Bleeding gums
  8. Sensitive gums
  9. Bad breath
  10. Sensitive teeth
  11. Red or swollen gums

Gingivectomy Treatment Procedure

A gingivectomy will take around 30 to 60 minutes. Every patient is different and every case should be handled individually thus, depending on how much gum tissue your dentist removes, the time period might increase or decrease.

gingivectomy treatment decision
gingivectomy treatment decision

The procedure process is:

  1. We will inject local anaesthesia into the gums to numb the area.
  2. We will use a laser tool to cut away pieces of gum tissue. This is called soft tissue incision.
  3. The assistant of your dentist will have a suction tube on hand to remove excessive saliva for your comfort and for the dentist to have no trouble with sight.
  4. The gum tissue will be cut away and cauterised with the laser tool for the ease of work. 
  5. Depending on the patient, the dentist will decide to use a cotton bandage, gause, on the area for protection of the gums while they heal.

Recovery from a Gingivectomy

The best part of Digital Dentistry is the decrease of the recovery from any kind of dental treatment. With laser gingivectomy, there will be no time period for recovery. We will apply local anaesthesia and there will be no pain during the operation and afterwards. There might be a little irritation but with a mild painkiller or two, it will not be a problem. 

gingivectomy treatment procedure
gingivectomy treatment procedure

Aftercare after Gingivectomy

The first 24 hours, there will be no brushing, no flossing, no rinsing of the mouth. After 24 hours, our patients can go back to their routine cleaning and mouth hygiene. After 48 hours, rinsing the mouth with saltwater will help with the healing period, mouth hygiene, and cleanliness of the mouth. During the first week, it is important for our patients to not touch the area of gingivectomy by using their tongue or fingers.

MSc. Dt Soner Arikan

He graduated from the Faculty of Dentistry at Gazi University in 2004. He has worked on Aesthetic and Cosmetic Dentistry, Cad/Cam dental treatments, and smile designs. He has been a certified dentist for brands like Nobel Biocare Swedish Implant, Bego German Implant, I-System Screwless Implant, and Straumann Swiss Implant since 2006.