Gingivectomy Flashcards
1
Q
What is a Gingivectomy?
A
The Excision of the soft tissue wall of a periodontal pocket.
2
Q
What are 2 indications for a Gingivectomy?
A
- Hyperplastic tissue
- Suprabony pockets
3
Q
What are contra indications to a gingivectomy?
A
- osseous involvement
- mucogingival involvement
- Furcation involvement
- Minimal attached gingiva
4
Q
What is Gingivoplasty?
A
- Reshaping of the gingiva
- Recreating physiological contours
- Can get rid of a gingival “step”
5
Q
What are the steps to doing a gingivoectomy?
A
- Local anesthesia
- Pocket depth marks on tissue (mark deepest point)
- External tissue bevel
- Tissue removal
- Excision of tissue tags
- Gingivoplasty
- application of surgical dressing
6
Q
Do you remove the junctional epithelium in a gingivectomy?
A
Yes! Then it reforms from epithelium
7
Q
How quickly does gingiva heal after gingivectomy?
A
6-8 week for JE to reform and complete healing.
8
Q
How long does patient wear surgical dressing?
A
7-10 days
9
Q
Does gingvectomy cause loss of attachment?
A
yes it can, that is one downside.
10
Q
Gingivectomy vs Electrosurgery? Which is better?
A
Electrosurgery cauterizes as it cuts and it eliminates the bleeding complication of gingivectomy.
