Gingivectomy Short And Long Essay Question And Answers

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Gingivectomy Definition

  • Gingivectomy
  • Excision of the soft tissue wall of the pocket

Gingivectomy Important Notes

1. Indications of gingivectomy

  • Elimination of supra bony pockets if the pocket wall is fibrous
  • Elimination of gingival enlargements
  • Elimination of supra bony periodontal abscess

2. Contra indications of gingivectomy

  • The need for bone surgery or for examination of bone shape and morphology
  • The bottom of the pocket is apical to the mucogingival junction
  • Aesthetic regions

3. Disadvantages of gingivectomy

  • Long time to heal
  • Loss of attached gingiva

4. Electrosurgery

  • It can be used for gingivectomy, gingivoplasty, relocation of frenal attachments, incisions of periodontal abscess, and periocoronal flaps
  • It is not used for procedures that involve proximity to the bone

Disadvantages:

  • Cannot be used in poorly shielded cardiac pacemaker
  • Causes unpleasant odor
  • Necrosis of bone occurs if contact with bone occurs

Gingivectomy Long Essays

Question 1. Define Gingivectomy. Describe indications, contraindications, and their types. Write a note on a surgical procedure.
Answer:

Gingivectomy:

  • Excision of the soft tissue wall of the pocket

Gingivectomy Indications:

  • Eliminate – Suprabony pocket
  1. Pseudo pockets
  2. Fibrous gingival enlargement
    • Creates a physiological form of the gingiva
    • Improves esthetics
    • Creates bilateral symmetry
    • Subgingival restoration
    • Correction of gingival craters

Gingivectomy  Contraindications:

  • Thick bony ridges
  • Poor oral hygiene
  • Infrabony pockets
  • Un-cooperative patients
  • Dentinal hypersensitivity
  • Medically compromised patients

Gingivectomy  Types:

  1. Surgical
  2. Electrosurgery
  3. Laser
  4. Chemosurgery

Read And Learn More: Periodontics Question and Answers

Gingivectomy Surgical Gingivectomy Technique:

Gingivectomy Surgical gingivectomy technique

Gingivectomy Steps in gingivectomy

Gingivectomy Short Essays

Question 1. Electrosurgery.
Answer:

Electrosurgery Electrodes Used:

  • Single wire
  • Loop electrodes
  • Heavy bulkier electrodes
  • Frequency used-1.5-7.5 million cycles/second

Electrosurgery Indications:

  • Gingival enlargements
  • Gingivoplasty
  • Frenectomy
  • Periodontal abscess
  • Periocoronal abscess

Electrosurgery Advantages:

  • Adequate tissue contour
  • Control of hemorrhage

Electrosurgery Disadvantages:

  • Unpleasant odor
  • Bone damage
  • Tissue damage

Question 2. Gingivectomy
Answer:

Gingivectomy Definition:

  • Gingivectomy is the excision of the soft tissue wall of the pocket

Gingivectomy Rationale:

  • To provide good visibility and accessibility for complete calculus removal and thorough smoothening of roots
  • To facilitate gingival healing by creating a favorable environment
  • To restore physiological gingival contour

Gingivectomy Indications:

  • Eliminates
    • Suprabony pocket
    • Pseudo pockets
    • Fibrous gingival enlargements
  • Creates a physiological form of the gingiva
  • Improves esthetics
  • Creates bilateral symmetry Subgingival restoration
  • Correction of gingival craters

Gingivectomy Contraindications:

  • Thick bony ridges
  • Poor oral hygiene
  • Infrabony pockets
  • Un-cooperative patients
  • Dentinal hypersensitivity
  • Medically compromised patients

Gingivectomy Types:

  • Surgical
  • Electrosurgery
  • Laser
  • Chemosurgery

Gingivectomy Short Question And Answers

Question 1. Healing after surgical Gingivectomy.
Answer:

Gingivectomy Steps:

Gingivectomy Healing after surgical gingivectomy

Question 2. Periodontal instruments for Gingivectomy.
Answer:

  • Mouth mirror, probe
  • Pocket markers
  • Interdental knives
  • Kirkland & Orban
  • Surgical blade with BP handle
  • Curettes
  • Tissue forceps and scissors
  • Periodontal dressing

Question 3. Types of Electrosurgical Techniques.
Answer:

Gingivectomy Types of electrosugical techniques

Question 4. Gingivectomy by chemosurgery.
Answer:

  • Gingivectomy can be done using chemicals such as 5% paraformaldehyde or potassium hydroxide
  • It is not used nowadays because of many disadvantages

chemosurgery Disadvantages:

  • Depth of action cannot be controlled
  • Injury to healthy attached tissue
  • Gingival remodeling is not possible
  • Delayed wound healing
  • Slow epithelialization and reformation of junctional epithelium

Question 5. Electrosurgery.
Answer:

  • Electrosurgery is a technique in which electric current is used for incisions

Electrosurgery Indications:

  • Gingival enlargement
  • Gingivoplasty
  • Frenectomy
  • Periodontal abscess
  • Pericoronal abscess

Electrosurgery Advantages:

  • Adequate tissue contour

Gingivectomy Viva Voce

  1. Gingivectomy is not indicated in infra bony pockets
  2. After gingivectomy, complete epithelisation of the surgical wound is completed in about 1 month
  3. Connective tissue repair is completed in about 2 months
  4. The maximum flow of gingival fluid occurs 1 week after a gingivectomy
  5. Gingivectomy may be performed surgically by means of scalpels, electrodes, laser beams, or chemicals
  6. Gingivectomy incision apical to the pocket markings should be directed coronally
  7. Complete epithelial repair after gingivectomy takes about 1 month
  8. Complete repair of connective tissue after gingiva- tomy takes about 7 weeks
  9. GCF flow reached the maximum level after 7 days of gingivectomy

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