Gingevectomy and Gingivoplasty

Question 1

Gingivectomy Definition

Answer 1

Excision of the soft tissue wall of a periodontal pocket that heals in a way to expose more tooth structure and cause a smaller pocket depth

Question 2

What are the indications for a Gingivectomy?

Answer 2

Elimination of hyperplastic tissue (enlarged gingiva)
Elimination of suprabony pockets (base of the pocket is above the bone)
Elimination of a suprabony perio abscess

Question 3

What are the contraindications for a Gingivectomy?

Answer 3

Osseous involvement:

• Sig bone loss or defects
• Pocket goes past the bone

Mucogingival involvement

• can probe past the MGJ
• very little keratinized gingiva

Furcaiton involvment

Question 4

Gingivectomy Technique

Answer 4

Make a bleeding point reference
Externally beveled incision to the bleeding point
Incision starts external and apical

Question 5

Gingivoplasty Definition

Answer 5

Reshaping of the gingiva to create physiologic gingival contours

Question 6

Gingivosplasty Contraindicaitons

Answer 6

Typically, this procedure is not utilized at sites with periodontal pockets

Question 7

Gingivosplasty Indications

Answer 7

Elimiate thick gingiva

Question 8

What type of healing is associated with Gingivectomy?

Answer 8

Secondary Intention

Question 9

Describe the Secondary Intention healing associated with a Gingivectomy

Answer 9

Clot forms
Clot is replaced by granulation tissue
Surface epithelialization occurs over a course of 5-14 days
Complete epithelial repair requires 4 weeks
Complete CT repair requires about 7 weeks