Name of the Procedure:

GINGIVECTOMY OR GINGIVOPLASTY - ONE TO THREE CONTIGUOUS TEETH OR TOOTH BOUNDED SPACES PER QUADRANT (D4211) Common name(s): Gingivectomy, Gingivoplasty
Technical or medical terms: Periodontal Surgery, Gum Surgery

Summary

A gingivectomy or gingivoplasty is a dental surgical procedure that involves the removal or reshaping of gum tissue. It is typically performed on one to three contiguous teeth or the spaces between them in a single quadrant of the mouth.

Purpose

This procedure addresses various dental issues such as gum disease, overgrowth of gum tissue, and to enhance aesthetic appearance. The goals are to reduce gum pockets, remove diseased or excess tissue, and improve gum contour, leading to better oral health and easier maintenance.

Indications

• Presence of periodontal pockets due to gum disease.
• Hyperplasia or overgrowth of gum tissue.
• Uneven gum line impacting oral aesthetics.
• Preparation for restorative dental procedures.

Preparation

• Follow any specific fasting instructions if sedation is planned.
• Inform the dentist of any medications currently being taken.
• Complete any recommended diagnostic tests, such as X-rays or dental scans, to assess gum health and structure.
• Maintain good oral hygiene leading up to the procedure.

Procedure Description

1. Anesthesia: Local anesthesia will be administered to numb the area.
2. Tissue Removal or Reshaping: Using surgical tools such as scalpel, laser, or electrosurgery unit, the dentist will remove the diseased or excess gum tissue. The shape of the gums may be modified to a more natural contour.
3. Cleaning: The exposed tooth roots and any adjacent tissue are thoroughly cleaned.
4. Bandaging: The area may be bandaged or dressed to protect it during the initial healing.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the extent of the surgery.

Setting

This procedure is commonly performed in a dental office or an outpatient clinic.

Personnel

• Dentist or Periodontist: The primary professional performing the surgery.
• Dental Assistant: Assists with the procedure.
• Anesthesiologist or Nurse: If sedation is used, an anesthesiologist or nurse may be involved.

Risks and Complications

• Common risks include swelling, bleeding, and discomfort.
• Rare risks could involve infection, prolonged bleeding, or adverse reactions to anesthesia.
• Management of complications may involve antibiotics, additional dental care, or consultation with a specialist.

Benefits

• Reduction or elimination of periodontal pockets.
• Decreased risk of gum disease progression.
• Improved oral hygiene and easier cleaning of teeth.
• Enhanced cosmetic appearance of the gums and smile.

Recovery

• Follow post-procedure instructions, including prescribed medications and oral hygiene practices.
• Avoid hard, spicy, or acidic foods that may irritate the gums.
• Healing typically takes a few weeks, but full tissue recovery may take longer.
• Schedule follow-up appointments as recommended for monitoring and care.

Alternatives

• Non-surgical treatments: Scaling and root planing.
• Alternative surgical options: Flap surgery.
• Pros and cons should be discussed with the dentist to determine the most appropriate treatment based on individual dental health.

Patient Experience

• Patients may feel some discomfort or pain after the numbness wears off, managed with prescribed pain relief.
• Swelling and minor bleeding are expected but should subside within a few days.
• Comfort measures include using ice packs and soft foods post-surgery.
• Most patients can return to normal activities within a few days, following the dentist's recommendations.