Gingivectomy for gum disease

Surgery Overview

You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling. A gingivectomy removes and reshapes loose, diseased gum tissue to get rid of pockets between the teeth and gums. A gum specialist (periodontist) often will do the procedure.

The doctor will start by numbing your gums with a local anesthetic. He or she may use a laser to remove loose gum tissue.

After removing the gum tissue, the doctor will put a 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.

What To Expect After Surgery

You can return to your normal activities once the anesthetic wears off. It usually takes a few days or weeks for the gums to heal.

Most gum surgeries are fairly simple and are not too uncomfortable. You can take ASA, ibuprofen (such as Advil or Motrin), or acetaminophen (such as Tylenol) to reduce pain. After a gingivectomy, it will be easier for you to keep your teeth and gums clean.

The contour or shape of your gums may change.

Why It Is Done

A gingivectomy is necessary when the gums have pulled away from the teeth, creating deep pockets. The pockets make it hard to clean away plaque. Gingivectomy is usually done before gum disease has damaged the bone supporting your teeth.

How Well It Works

If you maintain good dental care after surgery, a gingivectomy is likely to help stop gum disease. Your gums should become pink and healthy again.

Risks

Gum surgery can introduce harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for developing a severe infection, such as:

• Damaged or artificial heart valves.
• A congenital heart defect.
• An impaired immune system.
• Liver disease (cirrhosis).
• Artificial joints, such as a hip replacement.
• A history of bacterial endocarditis.

What To Think About

• 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. If bones are damaged, it is more likely that you will lose your teeth.
• Gum disease usually will progress if you do not brush and floss regularly after surgery or if you continue to use tobacco.
• To promote healing, stop all use of tobacco. It decreases your ability to fight infection of your gums and delays healing. For more information, see the topic Quitting Tobacco Use.
• Regular follow-up with your dentist is important. If your gum disease gets worse, you may need a different type of surgery.

Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.

Author:	Jeannette Curtis Ralph Poore Brenda Vanden Beld, RN	Last Updated: October 12, 2007
Medical Review:	Anne C. Poinier, MD - Internal Medicine Kathleen Romito, MD - Family Medicine Steven K. Patterson, BSc, DDS, MPH - Dentist
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