Why Do I Need a Gingivectomy?

Gingivectomy is a surgical procedure primarily reserved for those suffering from advanced gum disease. To determine if you may need this treatment, you will need to have a thorough evaluation by your periodontist. A range of symptoms can signal the presence of gum disease, including swollen or bleeding gums, persistent bad breath, loose teeth, and receding gums. If you notice any of these symptoms or if it has been six months or longer since your last dental checkup, schedule an appointment as soon as you can. Identifying gum disease early can make a significant difference in your treatment options.

Evaluation for Gingivectomy Candidates

During the evaluation, your periodontist will conduct a comprehensive examination of your gums and teeth. Healthy gums typically have a pocket depth measuring around 2-3 mm. If your measurements exceed 3 mm, the likelihood of gum disease being present increases. Should gum disease be detected early on, various treatments such as antibiotics, scaling and root planing, and lifestyle changes may effectively address the issue. However, if your condition has escalated to advanced periodontitis or if initial treatments fail, a gingivectomy might be necessary.

While gingivectomy is a proven method for addressing gum disease, there are less invasive alternatives that may be explored first. During your initial consultation, your periodontist will conduct a comprehensive evaluation of your oral health, assessing the severity of your gum disease by measuring the depth of your gum pockets with a probing tool. If your gum disease is identified as being in its early stages, a course of antibiotic treatment might suffice. For those whose gum disease is classified as mild to moderate, a scaling and root planing procedure may be recommended. This minimally invasive approach involves utilizing specialized dental instruments to remove bacteria from beneath the gums, followed by smoothing the tooth roots, which hinders bacterial growth and allow your gums a better chance to heal.

In cases where gum disease has advanced significantly, additional measures may be necessary, such as a soft tissue graft to correct any recession of the gums, or a bone graft to address any deterioration of the jawbone. To reduce the likelihood of developing gum disease in the future, it is essential to maintain good oral hygiene practices and embrace a healthy lifestyle. You can take proactive steps to lessen your risk of gum disease, including:

  • Brushing and flossing your teeth at least twice a day.
  • Eating a healthy, balanced diet that limits sugary and starchy foods and beverages.
  • Scheduling regular dental examinations at least every six months.
  • Limiting or avoiding alcohol consumption.
  • Quitting smoking if applicable.

The Advantages of Gingivectomy

Undergoing a gingivectomy will have numerous benefits, like improved oral health and a healthier looking smile. This procedure can also protect against jawbone deterioration, which is a serious consequence of untreated periodontal disease that can lead to tooth loss and alter your facial appearance. The impact of gum disease can also extend beyond physical health, as it can potentially affect one’s self-esteem and confidence due to the visible signs of oral health decline.

Average Cost of a Gingivectomy