How Painful is a Gingivectomy?
A gingivectomy is a procedure where excess or overgrown gum tissue is surgically removed. In many cases, the procedure is used for treating gum disease. It can also be used for cosmetic purposes to eliminate a gummy smile. When a patient has excess gum tissue, it can make the teeth look smaller than normal and disproportionate to the gums.
Procedure
Below is a summary of the steps involved in a gingivectomy:
- A local anesthetic is used to numb the gums, which ensures the patient remains comfortable and does not experience pain. If the patient is anxious, sedation can also be an option to help them relax and remain calm.
- A laser or scalpel is used to remove the gum tissue.
- Gums are reshaped to achieve symmetry and obtain the correct proportions with the teeth.
- If a scalpel is used, stitches are used to stop bleeding and close the wound. Sutures are not required in the event a laser is used.
- The dental professional then places a dental putty to protect the treatment site as it heals. The putty normally falls off on its own, but is removed at the follow-up appointment if needed.
Pain
Patients are often curious about how painful a gingivectomy is. There should not be any pain during the procedure due to the use of a local anesthetic. Following the procedure, it is normal to have some minor discomfort and tenderness. This should be resolved within a few days. Most patients are able to manage any pain or discomfort with an over-the-counter pain medication. Follow up with the office if you experience serious pain or pain that does not improve after a few days.
Timeline
It takes about 30 to 60 minutes to complete the procedure. The duration will vary based on the severity of the issue and the number of teeth receiving treatment. If the issue is severe and there is significant work required, the treatment will be completed over multiple appointments.
Recovery
A gingivectomy is an outpatient procedure, so patients are able to go home right after it is complete. There will be specific post-procedure instructions and limitations that must be followed to expedite the recovery and reduce the risk of complications.
Oral Hygiene
Patients should wait a day or two before brushing on or around the area that was treated. In order to prevent infection, it is critical to practice good oral hygiene. After a few days, be very careful with brushing and use gentle pressure to avoid damaging the gums. The dental professional may recommend a special mouthwash or warm salt rinse to help keep the mouth clean.
Diet
It is important to wait for the anesthesia to wear off before eating. Focus on consuming soft and mild foods such as smoothies, yogurt, mashed potatoes, pudding, and soup. Avoid crunchy, chewy, and hot foods, which can damage the sensitive gum tissue. Avoid the use of a straw and drink plenty of water during the recovery.
Patients who are concerned about excess gum tissue should call the office for an appointment. The team can determine if you are a good candidate for a gingivectomy and discuss any questions you have regarding the procedure.