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What Is a Gingivectomy?
A gingivectomy is a dental procedure in which excess or diseased gum tissue is surgically removed and reshaped. Depending on the case, the procedure may target a single tooth or span multiple areas of the mouth.
In a cosmetic context, gingivectomies are often performed to correct a "gummy smile" — a condition where an excessive amount of gum tissue is visible when you smile, making teeth look short or disproportionate. In a clinical context, the procedure is used to eliminate deep gum pockets caused by periodontal disease, removing infected tissue and reducing the space where harmful bacteria accumulate.
Why Would I Need a Gingivectomy?
There are two main reasons a gingivectomy might be recommended:
- Therapeutic: The procedure is used when gum disease has caused overgrowth or significant pocket formation that doesn't improve with scaling and root planing alone. Removing the diseased tissue creates a healthier, shallower sulcus that's much easier to maintain with daily brushing and flossing.
- Cosmetic: Many patients are bothered by a smile that shows more gum than they'd like. A gingivectomy can sculpt the gum line to reveal more of the tooth's surface, creating a more balanced and aesthetically pleasing smile. The results are immediate and, for most patients, genuinely life-changing for their confidence.
What Is the Recovery Process Like?
Gingivectomies are done under local anesthesia, so you won't feel pain during the procedure. Afterward, some tenderness and minor swelling are normal for the first several days. We may place a periodontal dressing over the treated area to protect the tissue while it heals, and we'll provide you with thorough post-operative instructions to support a smooth recovery.
Healing typically takes 1 to 3 weeks, depending on the extent of the procedure. A follow-up visit allows us to check your gum health, remove the protective dressing (if used), and confirm that everything is healing on track. Most patients are pleasantly surprised by how manageable the recovery is and how quickly they're back to their normal routines.
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Wondering If a Gingivectomy Could Help You?
Whether you're unhappy with the look of your gum line or you've been told you need treatment for advanced gum disease, our team at Bethesda Center for Family and Cosmetic Dentistry is ready to walk you through your options. Call our Bethesda office or request a consultation online — we'll evaluate your gums, answer your questions, and help you decide if a gingivectomy is the right move.
