What You Need to Know About Gingivectomy
If you’ve ever noticed that your teeth appear unusually short or your smile looks “gummy,” the issue may not be your teeth at all—but rather your gums. In some cases, excess gum tissue can grow over the surface of the teeth, creating both functional and aesthetic concerns. A gingivectomy is a periodontal procedure designed to remove this overgrown tissue and restore both gum health and natural smile proportions.
At Toronto North Periodontics, we specialize in procedures like gingivectomy to help patients reclaim their oral health and confidence. In this blog, we’ll explore what a gingivectomy is, who it’s for, and why it may be the right solution for improving both the appearance and function of your smile.
What Is a Gingivectomy
A gingivectomy is a minor surgical procedure in which excess or overgrown gum tissue is carefully removed. This treatment helps expose more of the natural tooth surface and eliminates deep gum pockets where bacteria can accumulate.
While gingivectomy is often performed for cosmetic reasons, it also plays a critical role in treating and managing gum overgrowth caused by certain medications or chronic inflammation related to periodontal disease.
Why Gum Tissue May Become Overgrow
Excess gum tissue, or gingival overgrowth, can occur for several reasons:
1. Medication-Induced Gum Growth
Certain medications are known to cause the gums to thicken and enlarge, including:
- Anti-seizure medications
- Immunosuppressants (used after organ transplants)
- Calcium channel blockers (used to manage high blood pressure)
These drugs can stimulate abnormal gum cell growth, leading to the development of thick, puffy gums that cover the teeth and create deep pockets—ideal environments for plaque and bacteria to thrive.
2. Chronic Inflammation from Gum Disease
When plaque and tartar build up along the gum line, the body responds with inflammation. Over time, this can cause the gums to swell and enlarge. If left untreated, this condition contributes to periodontal disease and eventual bone loss.
3. Cosmetic Concerns
Some people naturally have excessive gum coverage that makes their teeth appear short, even if the teeth themselves are healthy and correctly shaped. A gingivectomy can reshape the gumline to improve smile aesthetics and proportion.
Who Can Benefit from a Gingivectomy
A gingivectomy may be recommended for both functional and cosmetic reasons.
✔ Cosmetic Gingivectomy
- Patients who are unhappy with a “gummy smile”
- Teeth appear too short, even though they are normal in size
- Creating a more symmetrical and balanced gum line for an improved appearance
✔ Functional Gingivectomy
- Patients experiencing drug-induced gum overgrowth
- Excess gum tissue causes deep pockets that are hard to clean
- Chronic inflammation or gum disease that has led to persistent overgrowth
- To allow better access for oral hygiene and reduce risk of periodontal complications
What to Expect During the Procedure
A gingivectomy is typically completed in about one hour and is performed in-office.
The procedure includes:
- Local anesthetic to numb the treatment area (sedation is also available for patients who are anxious).
- Removal of the excess gum tissue using specialized tools or laser technology.
- Shaping and contouring of the gumline for a more aesthetic and functional result.
- Placement of a protective dressing over the gums, if necessary.
Recovery and Healing
The recovery process after a gingivectomy is generally quick and well-tolerated.
After the procedure:
- Most patients return to work or daily activities within 24 hours.
- Initial healing occurs within the first week, allowing you to resume normal oral hygiene and eating habits.
- Full healing and gum tissue maturation take 4–6 weeks.
Dr. Valentin Dabuleanu will schedule post-operative appointments at 1 week and 6 weeks to ensure proper healing and provide personalized guidance during your recovery.
Benefits of Gingivectomy
Whether performed for health or aesthetic reasons, gingivectomy offers several significant benefits:
🦷 Improved Oral Hygiene
By removing excess tissue and reducing pocket depth, gingivectomy allows better access for brushing and flossing, helping to prevent plaque buildup and gum disease.
😁 Enhanced Smile Aesthetics
Excessive gum tissue can make teeth look small or uneven. A gingivectomy restores natural proportions and symmetry for a more attractive smile.
💊 Management of Medication-Induced Conditions
Patients taking certain medications often struggle with gum overgrowth. Gingivectomy provides relief and helps manage this side effect.
🦷 Reduced Risk of Periodontal Disease
By eliminating deep gum pockets, the procedure reduces the areas where bacteria can thrive—helping to prevent progression to more serious stages of gum disease.
Take the Next Step with Toronto North Periodontics
If you’ve been told you have gum overgrowth, or if you’re unhappy with the appearance of your gums, a gingivectomy may be the ideal solution. At Toronto North Periodontics, we are committed to helping our patients achieve healthy, beautiful smiles with expert periodontal care.
Dr. Valentin Dabuleanu and our experienced team will work with you to create a personalized treatment plan that addresses your functional needs and aesthetic goals.
📞 Contact us today to schedule a consultation and find out if gingivectomy is right for you. Let us help you reveal more of your natural smile—comfortably and confidently!ier smile.for a healthier, longer-lasting smile!
