Gingivectomy

Gingivectomy or Pocket reduction surgery is periodontal surgery that removing the pocket wall to provide visibility and accessibility to remove and reforms diseased gum tissue and to completely remove calculus and thorough smoothing of the roots, creating a favorable environment for gingival healing and restoration of a physiologic gingival contour.

The goals of gingivectomy or pocket reduction surgery are:

  • Reducing bacterial spread – Oral bacteria can travel to various parts of the body from inside the bloodstream and begin to colonize. It is important to decrease bacteria in the mouth in order to reduce the risk of secondary infection.
  • Halting bone loss –As the jawbone becomes affected by periodontal disease, the teeth lose their rigid anchor and leading to tooth loss.
  • Enhancing the smile –Pocket reduction surgery halts the progression of gum disease and improves the aesthetics of the smile.

Before

After

The surgery is primarily done one quadrant of the mouth at a time under local anesthetic. Clinical attachment levels of the gum to teeth and supporting structures determine the success of the surgery. Surgery required beyond gingivectomy involves the regeneration of attachment structures through tissue and bone grafts. After removing the gum tissue, the doctor may put temporary putty over your gum line. This will protect your gums while they heal. You can eat soft foods and drink cool or slightly warm liquids while the putty is in place and your gums are healing.

Gingivectomy may help keep gum disease from further damaging your gum tissue, teeth, and bones by helping you to clean better around and between your teeth.

However such external factors as if you do not brush and floss regularly after surgery or if you continue to use tobacco, and certain illnesses such as diabetes are associated with the progressing of the periodontal disease and increase the severity of disease in the gum tissue, support, and bone structures.

To promote healing, stop all use of tobacco and regular follow-up with your dentist is important. If your gum disease gets worse, you may need a different type of surgery.

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