Periodontist Surgery Guide: Gum Surgeries Explained (Gingivectomy, Gingivoplasty & Crown Lengthening)
Introduction
When people think about dental care, they often picture teeth whitening, braces, or fillings. But ask any experienced dentist, and they’ll tell you: your gums are the foundation of your oral health. If your gums are unhealthy, even the strongest teeth may eventually loosen or fall out.
That’s where periodontist surgery comes in. At Tooth Crew Clinic in Islamabad, our specialists perform advanced gum surgeries such as gingivectomy, gingivoplasty, and crown lengthening. These treatments not only treat gum disease but also improve the appearance and function of your smile.
This guide is the most comprehensive resource you’ll find online — designed to answer every possible question about gum surgeries. Whether you’re a patient considering treatment or simply curious about modern dentistry, you’ll find everything here.
What Exactly Is Gum Surgery?
Gum surgery (periodontal surgery) refers to a group of procedures that reshape, restore, or remove gum tissue for health and cosmetic reasons. Unlike general dentistry, which focuses on teeth, periodontal surgery focuses on the supporting structures of your mouth — gums, ligaments, and jawbone.
At Tooth Crew Clinic, gum surgeries fall into three main categories:
| Procedure | Main Purpose | Best For | Aesthetic or Medical? | Typical Healing Time |
| Gingivectomy | Removes diseased or excess gum tissue | Gum disease, “gummy smiles” | Both | 1–2 weeks |
| Gingivoplasty | Reshapes gums for symmetry | Uneven gumlines, smile design | Mostly cosmetic | 1–2 weeks |
| Crown Lengthening | Exposes more of the tooth by adjusting gum & sometimes bone | Restorations, crowns, gummy smiles | Both | 2–4 weeks |
Deep Dive into Each Gum Surgery
Gingivectomy – Removing Diseased or Excess Gum Tissue
Imagine you’ve brushed and flossed daily, but your gums still bleed and form deep “pockets” that trap bacteria. In such cases, simple cleaning isn’t enough. A gingivectomy becomes the solution.
- How it works: The periodontist numbs the gums, carefully removes excess or infected gum tissue, and smooths the area so bacteria can no longer hide.
- Patient scenario: We recently treated a 35-year-old professional in Islamabad with severe gum swelling due to medication side effects. A laser gingivectomy restored his healthy gumline in just one appointment.
- Result: Reduced risk of infection, healthier gums, and a more confident smile.
Gingivoplasty – Sculpting the Gumline
Not all gum problems are about disease. Some patients have perfectly healthy gums but don’t like how they look. Their gumline may be uneven, asymmetrical, or bulky.
This is where gingivoplasty comes in.
- How it works: Instead of removing diseased tissue, the dentist artistically reshapes the gums using a laser or scalpel.
- Cosmetic importance: Many patients request gingivoplasty before getting veneers or smile design treatments. A perfectly sculpted gumline frames the teeth beautifully, just like a picture frame enhances a painting.
- Result: A natural, balanced smile without changing the teeth themselves.
Crown Lengthening – Exposing More Tooth Structure
Sometimes, the issue isn’t gum disease or uneven gums — it’s that there isn’t enough visible tooth for restoration. For example:
- A tooth breaks below the gumline.
- A cavity forms under the gums.
- A patient’s teeth look “too short” because gums cover too much surface.
In these cases, a crown lengthening procedure is performed.
- How it works: The gum (and occasionally bone) is carefully adjusted to reveal more of the natural tooth.
- Functional role: Without crown lengthening, dentists cannot securely place crowns or fillings.
- Aesthetic bonus: Patients with “gummy smiles” often choose crown lengthening for cosmetic reasons, as it instantly makes teeth appear longer and proportionate.
Why Do People Need Gum Surgery?
Many people ask: “Is gum surgery only cosmetic?” The answer is no. Gum surgeries serve both medical and cosmetic purposes.
Here’s a breakdown:
| Reason | Example | Procedure Usually Recommended |
| Advanced gum disease | Pockets, infection, bleeding | Gingivectomy |
| Uneven gumline | One tooth looks “shorter” | Gingivoplasty |
| Crown preparation | Broken tooth under gums | Crown Lengthening |
| Gummy smile | Teeth look tiny | Gingivectomy / Crown Lengthening |
The Procedure Step-by-Step
Patients often fear surgery because they don’t know what to expect. Let’s walk through the general process at Tooth Crew Clinic:
- Consultation: Detailed oral exam, X-rays, and treatment plan.
- Preparation: Local anesthesia ensures a pain-free experience.
- Surgery:
- Gingivectomy → diseased gum tissue is removed.
- Gingivoplasty → gum reshaped for symmetry.
- Crown lengthening → gum (and possibly bone) adjusted.
- Post-procedure care: Protective dressing may be placed, and healing begins.
Recovery & Aftercare
Healing is usually smooth if patients follow instructions carefully:
- First 24 hours: minor bleeding and swelling are normal.
- 1–2 weeks: most gingivectomy/gingivoplasty patients heal.
- 3–4 weeks: crown lengthening patients see full healing.
Aftercare tips:
- Stick to soft foods (soups, smoothies, yogurt).
- Avoid smoking and alcohol (slows healing).
- Rinse gently with prescribed mouthwash.
- Attend follow-up appointments for checkups.
Risks and Safety Considerations
Modern gum surgeries are very safe — especially when done with laser technology. Still, patients should know potential risks:
- Temporary gum sensitivity.
- Mild bleeding or swelling.
- Rare infection if aftercare isn’t followed.
- Gum recession in some cases.
Cost of Gum Surgeries in Islamabad vs. International
| Procedure | Cost in Islamabad (PKR) | Cost in USA (USD) | Cost in UK (GBP) |
| Gingivectomy | 15,000 – 30,000 | $500 – $1,200 | £400 – £900 |
| Gingivoplasty | 20,000 – 40,000 | $600 – $1,500 | £500 – £1,000 |
| Crown Lengthening | 25,000 – 50,000 | $1,000 – $2,500 | £800 – £1,800 |
👉 Takeaway: Patients in Pakistan, especially in Islamabad, can access world-class treatment at a fraction of international prices — making Tooth Crew Clinic a cost-effective yet high-quality choice.
FAQs About Gum Surgery
- Is gum surgery painful?
Not during the procedure (local anesthesia is used). Mild soreness afterward is manageable with painkillers. - Will my gums grow back after gingivectomy?
No — removed tissue usually does not regrow. Proper care prevents recurrence of problems. - Can I go to work the next day?
Yes, most patients return to routine within 24–48 hours. - Are these procedures permanent?
Yes, crown lengthening and gum reshaping are generally permanent. - Is it safe for diabetics?
Yes, with proper precautions. Our clinic requires a medical history review before surgery.
Why Choose Tooth Crew Clinic for Gum Surgeries in Islamabad?
- Specialized Periodontists with international training.
- Laser-assisted surgery → faster healing, less discomfort.
- Affordable pricing without compromising on quality.
- Trusted reputation in Islamabad with patient-first ethics.
- Personalized care tailored to each individual case.
Final Thoughts
Gum surgeries like gingivectomy, gingivoplasty, and crown lengthening are not just cosmetic extras — they are essential tools to restore oral health, prevent tooth loss, and enhance smile aesthetics.
At Tooth Crew Clinic, Islamabad, our mission is to provide world-class periodontal care that’s accessible, affordable, and patient-centered. Whether you need functional improvement or cosmetic refinement, our team is here to guide you through every step.
📞 Call today to book your consultation and take your first step toward healthier gums and a confident smile.