A gingivectomy, or gum-reshaping procedure, uses either lasers or electrosurgery to contour the gingival margin, or "gumline." Some patients may request this procedure if they complain of a "gummy smile."
A gingivectomy may be required prior to braces if there is not enough of a tooth's crown exposed for bracket bonding. It can also be used to expose impacted canines. Or, at the completion of comprehensive treatment when teeth are aligned and an ideal bite has been achieved, a gingivectomy can remove excess gingival tissue that may obstruct the ideal esthetic view of the tooth crowns. A frenectomy may be done simultaneously, if indicated.
The gingivectomy procedure involves anesthetic being applied to the gingiva, then a gradual reshaping using a laser or electrode. Excess gingival tissue is removed and the gumline is esthetically contoured.
The gingiva will heal within two weeks, and final results will be visible within 3-4 weeks. Your dental professionals may recommend chlorhexadine rinses and a combination of Tylenol and Ibuprofen for post-operative pain management.
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