Gingival Surgical Techniques in Periodontics | INBDE, ADAT, AFK Prep | Smart Review by Dr. Sehar

Gingival Curettage & Gingivectomy Explained | Surgical Procedures, Benefits & Risks

🔹 What is Gingival Curettage?
Gingival curettage is a surgical procedure that removes the soft tissue lining of the periodontal pocket using a curette. While it was once performed alongside scaling and root planing (SRP) for periodontal treatment, there is no proven therapeutic benefit, leading the American Dental Association (ADA) to remove it from the CDT-4 coding system.

🔹 What is Gingivectomy?
Gingivectomy is used to remove excessive gingival tissue, often due to pseudopockets, genetic factors, or drug-induced gingival overgrowth. While effective, it does not treat underlying bone defects, making it less suitable for certain periodontal conditions.

🔹 Gingivectomy Techniques:
✔️ Scalpel Gingivectomy: Traditional but causes more pain, longer healing time, and excessive bleeding.
✔️ Laser Gingivectomy: Faster healing, less pain, and minimal bleeding, making it a preferred method.
✔️ Electrosurgery: Uses heat to cut tissue, providing better bleeding control but with potential risks like tissue damage and inflammation.

📌 Key Takeaways:
✅ Laser gingivectomy is often preferred for better healing and reduced discomfort.
✅ Electrosurgery provides a cleaner operative field but may lead to thermal damage.
✅ Conventional scalpel gingivectomy is precise but has a longer recovery time.

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Gingival Surgical Techniques in Periodontics | INBDE, ADAT, AFK Prep | Smart Review by Dr. Sehar
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