Why Do I Need a Gingivectomy?
A gingivectomy is a surgical procedure that involves the removal of excess gum tissue. It is typically performed by a dentist or a periodontal specialist. Your primary dentist may provide you a referral to a periodontist if you exhibit signs of periodontal disease or infection, or you may find one on your own and contact the office for a consultation.
Gingivectomy is used to treat a variety of conditions
Gingivitis is the most common condition treated with gingivectomy. Gingivitis affects millions of people around the world. It is the most common form of gum disease. Gum disease is usually the result of mild infection or irritation from food and bacteria which finds its’ way into the gumline. Gum disease will compound in complications if it develops into periodontal disease, wherein the gums recede and form deep crevices near the tooth root. This increases risk for infection in a frustrating cycle.
What are the signs and symptoms of gingivitis and periodontitis?
The signs and symptoms of gingivitis and periodontitis can include:
- Red, swollen, and tender gums
- Bleeding gums when brushing or flossing
- Loose teeth
- Bad breath
- Gum recession
If you are currently experiencing any of these symptoms, it is time to see your dental care professional.
How is a gingivectomy performed?
A gingivectomy is typically performed in the dentist's office under local anesthesia. The dentist will make a small incision in the gum tissue and then remove the excess tissue using a scalpel or laser. Your doctor will use some stitches to seal the area while it heals. Sometimes these stitches dissolve on their own, and other times they have to be surgically removed. Be sure to ask about follow up schedule and procedure before you leave the office.
The entire procedure typically takes about 30 minutes. After the procedure, you may experience some bleeding, swelling, and discomfort. Your dentist will prescribe pain medication and antibiotics to help you manage these symptoms.
What is the recovery time for a gingivectomy?
The recovery time for a gingivectomy is typically about 1 week. During this time, you should heavy lifting, smoking, and sucking from straws. You should still follow your usual dental hygiene routine, but be cautious of the affected areas. Use more gentle circular motions.
Your dentist will schedule follow-up appointments to monitor your healing and make sure that the procedure was successful. Be sure to plan ahead and attend all your scheduled follow ups.
What are the risks of a gingivectomy?
As with any surgery, there are some risks associated with a gingivectomy. These risks include:
- Bleeding
- Infection
- Pain
- Swelling
- Numbness
- Gum recession
- Tooth sensitivity
In most cases, these risks are minor and go away on their own. However, it is important to talk to your dentist about the risks and benefits of gingivectomy before you decide to have the procedure.
What are the complications of a gingivectomy?
In rare cases, complications can occur after a gingivectomy. These complications include:
- Bleeding that does not stop
- Infection
- Gum recession
- Tooth sensitivity
- Bone loss
If you experience any of these complications, you should contact your dentist immediately.
Preventing gum disease
The only way to prevent gum disease is to prevent the buildup of food and bacteria within your teeth. Be sure to brush after meals, floss daily, and use a rinse or mouthwash to clean the gum tissues and cheeks.
If you have any concerns about gum disease, you should talk to your dentist.
What are the alternatives to a gingivectomy?
In some cases, other treatments may be effective in treating gum disease. These treatments include:
- Scaling and root planing, a procedure in which the dentist removes plaque and tartar from the teeth and smooths the root surfaces.
Antibiotics, which may be prescribed to treat infection.
Oral surgery, which may be used to remove bone spurs or other abnormalities that contribute to gum disease.
If you are not sure which treatment is right for you, you should talk to your dentist.