8:48
Video pembelajaran Praktikum Gingivektomi
Kanal Pengetahuan FKG UGM
Overview
This video demonstrates the practical steps involved in performing a gingivectomy, a surgical procedure to remove excess gum tissue. It covers the necessary instruments and materials, followed by a detailed walkthrough of the surgical process. Key stages include asepsis, local anesthesia, marking the incision points, making the incisions, reshaping the gum tissue (gingivoplasty), irrigating the surgical site, controlling bleeding, and finally, applying a periodontal dressing. The procedure is shown on a single tooth for clarity.
How was this?
Save this permanently with flashcards, quizzes, and AI chat
Chapters
- Gather diagnostic instruments: explorer, mirror, probe.
- Prepare surgical instruments: scalpel/blade holder, curette, hemostat, scissors.
- Gather essential materials: glycerin, anesthetic solution, irrigation fluid, sterile gauze, dental cement, periodontal dressing.
Proper preparation and having all necessary materials readily available are crucial for a smooth and efficient surgical procedure, minimizing risks and ensuring patient safety.
Listing specific instruments like the explorer, mirror, probe, and surgical tools such as a scalpel and curette.
- Begin with asepsis: intraoral and extraoral rinsing with antiseptic solution.
- Administer local anesthesia via infiltration in the mucobuccal fold.
- Mark the incision points using a pocket marker, placed parallel to the tooth axis, with the blunt side inside the pocket and the sharp side outside, reaching the pocket base.
Effective anesthesia ensures patient comfort during the procedure, while precise marking guides the subsequent incisions, ensuring the correct amount of tissue is removed.
Using a pocket marker to create precise dots at the base of the gum pocket to guide the surgical cut.
- Perform external bevel incisions starting from the mesial or distal side of the bleeding point, at a 45-degree angle.
- Use a scalpel with a blade holder or a specialized knife (like a Kirkland knife) for the incisions.
- Remove the excised gingival tissue, using a curette to aid in removal and clean calculus if present.
The angle and precision of the incision determine the final contour of the gum line, impacting both aesthetics and function. Thorough removal of excess tissue is the primary goal of the procedure.
Making a 45-degree angled cut along the gum line with a scalpel and blade holder, then using a curette to lift away the excess gum tissue.
- Reshape the remaining gingiva using a scalpel at a 90-degree angle to the gum surface for contouring.
- Perform gingivoplasty to achieve a natural and aesthetically pleasing gum contour.
- Irrigate the surgical area thoroughly with saline or sterile water to clean the site.
Gingivoplasty ensures the gum tissue has a proper, natural shape after surgery, which is important for both appearance and preventing future plaque accumulation. Irrigation removes debris and ensures a clean surgical field.
Using a scalpel held perpendicular to the gum to 'scrape' and smooth the edges of the remaining gum tissue into a more natural shape.
- Control any bleeding by applying gentle pressure with sterile gauze or cotton pellets.
- Apply a periodontal dressing to protect the surgical site, promote healing, and provide patient comfort.
- Ensure the dressing is securely placed over the treated area.
Achieving hemostasis (stopping bleeding) is vital for clear visualization and preventing complications. The periodontal dressing protects the wound, aids healing, and reduces post-operative pain.
Placing a putty-like periodontal dressing over the gums after bleeding has stopped, covering the treated area.
Key takeaways
- A gingivectomy requires precise preparation, including the right instruments and sterile materials.
- Accurate marking of the pocket depth is essential before making any incisions.
- The angle of the incision significantly influences the final shape of the gum tissue.
- Gingivoplasty is a critical step for achieving a natural gum contour after tissue removal.
- Thorough irrigation and hemostasis are necessary for a clean surgical site and effective healing.
- A periodontal dressing protects the surgical site and aids in post-operative recovery.
Key terms
GingivectomyDiagnostic setAsepsisLocal anesthesiaMucobuccal foldPocket markerIncisionGingivoplastyCurettePeriodontal dressingHemostasis
Test your understanding
- What are the essential diagnostic and surgical instruments needed for a gingivectomy?
- Why is it important to mark the pocket depth accurately before making incisions?
- How does the angle of the incision affect the outcome of a gingivectomy?
- What is the purpose of gingivoplasty, and how is it performed?
- What steps are taken to ensure bleeding is controlled and the surgical site is protected after the procedure?