Gingivectomy: everything you need to know about gum contouring
Gingivectomy is a procedure used to reshape or remove excess / infected gum tissue. In selected cases, it can help reduce periodontal pockets, improve gum health, and create a more balanced smile.
This procedure is performed in our dental clinic in Gibraltar by our professional in periodontics.
What is a gingivectomy?
A gingivectomy is a periodontal procedure where the gum line is gently reshaped or where diseased gum tissue is removed. It can be recommended for both health reasons (periodontal pockets) and, in some cases, aesthetic gum contouring.
When is it recommended?
- Deep periodontal pockets that trap plaque and food debris
- Inflamed or excess gum tissue that is difficult to keep clean
- Gum contouring to improve smile proportions (case-dependent)
- Part of a wider periodontal treatment plan
Is it painful?
Most patients tolerate gingivectomy very well. Local anaesthetic is used, and after the procedure you may feel mild sensitivity for a few days. We’ll provide clear aftercare instructions and pain-relief guidance if needed.
Why do periodontal pockets matter?
Periodontal pockets are small spaces between the tooth and gum where bacteria can accumulate. When plaque and food debris remain trapped under the gum line, inflammation can persist and the pocket may deepen. This can contribute to gum disease progression if not treated.
Gingivectomy can help by removing infected or excess tissue and improving the gum contour so that the area is easier to keep clean.
Important: Gingivectomy is often part of a broader gum disease treatment plan , which may also include deep cleaning and maintenance visits.
How is gingivectomy performed?
- Assessment: We examine your gums and check pocket depth and gum health.
- Anaesthetic: Local anaesthetic is used to keep you comfortable.
- Reshaping / removal: The gum tissue is carefully reshaped or removed where needed.
- Cleaning: The area is cleaned to reduce bacteria and support healing.
- Aftercare: You receive personalised instructions and follow-up if required.
The exact technique depends on your gum condition and whether the goal is periodontal health, aesthetic contouring, or both.
Recovery & aftercare
- Expect mild tenderness or sensitivity for a few days
- Follow gentle brushing instructions around the treated area
- Avoid hard or spicy foods temporarily (we’ll guide you)
- Attend any recommended follow-up appointments
Healing time varies by case. We’ll give you clear guidance based on the extent of the treatment.
Risks & who it’s for
Gingivectomy is a routine periodontal procedure when correctly indicated, but it’s not right for every situation. We’ll assess gum thickness, pocket depth, and the health of supporting tissues before recommending it.
- Temporary sensitivity is common
- Swelling is usually mild
- In advanced cases, other periodontal therapies may be more appropriate
Frequently asked questions
Is gingivectomy only cosmetic?
No. While it can improve the gum line aesthetically, it is often recommended for periodontal health—especially when gum tissue or pockets make cleaning difficult.
How long does it take?
Duration depends on how many teeth are involved and the goal of the procedure. We’ll confirm timing during your assessment.
Do I need time off work?
Many patients return to normal activity quickly. If your case is more extensive, we may recommend a short rest period.
Do I need gum disease treatment as well?
Often yes. Gingivectomy commonly forms part of a broader gum disease treatment plan, including deep cleaning and ongoing maintenance.
Gingivectomy is part of our gum disease care
Gingivectomy is commonly used as part of gum disease treatment in Gibraltar , particularly when excess or inflamed gum tissue makes it difficult to clean the teeth properly.
Want to know if gingivectomy is right for you?
We’ll assess your gums and advise the most appropriate treatment based on clinical findings and long-term stability.