What Is a Gingivectomy? Everything About Its Procedure

July 1,2026

As an individual or parent who wears braces, you might have observed some strange changes in your gums, which appear to be growing and almost covering the teeth.

You may also have been told by your dentist that you have gingival overgrowth. It might be quite disturbing; however, a solution does exist, and that is the gingivectomy surgery.

In this guide, we’ll walk you through everything you need to know about a gingivectomy, why gum overgrowth happens, and how to tell if you need the procedure.

What Is a Gingivectomy?

A gingivectomy is a dental procedure that involves the surgical removal of excess or overgrown gum tissue, known medically as the gingiva. The word itself comes from Latin: gingiva (gum) + ectomy (surgical removal).

Before Gingivectomy
Before Gingivectomy
After Gingivectomy
After Gingivectomy
After Healing

Common Causes of Gingival Overgrowth

Gingival overgrowth, characterized by the growth of gum tissue beyond its normal boundaries to cover the teeth, is caused by various factors.

Some of the most frequent causes seen among our Allen, TX, patients include:

1. Braces & Orthodontic Treatment

This is the most common cause we see. If a patient has some space between their teeth and wears braces, the gingival tissues tend to accumulate in that area. With time, it can completely cover the tooth surface, making it difficult for proper cleaning and having an effect on the appearance of your smile. If your child wears braces and their gums seem to look swollen, this is probably the reason.

2. Lack of Gum Stimulation

Healthy gums require stimulation through chewing and brushing as well as flossing in order to maintain their proper size. The reason why gums enlarge is that they do not receive enough stimulation. Gums enlarge and cover more areas of the teeth than they ought to.

3. Genetic Predisposition

There are individuals who naturally have genes that make them more likely to develop this problem. If one of your family members has suffered from gum overgrowth, then it is very likely that you or your children will too.

4. Certain Medications

Certain medicines that might be used to treat high blood pressure, epileptic fits, or prevent transplant rejection can lead to abnormal gum growth. In case you have been using any of these drugs for a while and find that your gums are growing abnormally, you should consult your dentist about it.

Signs You May Need a Gingivectomy

Not sure if your gums are a concern? Here are the most common signs that a gingivectomy evaluation might be the right next step:

  • When your gums cover much of your teeth, it makes them appear shorter than usual.
  • It is hard for you to clean in between your teeth since excess gum tissue is obstructing the access to your toothbrush or dental floss.
  • You have noticed that your teeth look short or crowded when you smile.
  • The gum tissue has visibly gathered around your brackets or braces.
    Your dentist has talked about gingival overgrowth at one of your routine dental checkups.

If you recognize any of the above, it does not mean there is anything fundamentally wrong with your dental hygiene, but it does mean a simple evaluation will go a long way toward making you more comfortable and confident.

What Does the Gingivectomy Procedure Involve?

We understand that any dental treatment can seem scary if you don’t know what is involved. Luckily, a gingivectomy is a simple process, usually done in one sitting, and only takes up to an hour at most.

Here’s what exactly happens in the gingivectomy procedure:

  1. Consultation & Assessment
    It is the responsibility of your dentist to examine the area, listen to your concerns, and then determine the exact amount of tissue that has to be removed to produce the desired effect.

  2. Local Anesthesia
    The numbness caused by local anaesthesia makes the treatment area pain-free for the duration of the procedure, allowing you to be at ease. Many patients actually find the process quite relaxing.

  3. Tissue Removal
    The excess gums are carefully and meticulously removed with the use of a scalpel or, more often than not, with a soft-tissue laser. In fact, the latter method specifically is a bloodless surgery that allows for faster healing.

  4. Shaping & Contouring
    This is where the world of art merges with the practice of dentistry. Your remaining gum line is skillfully sculpted to achieve a balanced, symmetrical, and natural-looking appearance.

  5. Protective Dressing
    A mild periodontal dressing can be applied to the affected area to safeguard the gums as they start the healing process. Your dentist will also provide aftercare instructions before you leave.

Conclusion

Gingivectomy can be considered a safe and efficient treatment option for your gums that may have become enlarged because of your braces, genetics, or any medications that you take.

To learn more about whether you can benefit from the gingivectomy procedure, contact All Smiles Dentistry & Orthodontics in Allen, TX. Book a consultation today and let us take a look.

FAQs

No. The procedure is performed under local anesthesia, so you won’t feel pain during treatment. Mild discomfort afterwards is usually manageable with prescribed medication.

Most patients recover within 1–2 weeks, although complete healing of the gum tissue may take a few weeks longer.

Yes. An aesthetic gingivectomy can reshape excess gum tissue, making teeth appear longer and creating a more balanced smile.

In many cases, the results are long-lasting. However, gum tissue may grow back if the underlying cause, such as certain medications or poor oral hygiene, is not addressed.

Yes. Gingivectomy is commonly performed for patients with braces when excess gum tissue makes cleaning difficult or covers part of the teeth.