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[Gingivectomy].

G G Zafiropoulos1, L Flores-de-Jacoby, L Tsalikis

  • 1Abteilung für Parodontologie, MZ ZMK der Philipps Universität, Marburg, Bundesrepublik Deutschland.

Deutsche Zahn-, Mund-, Und Kieferheilkunde Mit Zentralblatt
|January 1, 1991
PubMed
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Gingivectomy, an old periodontal surgery, effectively eliminates deep periodontal pockets caused by overgrowth or decay. However, due to lengthy healing, flap procedures are preferred when possible.

Area of Science:

  • Periodontal Therapy
  • Oral Surgery

Background:

  • Gingivectomy is the oldest surgical technique in periodontal therapy.
  • It was a primary method for treating periodontal issues mid-20th century.

Purpose of the Study:

  • To review the indications and limitations of gingivectomy in periodontal treatment.
  • To compare gingivectomy with alternative flap procedures.

Main Methods:

  • Historical review of periodontal surgical techniques.
  • Analysis of clinical indications for gingivectomy.
  • Comparison with apically repositioned flap procedures.

Main Results:

  • Gingivectomy is indicated for eliminating periodontal pockets due to gingival overgrowth, subgingival caries, or crown margins.

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  • The procedure requires consideration of gingivoplasty for physiologic margin design.
  • Healing can be prolonged and painful for patients.

    • Conclusions:

    • Gingivectomy should be reserved for specific indications where pocket elimination is paramount.
    • Apically repositioned flap procedures are generally recommended over gingivectomy due to patient healing and comfort.