Gingivectomy

Say Goodbye to Gummy Smile, Smile with Confidence!

Gingivectomy is the surgical cutting and removal of the gingiva and allows the gingiva to be reshaped for aesthetic and health purposes. It is often preferred especially in the case of a "gummy smile" where the gums are too visible or to lengthen the length of the tooth crown. The procedure is also applied in cases such as gingival growths and periodontal problems. This procedure, which is mostly performed under local anaesthesia, improves dental aesthetics while creating a healthy gum form.

Patient before smile makeover treatment at AuraDent Clinic, Cyprus

Gingivectomy: Gum Contouring and Treatment

What is Gingivectomy?

Gingivectomy is a surgical procedure involving the removal of gum tissue. The shape and size of the gums may vary for different reasons, and this procedure corrects any excess tissue. It is commonly performed for aesthetic purposes, particularly to lengthen the crowns of front teeth. Often used to address a "gummy smile," it is preferred when excessive gum tissue is visible, especially in the upper front teeth.

The Main Purpose of Gingivectomy

The primary aim of a gingivectomy is to eliminate pathological gum pockets, improve oral hygiene, and remove fibrous pockets on the bone. By reshaping the gums, the procedure helps achieve an aesthetic and healthy gum line.

Who Can Have Gingivectomy?

Gingivectomy is suitable for individuals with gum overgrowth, tooth eruption issues, or asymmetrical and unaesthetic gums. It is often used to increase crown length before prosthetic or restorative treatments, treat periodontal abscesses, and remove fibrotic pockets.

How is Tooth Lengthening Performed with Gingivectomy?

Gingivectomy can be carried out using surgical, electrosurgical, chemical, or laser techniques. After reviewing the patient’s medical history, local anesthesia is administered, and the appropriate method is used. Each technique has its own advantages and limitations, and the choice of method depends on the patient’s condition and needs.

Who Cannot Have Gingivectomy?

Gingivectomy is not recommended for individuals with poor general health. It is also unsuitable in cases that require bone surgery, when periodontal pockets extend below the mucogingival junction, or in areas where the procedure could result in aesthetic problems.

Side Effects and Risks of Gingivectomy

Gingivectomy is generally a safe procedure. However, incorrect technique or lack of proper sterilization can lead to complications, such as infection. Electrosurgical procedures, if not performed carefully, may risk damaging healthy tissues.

Post-Gingivectomy Care

Proper oral hygiene is crucial after a gingivectomy. Periodontal paste is typically applied to the gums, and patients should consume soft or liquid foods. Chlorhexidine mouthwash is recommended to maintain oral cleanliness. A soft toothbrush should be used during the first month to avoid irritation.

How Long Does Tooth Lengthening with Gingivectomy Take?

The duration of the procedure depends on the number of teeth, their location, and the complexity of the case. However, most operations are completed in a single session lasting between 30 and 120 minutes.

Frequently Asked Questions

1How long does a gingivectomy procedure take?

The duration of the gingivectomy procedure varies depending on the width of the area and the number of teeth. Generally, if the procedure is performed on a single gum area, it takes an average of 30-45 minutes. However, if more gum tissue is to be removed or if there is a special aesthetic requirement, the procedure may take up to 1-2 hours. Local anaesthesia is used to make the procedure shorter and more comfortable.

2Is there pain after gingivectomy?

After gingivectomy, there is usually a slight feeling of discomfort, but it can be easily controlled with painkillers. Since local anaesthesia is used during the procedure, the patient does not feel pain. The pain is not severe during the healing process, but sensitivity may occur. Especially following the care recommendations recommended by the dentist after the procedure helps to keep discomfort to a minimum.

3Can gingivectomy prevent gum disease?

Yes, gingivectomy can help prevent the development of gum disease. Especially by removing pathological pockets, the accumulation of bacteria in the gums is reduced and oral hygiene is easier to maintain. Since smooth gum lines are created after gingivectomy, the areas where bacteria can settle are reduced and thus contribute to the prevention of gum diseases. However, regular oral hygiene should continue as part of this process.

4Can gingivectomy be performed in children?

Gingivectomy is a procedure usually performed in adults. It is rarely needed in children and its application varies depending on a specific medical condition or a specific problem such as gum enlargement. Different approaches may be required for gum contouring in children. If gingivectomy is to be performed in children, a detailed evaluation and physician's approval should be obtained before the procedure.

5How many days of rest after gingivectomy?

A rest period of a few days is usually recommended after a gingivectomy procedure. Most patients can return to their normal daily activities the day after the procedure, but full recovery may take several weeks. Since the tissues in the mouth are sensitive, being careful in the first few days, avoiding hot and cold foods and following the care recommendations given by the dentist accelerates the healing process.

6Do gums grow back after gingivectomy?

There is a risk that the gums will grow back after gingivectomy, but this usually occurs in cases of drug-induced gingival overgrowth. After treatment, it is important to maintain gum health to prevent gingival regrowth. If the medication is not changed after gingivectomy or if oral hygiene is not observed, the growth may recur.

7Is gingivectomy permanent?

Yes, a gingivectomy is usually permanent, because excess gum tissue is removed and the area is remodelled. However, in some cases, regrowth or deformity of the gums may occur. Careful oral hygiene and regular dental check-ups ensure a long-lasting result after gingivectomy. Especially in drug-induced gum enlargement, the procedure can be repeated if the medication is not changed.

8How long does bleeding gums last after gingivectomy?

Mild bleeding after gingivectomy is normal and usually subsides within the first 24 hours. It is possible to minimise this bleeding by taking care as recommended by the dentist. It is important to avoid hard, spicy and hot foods, especially in the first days. If the bleeding persists or worsens, you should consult your dentist.

9How long should soft foods be consumed after gingivectomy?

During the healing process after gingivectomy, it is recommended to consume soft foods for about 7-10 days. Avoiding hard, spicy and hot foods during this period reduces gum irritation and the risk of bleeding. Easily consumable foods such as soup, yoghurt, pureed foods should be preferred. Your dentist can give you special dietary recommendations according to the healing process.

10How to pay attention to oral hygiene after gingivectomy

Taking care of oral hygiene after gingivectomy is very important for the healing process. In the first few days, the treated areas should be avoided during tooth brushing. Cleaning should be done using a soft brush and antiseptic mouthwashes recommended by your dentist. In addition, using mouthwashes containing chlorhexidine reduces the risk of infection and speeds up healing.

Dr. Ayşenur Kayımbaşıoğlu

Dr. Ayşenur Kayımbaşıoğlu, Cosmetic Dentist, DDS, Cosmetologist, is a skilled Cosmetic Dentist and the Clinic Director of AuraDent Aesthetic Clinic in Nicosia. With a strong background in dental and facial aesthetics, she is dedicated to delivering natural, confident smiles through personalized treatment plans. Known for her gentle approach and attention to detail, Dr. Kayımbaşıoğlu combines advanced techniques with a passion for aesthetic harmony.