What does “Gingivectomy” mean?
Gingivectomy removes some gum tissue that has enlarged excessively or needs reducing for treatment. The cause of enlargement and the relationship between the gums, teeth and bone are assessed before deciding how much tissue to remove.
Managing the cause of enlargement first
Gum enlargement may be associated with plaque and inflammation, certain medicines, orthodontic treatment or systemic conditions. Hygiene before and after surgery helps reduce enlargement and the risk of recurrence. If medication or systemic factors persist, the tissue may enlarge again; discuss medicines with the prescriber rather than stopping them yourself.
Distinguishing the extent of removal from other surgery
Reducing excess gum tissue and exposing sound tooth tissue for a restoration can have different purposes. Examination determines whether gum adjustment alone or crown lengthening involving bone is needed. Removed tissue may sometimes be sent for examination to clarify the cause.
Tailoring protection and cleaning to the surgical site
A protective dressing may be used after surgery; do not remove it yourself. Follow instructions about how and when to resume brushing or cleaning the area, and maintain effective hygiene after healing. Removing gum tissue alone does not resolve every cause of enlargement or every periodontal problem.
Frequently Asked Questions
Can gingivectomy treat everyone whose gums show a lot when smiling?
No. The clinician first determines whether there is gum overgrowth or another factor, such as the relationship between teeth and bone levels, before selecting the extent of treatment.
Can the gums grow back after removal?
They can enlarge again. Continuing medication or systemic factors and hygiene problems can contribute to recurrence, so care and reassessment remain necessary.
Questions about gingivectomy
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
What caused the enlargement, and which tissue will be removed?
Explanation and evidenceClarify inflammation, medication and systemic factors separately from any need to adjust bone height.
Leeds Teaching Hospitals · Gingivectomy and periodontal surgery - Care after treatment
How should I protect and clean the site and manage recurrence after surgery?
Explanation and evidenceAsk about dressings, when to resume brushing, management of the cause and review appointments.
Leeds Teaching Hospitals · Gingivectomy and periodontal surgery
