This procedure is conducted to remove excess gum tissue that may be overgrown on the teeth to provide a better aesthetic result and a better area to clean the teeth.

Gingiva Overgrowth

Several reasons why there is an overgrowth of gum:

Inflammatory-induced:

  • Biofilm (bacteria) and the host response, resulting in familiar forms of periodontal disease such as gingivitis and periodontitis. Swelling, erythema, and bleeding are signs of these diseases.
  • Usually due to poor oral hygiene, orthodontic appliances 

Some mediation might trigger the growth of the gum tissue, such as:

  • Anticonvulsants (phenytoin, phenobarbital, lamotrigine, vigabatrin, ethosuximide, topiramate, and primidone)
  • Antihypertensives (calcium channel blockers such as nifedipine, amlodipine, and verapamil)
  • Immunosuppressant (cyclosporine)

Systemic diseases such as:

  • Pregnancy or puberty and vitamin deficiencies (mostly vitamin C) are some of the more common causes in this category.
  • Benign neoplasms—such as giant cell granuloma, papillomas, and fibromas—can cause enlargement of the gingiva.
  • Other more serious causes of gingival enlargement include leukemias, malignant neoplasms/carcinomas, as well as many forms of granulomatous diseases.

All these gum overgrowth can be corrected by reduce the cause factors or gum surgery (gingivectomy)

A case of Gingivectomy

A young lady complained that she didn’t have great smile. On examination, we found out that she had a very short teeth. Oral hygiene just moderate.

Using a dental chi gauge, it was confirmed that the patient had a short crown height

Dental scaling was done to improve oral hygiene

After taken radiograh to determain the bone height and biological width, surgical excision of 2mm of gum tissue above the gingiva margin.

Immedate post surgery
2 days after surgery

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