★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Gum & Periodontal Services

Gingivectomy

Gingivectomy
Board-Certified Periodontal Care Narberth, PA

Gingivectomy & Gum Tissue Contouring in Narberth, PA

Targeted Surgical Removal of Diseased, Hyperplastic, or Excess Gum Tissue

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

A gingivectomy is a precise periodontal surgical procedure designed to excise diseased, hypertrophic (overgrown), or redundant gum tissue. While periodontal disease can cause gum tissue to recede, in certain instances it leads to chronic pseudopockets and swollen tissue enlargement that cannot be thoroughly cleaned with brushing or flossing alone.

Gingivectomy is also commonly indicated for drug-induced gingival hyperplasia (overgrowth triggered by certain blood pressure medications, immunosuppressants, or anti-seizure medications) and for cosmetic contouring before placing veneers or crowns.

At Main Line Dental Arts, our periodontists perform modern gingivectomies using advanced dental lasers and precision microsurgery, ensuring clean margins, minimal bleeding, and rapid, uneventful recovery.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Patients with deep pseudopockets harboring stubborn bacterial colonies that trap food
Individuals experiencing drug-induced gum overgrowth covering parts of their teeth
Patients with chronic gum inflammation that does not resolve after deep cleanings
Preparation for restorative crowns or fillings located near or below the current gumline

What to Expect: Step-by-Step

1

1. Clinical Evaluation & Pocket Measurement

We accurately map the depth of the excess tissue to determine the exact boundary of the biological width and ensure bone architecture is respected.

2

2. Laser or Microsurgical Excision

Using fine laser energy or delicate micro-blades, the excess tissue is removed cleanly with sub-millimeter precision under gentle local anesthesia.

3

3. Hemostasis & Antimicrobial Cleansing

Laser energy instantly coagulates microscopic blood vessels, sealing nerve endings and providing immediate hemostasis with zero suturing required in most cases.

4

4. Rapid Postoperative Epithelialization

The gum tissue seals quickly, creating a smooth, cleanable, and aesthetically balanced gum margin within 7 to 10 days.

Key Clinical Advantages

Eliminates Bacterial Reservoirs

Removes deep pseudo-pockets where plaque and bacteria accumulate out of reach.

Laser Precision & Hemostasis

Minimizes bleeding and swelling during and after the procedure.

Faster, Painless Recovery

Sealed nerve endings result in dramatically less postoperative soreness.

Enhances Daily Oral Hygiene

Allows toothbrushes and floss to reach the tooth-gum interface effortlessly.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Diagnostic Probing

Comprehensive 6-point periodontal charting per tooth to assess pocket depths and bone loss stages.

Phase 2
Active Therapy

Deep ultrasonic debridement, scaling, root planing, and therapeutic antimicrobial decontamination.

Phase 3
Tissue Re-Evaluation

Follow-up check 4 to 6 weeks later to measure pocket depth reduction and gum reattachment.

Phase 4
Periodontal Recall

Personalized 3-month periodontal maintenance cleanings to keep infection in permanent remission.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

A gingivectomy removes diseased or overgrown gum tissue to eliminate deep pockets. A gingivoplasty reshapes healthy gums for better aesthetic contours or cleaner margins. They are frequently performed together.

The procedure is performed under local anesthesia, so you will feel no pain. Afterwards, most patients experience only mild tenderness comparable to a pizza burn, easily managed with over-the-counter pain relievers.

When performed for periodontal pocket reduction or cosmetics, the results are permanent. For drug-induced hyperplasia, maintaining excellent oral hygiene and coordinating with your physician regarding medications prevents recurrence.

Stick to soft, cool foods (yogurt, smoothies, pasta, eggs) for the first 48 to 72 hours, avoiding spicy, sharp, or acidic foods that might irritate healing tissue.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.