Gingivectomy
Gingivectomy means excision of the gingiva. By removing the pocket wall, gingivectomy provides visibility and accessibility for complete calculus removal and thorough smoothing of the roots, creating a favorable environment for gingival healing and restoration of a physiologic gingival contour.
Indications
Elimination of suprabony pockets
Elimination of gingival enlargements
Elimination of suprabony periodontal abscesses.
Contraindications
Need for bone surgery
When bottom of the pocket is apical to the Mucogingival junction
Esthetic considerations, particularly in anterior region of Maxilla
Gingivectomy can be performed by various techniques.
Surgical gingivectomy
Gingivectomy by electrosurgery
Laser gingivectomy
Gingivectomy by chemosurgery
References
Newman, MG; Takei, HH;Klokkevold, PR; Carranza, FA; editors: Carranza’s Clinical Periodontology, 10th Edition. Philadelphia: W.B. Saunders Company, 2006. page 912-916.