Gingivectomy

Gingivectomy
Intervention
MeSH	D005890

Gingivectomy means excision of the gingiva.^[1] By removing the pocket wall, gingivectomy provides visibility and accessibility for complete calculus removal and thorough smoothing of the roots, creating a favorable environment for gingival healing and restoration of a physiologic gingival contour.

Indications

Elimination of suprabony pockets^[2]
Elimination of gingival enlargements
Elimination of suprabony periodontal abscesses.

Contraindications

Need for bone surgery
When bottom of the pocket is apical to the Mucogingival junction
Esthetic considerations, particularly in anterior region of Maxilla

Gingivectomy can be performed by various techniques.^[3]

Surgical gingivectomy
Gingivectomy by electrosurgery
Laser gingivectomy
Gingivectomy by chemosurgery

References

↑ Newman, MG; Takei, HH;Klokkevold, PR; Carranza, FA; editors: Carranza’s Clinical Periodontology, 10th Edition. Philadelphia: W.B. Saunders Company, 2006. page 912-916.
↑ Newman, MG; Takei, HH;Klokkevold, PR; Carranza, FA; editors: Carranza’s Clinical Periodontology, 10th Edition. Philadelphia: W.B. Saunders Company, 2006. page 912-916.
↑ Newman, MG; Takei, HH;Klokkevold, PR; Carranza, FA; editors: Carranza’s Clinical Periodontology, 10th Edition. Philadelphia: W.B. Saunders Company, 2006. page 912-916.

Newman, MG; Takei, HH;Klokkevold, PR; Carranza, FA; editors: Carranza’s Clinical Periodontology, 10th Edition. Philadelphia: W.B. Saunders Company, 2006. page 912-916.

Dentistry involving supporting structures of teeth (Periodontology)

Anatomy

Disease

Diagnoses	Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions

Infection	A. actinomycetemcomitans Capnocytophaga sp. F. nucleatum P. gingivalis P. intermedia T. forsythia T. denticola Red complex

Other	Calculus Clinical attachment loss Edentulism Fremitus Furcation defect Gingival enlargement Gingival pocket Gingival recession Gingivitis Horizontal bony defect Linear gingival erythema Occlusal trauma Periodontal pocket Periodontal disease Periodontitis Plaque Vertical bony defect

Treatment and prevention	Periodontal examination Ante's law Brushing Bleeding on probing Chlorhexidine gluconate Flossing Hydrogen peroxide Mouthwash Oral hygiene Tetracycline Triclosan Host modulatory therapy

Treatment

Conventional therapy	Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement

Surgery	Apically positioned flap Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus lift Subepithelial connective tissue graft Tools Curette Membrane Probe Scaler

Important personalities

Other specialties

Endodontology
Orthodontology
Prosthodontology

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Gingivectomy

See also

References