Gingivectomy / Coronary Lengthening

Gingivectomy and coronary lengthening are treatments that try to remove the excess gum, but we tell you the rest of the differences.

What is gingivectomy?

Gingivectomy is a procedure that consists of removing the excess gingiva from areas where there has been a periodontal pocket.

This treatment is performed in patients with:

  • Patients with periodontitis or pyorrhea and have damaged gingival tissue.
  • Patients with gummy smile

How is gingivectomy performed?

It is a minimally invasive treatment, requires local anesthesia and is performed with an electric scalpel, although previously it was performed with the manual scalpel, but with the electric scalpel it does not require the use of sutures, while with the manual scalpel it does.

STEPS:

  • Preliminary study to assess both the state of the mouth and the aesthetics of your smile.
  • Surgical procedure, a line will be drawn where the gingival contouring is to be performed, then local anesthesia will be applied and the treatment will be performed with the electric scalpel.
  • The last step is the periodontal cement to prevent possible postoperative problems.

What is coronary lengthening?

This surgery is similar to the previous one since it also removes the excess gum but also removes the bone in the area to be treated.

This treatment is performed for the subsequent placement of crowns or caps.

How is coronary lengthening performed?

This procedure is also performed under local anesthesia.

It consists of trimming the gum and lifting it to trim the bone area and thus create a new biological space of 3-4mm.

In this case, sutures are required in order to close the gum with stitches.

If part of the bone were not removed, the gum would eventually return to its original level (pre-treatment) and this would cause problems when placing dental caps/veneers.