9 doctors weighed in:

Is gingivectomy always necessary for treating periodontitis? My dentist recommends gingivectomy for my periodontitis, but i'm afraid of the pain involved. Are there alternative treatments? .

9 doctors weighed in
Dr. Jason Cataldo
Dentistry - Periodontics
1 doctor agrees

In brief: Not Always!

The fact is, gingivectomy is not a commonly used treatment for periodontitis.
Depending on why you have excess gingival tissue, there may be alternative treatments! scaling and root planing and lanap or conventional surgery are other options.

In brief: Not Always!

The fact is, gingivectomy is not a commonly used treatment for periodontitis.
Depending on why you have excess gingival tissue, there may be alternative treatments! scaling and root planing and lanap or conventional surgery are other options.
Dr. Jason Cataldo
Dr. Jason Cataldo
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Dr. Neil Gottehrer
Dentistry - Cosmetic
1 doctor agrees

In brief: Most

Most periodontal conditions with 6mm of pocket depth or less can be successfully treated nonsurgically with scaling, root planing below the gum, use of a power tooth brush, water irrigator, and with chronic inflammation, oral medication(low dosage doxycycline/periostat 20 mg.
Twice a day) which does not have any antibiotic activity but suppresses enzymes produced by the bacteria which destroys the gum and jaw bone. By following this routine, gingivoplasty is usually not necessary. Three month followup periodontal maintenance scalings maintains this health condition, if you continue the daily hygiene routine. This has worked successfully in thousands of patients on a very predictable basis.

In brief: Most

Most periodontal conditions with 6mm of pocket depth or less can be successfully treated nonsurgically with scaling, root planing below the gum, use of a power tooth brush, water irrigator, and with chronic inflammation, oral medication(low dosage doxycycline/periostat 20 mg.
Twice a day) which does not have any antibiotic activity but suppresses enzymes produced by the bacteria which destroys the gum and jaw bone. By following this routine, gingivoplasty is usually not necessary. Three month followup periodontal maintenance scalings maintains this health condition, if you continue the daily hygiene routine. This has worked successfully in thousands of patients on a very predictable basis.
Dr. Neil Gottehrer
Dr. Neil Gottehrer
Thank
Dr. James Anderson
Dentistry

In brief: Laser therapy

Ask your dentist about laser periodontal therapy.
If he or she is unfamiliar, then find a periodontist that has experience with this new and exciting treatment for periodontitis. It often eliminates the need for periodontal surgery.

In brief: Laser therapy

Ask your dentist about laser periodontal therapy.
If he or she is unfamiliar, then find a periodontist that has experience with this new and exciting treatment for periodontitis. It often eliminates the need for periodontal surgery.
Dr. James Anderson
Dr. James Anderson
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Dr. Vikram Likhari
Dentistry - Periodontics

In brief: Periodontitis

Periodontitis can be treated by a variety of procedures and techniques that are contained in the arsenal of a skilled periodontist.
Gingevectomy is one of them but is seldom used these days as we have evolved to more sophisticated methods of treating this problem. A good periodontist will usualy begin with a conservative approach and will use surgery if and when specific goals need to be achieved..

In brief: Periodontitis

Periodontitis can be treated by a variety of procedures and techniques that are contained in the arsenal of a skilled periodontist.
Gingevectomy is one of them but is seldom used these days as we have evolved to more sophisticated methods of treating this problem. A good periodontist will usualy begin with a conservative approach and will use surgery if and when specific goals need to be achieved..
Dr. Vikram Likhari
Dr. Vikram Likhari
Thank
Dr. Milita Borguet
Dentistry - Periodontics

In brief: In

In your treatment options for periodontal disease you must be certain that you are selecting the most definitive therapy possible and not be side tracked by alternative therapy that might be more costly and less effective.
Please make sure that you are with an experienced certified periodontist when you are informing yourself. Not all therapy options are equal.

In brief: In

In your treatment options for periodontal disease you must be certain that you are selecting the most definitive therapy possible and not be side tracked by alternative therapy that might be more costly and less effective.
Please make sure that you are with an experienced certified periodontist when you are informing yourself. Not all therapy options are equal.
Dr. Milita Borguet
Dr. Milita Borguet
Thank
Dr. Duane Keller
Dentistry

In brief: Remove the infection

It is better to remove the infection rather than remove the tissue, plus when the tissue is surgically removed many of the bacteria are left to regrow.
Delivering a hydrogen peroxide gel (1.7%) has been shown in the research to get better results than removing the infected tissue (j clin dent 2012).

In brief: Remove the infection

It is better to remove the infection rather than remove the tissue, plus when the tissue is surgically removed many of the bacteria are left to regrow.
Delivering a hydrogen peroxide gel (1.7%) has been shown in the research to get better results than removing the infected tissue (j clin dent 2012).
Dr. Duane Keller
Dr. Duane Keller
Thank
Dr. Gabriel Malouf
Dentistry - Cosmetic

In brief: Yes & no:

Yes other treatments exist, and maybe they apply to your condition.
This can only be determined by someone who actually examines you. If you don't like what you hear your dentist can recommend someone for another opinion. I recommend gingivectomy or other periodontal surgical treatment when i believe it's the best solution and will help a patient long-term. Good luck!

In brief: Yes & no:

Yes other treatments exist, and maybe they apply to your condition.
This can only be determined by someone who actually examines you. If you don't like what you hear your dentist can recommend someone for another opinion. I recommend gingivectomy or other periodontal surgical treatment when i believe it's the best solution and will help a patient long-term. Good luck!
Dr. Gabriel Malouf
Dr. Gabriel Malouf
Thank
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