Gingivectomy & Gingivoplasty

Question 1

Gingivectomy Indications

Answer 1

Elimination of - gingival enlargement

                - suprabony pockets
                - suprabony periodontal abcesses

Question 2

Gingivectomy Contraindications

Answer 2

Pockets that extend beyond mucogingival junction
Pockets assoc w/ significant furcation involvement
Osseous defect - should be addressed by flap surgery

Question 3

Gingivectomy instruments for external bevel incision

Answer 3

Solt or Kirkland knives

Question 4

Gingivectomy instruments for interproximal incisions

Answer 4

Buck Knife
Orban Knife
#12B scalpel blade

Question 5

Gingivoplasty instruments

Answer 5

Perio Knife
Scalpel
Coarse Diamond Bur

Question 6

Purposes of Gingivoplasty

Answer 6

Recreate physiological gingival contours

elimination of thick gingiva

Question 7

Healing after gingivectomy

Answer 7

By Secondary Intention

Question 8

5 Steps to Healing after Gingivectomy

Answer 8

Clot formation
Clot replaced by granulation tissue
Surface epithelialization over coarse of 5-14 days
Complete epithelial repair after 4 weeks
Complete repair of CT tissues at 7 weeks