A gingivectomy is usually performed when a patient has severe periodontal disease that cannot be cured with scaling and root planing or other periodontal procedures.  Gingivectomies are performed to remove and reshape loose, diseased gum tissue and to reduce the depth of pockets between the teeth and gums. 

The Procedure

Before the procedure begins, the area will be completely numbed using a local anesthetic.  Small incisions are then made and excess gum tissue is carefully removed.  After all areas of diseased tissue are removed, a putty-like substance is then placed over the gums.  This substance is designed to protect your gums as they heal. 

After the Procedure

After the procedure, it is important to eat only soft foods and to drink only cool or slightly warm liquids while the putty is in place and your gums are healing.  It is important to keep the mouth clean after the procedure.  While it is important not to brush in the area where the procedure was performed, it may be possible to brush and floss the rest of the mouth.  After a few weeks the gums will be completely healed and it will be possible to resume brushing and flossing, though this should be done gently at first.