What is Gingivectomy?
Gingivectomy (also known as pocket reduction surgery) is a safe and effective procedure that is commonly used to address patients who have developed severe gum disease. Gum disease occurs due to the accumulation of bacteria, which leads to the formation of pockets between the gums and teeth. As these pockets deepen, they create space for even more bacteria to enter and accumulate. After some time, this bacteria hardens and begins to degrade the gums and the underlying jawbone. When these pockets become sufficiently deep, standard oral hygiene practices like brushing and flossing are insufficient to remove this bacteria. In such instances, a gingivectomy may be required to remove the bacterial buildup and address any damage that has occurred to the gums and jawbone.
The Gingivectomy Process
The process of having a gingivectomy performed is preceded by an initial evaluation by your periodontist. This thorough assessment will include a detailed examination of your oral health, a determination of the extent of your gum disease, potential underlying causes, and the most suitable treatment option for your needs.
If gum disease is detected at an early stage, you may be able to address your issues with less invasive interventions. However, if a gingivectomy is determined to be the best course of action, an appointment will be scheduled for the procedure. Before your surgery, your periodontist will likely explain the steps involved, which typically consists of the following:
- Anesthesia Administration: The procedure begins with the administration of a local anesthetic to ensure your comfort. In some cases, dental sedation may also be utilized. Your periodontist will first test the efficacy of the anesthetic, ensuring that you are sufficiently numb and, if necessary, administer additional anesthetics.
- Incision of the Gums: Once you are sufficiently numb, your periodontist will make small incisions along your gumline.
- Accessing and Removing Bacteria: Following this, your gums are gently folded back, allowing your periodontist to access the affected area and remove the accumulated bacteria.
- Bone Restructuring: If there are any damaged or irregularly shaped bone, it will be smoothed out. In cases of severe damage, guided tissue membranes or bone grafting may be performed.
- Closure: Finally, the procedure will end with your gums being sutured back into position, then a dressing will be placed over the site to minimize bleeding.
Aftercare Instructions
Gingivectomy is a safe effective procedure that helps eliminate harmful bacteria and repair damage to the gums and jawbone. Prompt removal of bacteria is critical; it not only alleviates the immediate concerns of gum disease but also plays a vital role in reducing the risks of associated health issues like diabetes, heart disease, and respiratory problems. If your periodontist has recommended this procedure, it is likely the case that having the procedure performed is the right thing to do. Although it may seem that postponing treatment is preferable, the consequence of neglecting gum disease is that it will only worsen and may lead to more significant complications later on.