Gingivectomy

Question 1

what is the definition of a gingivectomy?

Answer 1

Excision of the soft tissue wall of a periodontal pocket

Question 2

what are the 2 indications for a gingivectomy?

Answer 2

• hyperplastic tissue

- suprabony pockets

Question 3

what are the CONTRAindications for gingivectomy?

Answer 3

• osseous involvement
• mucogingival involvement
• furcation involvement

Question 4

what is Gingivoplasty?

Answer 4

• reshaping of the gingiva

- recreating physiological contours

Question 5

list the steps involved in a Gingivectomy:

Answer 5

• Local anesthesia
• Pocket depth marks
• External bevel
• Tissue removal
• Excision of tissue tags
• Gingivoplasty
• Application of surgical dressing

Question 6

A gingivectomy would be contraindicated in treatment of pockets that extend beyond _____________

Answer 6

the mucogingival junction

Question 7

A gingivectomy would be contraindicated in treatment of pockets associated with significant ____________ involvement

Answer 7

furcation

Question 8

A gingivectomy would be contraindicated in treatment of ___________ defects

Answer 8

osseous defects

Question 9

how should osseous defects be treated?

Answer 9

flap procedures

Question 10

what are the 3 general approaches to gingivectomy?

Answer 10

1) excise tissue via surgical gingivectomy with an external beveled incision
2) vaporize tissue via electrosurgery
3) vaporize tissue via laser gingivectomy

Question 11

what are used as the reference points for primary incisions during a gingivectomy?

Answer 11

bleeding points

Question 12

what shape are the incisions of a gingivectomy?

Answer 12

scalloped

Question 13

what is the purpose of secondary incisions during gingivectomy?

Answer 13

release interproximal soft tissue

Question 14

Removal of incised tissues (during gingivectomy) provides access for ____________

Answer 14

root planing

Question 15

what instruments are used for the external beveled incision?

Answer 15

Solt knife

Kirkland Knife

Question 16

interproximal incisions are made with what instruments?

Answer 16

1) buck knife
2) orban knife
3) #12B scalpel blade

Question 17

what tools are used for gingivoplasty?

Answer 17

• periodontal knife
• scalpel
• coarse diamond burr

Question 18

when is gingivoplasty indicated?

Answer 18

for the elimination of thick gingiva

Question 19

healing after gingivectomy is by ___________ intention

Answer 19

secondary

Question 20

what are the steps of healing following gingivectomy?

Answer 20

1) clot formation
2) clot replaced by granulation tissue
3) surface epithelialization over 5-12 days
4) complete epithelial repair
5) complete repair of connective tissue

Question 21

how long does it take for the epithelium to be completely repaired following a gingivectomy?

Answer 21

4 weeks

Question 22

how long does it take for the connective tissues to be completely repaired following a gingivectomy?

Answer 22

about 7 weeks