SURGICAL GINGIVECTOMY

GINGIVECTOMY

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 enviornment for gingival healing and restoration of a physiologic gingival contour.

Indications:

  1. Elimination of suprabony pockets, regardless of their depth, if the pocket wall is fibrous & firm.
  2. Elimination of gingival enlargements
  3. Elimination of suprabony periodontal abscesses.

Contraindications:

  1. The need for bone surgery
  2. Situations in which the bottom of the pocket is apical to the mucogingival junction.
  3. Esthetic consiserations, particularly in the anterior maxilla.

SURGICAL GINGIVECTOMY

Armamentarium:

  1. Mouth mirror, probe
  2. Pocket markers, Kirkland and orban interdental gingivectomy knives
  3. Surgical blades, Bard Parker handle
  4. Surgical curettes, Gracey curettes, tissue forceps, scissors.
  5. Peiodontal dressings.

Surgical Technique Steps:

Step 1: The pockets on each surface are explored with a periodontal probe and marked with a pocket marker.

Step 2: The incision is started apical to the points marking the course of the pockets and is directed coronally to a point between the base of the pocket and the crest of the bone.

Step 3: Remove the excised pocket wall, clean the area, and closely examine the root surface.

Step 4: Carefully curette the granulation tissue, and remove any remaining calculus and necrotic cementum so as to leave a smooth & clean surface.

Step 5: Cover the area with a surgical pack.

Dentowesome|@drmehnazđź–Š


Source: Carranza’s Clinical Periodontolgy, 10th Ed

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