Gingivectomy in Studio City, CA

Gingivectomy FAQ

What is a gingivectomy?

A gingivectomy is a periodontal surgical procedure that excises diseased or excess gingival tissue using a scalpel, electrosurgery, or a soft-tissue laser such as a diode laser. It is used to eliminate periodontal pockets or reshape the gumline for cosmetic improvement.

Why would I need a gingivectomy?

A gingivectomy is indicated when scaling and root planing alone cannot resolve periodontal pocketing deeper than five millimeters, or when excess gingival tissue creates a “gummy smile.” It may also be performed to remove fibrous gingival overgrowth caused by certain medications such as phenytoin or calcium channel blockers.

Is a gingivectomy painful?

Local anesthesia such as lidocaine with epinephrine ensures you feel no pain during the procedure. When a soft-tissue laser is used, patients often experience less post-operative discomfort and reduced bleeding compared to traditional surgical methods.

How long does healing take after a gingivectomy?

Initial soft-tissue healing typically takes one to two weeks, during which a periodontal dressing may be placed to protect the surgical site. Full gingival maturation occurs over four to six weeks with proper oral hygiene and follow-up care.

Will the gum tissue grow back after a gingivectomy?

The excised gingival tissue does not regenerate. However, maintaining thorough oral hygiene, including brushing with a soft-bristle toothbrush and using chlorhexidine rinses as directed, is essential to prevent new inflammation or tissue changes.

Can a gingivectomy improve my smile?

Yes. Removing excess gingival tissue creates a more even gumline and reveals more of the clinical crown, improving the tooth-to-gum ratio. At Studio Dental Care in Studio City, CA, gingivectomy is often part of a comprehensive smile design plan.

Is a gingivectomy the same as crown lengthening?

They are related but distinct. A gingivectomy removes only soft gingival tissue, while crown lengthening may also involve recontouring the underlying alveolar bone. The choice depends on the biologic width and the amount of tooth structure that needs to be exposed.

Do I need follow-up visits after a gingivectomy?

Yes. A follow-up visit is typically scheduled one to two weeks post-operatively to remove any periodontal dressing, assess healing, and confirm that pocket depths have been reduced. Ongoing periodontal maintenance every three to four months is often recommended.

How do I care for my gums after a gingivectomy?

Post-operative instructions include gentle brushing, rinsing with a prescribed 0.12% chlorhexidine gluconate mouthwash, eating soft foods for seven to ten days, and avoiding alcohol-based rinses or vigorous flossing near the surgical site during initial healing.

How do I get started with a gingivectomy?

Schedule a periodontal consultation to have your gum pockets measured with a periodontal probe and reviewed with digital X-rays. Dr. Alexander Ash will determine whether a gingivectomy or an alternative approach is best for your condition.