A gingivectomy removes and reshapes excess gum tissue. Using a soft-tissue laser rather than a scalpel changes the experience considerably: the laser seals small blood vessels as it works, so there is minimal bleeding, often no need for sutures, and typically a faster, more comfortable recovery.
Why it is done
The most common reason is cosmetic — evening out an irregular gumline, or exposing more of teeth that look short. It is also used functionally. Some medications, including certain blood pressure drugs, immunosuppressants and anti-seizure medications, cause gum tissue to overgrow to the point where teeth cannot be cleaned properly. Removing that excess restores access for brushing and flossing, which protects the teeth underneath.
Gingivectomy is sometimes needed before restorative work, where overgrown tissue would otherwise sit over the margin of a planned filling or crown.
What to expect
The area is numbed. Your dentist at Parkway Dental marks the intended gum contour and removes the excess tissue with the laser, shaping as they go and checking symmetry against the adjacent teeth. Treating a few teeth usually takes thirty minutes to an hour. Because the laser cauterises as it cuts, the site is dry throughout, which makes the contouring precise.
Healing
Most patients report mild discomfort for a day or two rather than significant pain, and over-the-counter analgesia is usually sufficient. The treated tissue may look pale or whitish for several days, which is normal healing rather than infection.
Stick to softer foods initially and avoid anything spicy, acidic or very hot. Keep the rest of your mouth clean as usual and follow the specific instructions for the treated area. Surface healing takes about one to two weeks, with the tissue continuing to mature for a few weeks beyond that.
If the overgrowth was caused by medication, it can recur while you remain on that medication — meticulous cleaning and regular hygiene visits are what keep it under control.