Gingivectomy means excision of the gingiva. 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.
- Elimination of suprabony pockets
- Elimination of gingival enlargements
- Elimination of suprabony periodontal abscesses.
- 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.
- Surgical gingivectomy
- Gingivectomy by electrosurgery
- Laser gingivectomy; Gingivectomies performed with CO2 lasers provide minimal blood loss and reduced discomfort for patients.
- Gingivectomy by chemosurgery
- Newman, MG; Takei, HH;Klokkevold, PR; Carranza, FA; editors: Carranza’s Clinical Periodontology, 10th Edition. Philadelphia: W.B. Saunders Company, 2006. page 912-916.
- Martin, Kaplan; Peter, Vitruk (2015-01-01). "Soft tissue 10.6 micrometers CO2 laser orthodontic procedures". Orthodontic Practice US. 6 (6).
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