**5.2 Technique**

*Gingival Disease - A Professional Approach for Treatment and Prevention*

**5. Surgical techniques for correction of gingival enlargement**

Gingivectomy implies to the excision of gingival. The pocket wall (or enlarged

Indications [38]: (1) elimination of suprabony pockets if the pocket wall is fibrous and firm, (2) elimination of gingival enlargements and (3) elimination of

Contraindications to gingivectomy include the following: (1) access to bone required (2) narrow zone of keratinized tissue (3) esthetics particularly in the anterior maxilla (4) patients with high postoperative risk of bleeding (5) situations

Disadvantages: more postoperative discomfort, increased chance of postoperative bleeding, sacrifices keratinized tissue and does not allow for osseous recontouring [3].

In the latter part of the nineteenth century Robicsek (1884) pioneered gingivectomy procedure. Grant (1979) defined gingivectomy as being "the excision of the soft tissue wall of a pathologic periodontal pocket". The surgical procedure included

in which the bottom of the pocket is apical to the mucogingival junction.

Advantages: ease and simplicity of the procedure.

**102**

**5.1 Gingivectomy**

**Table 1.**

tissue) is removed for accessibility.

*Treatment plan for gingival enlargement [44].*

suprabony periodontal abscesses.

*5.1.1 Gingivectomy procedures*

The gingivectomy procedure as it is employed today was described in 1951 by Goldman (**Figures 11**–**16**) [3]

