If you’ve been told you need a gingivectomy, a procedure to remove or reshape gum tissue, it’s natural to wonder, “Will it hurt?”
The good news is that a gingivectomy is a routine procedure with a reputation for being more uncomfortable than it actually is. With proper anesthesia, modern techniques, and a little aftercare, most patients find it to be a manageable experience. While everyone’s pain threshold is different, understanding what to expect can help ease any anxiety. Modern dentistry prioritizes patient comfort, and a gingivectomy recovery is generally tolerable, making the initial discomfort well worth it.
Let’s break down the process from start to finish, so you can feel prepared and confident.
The Procedure
A gingivectomy is performed under local anesthesia, which means the area being treated will be completely numb. Your dentist or periodontist will apply a topical gel to minimize the sensation of the injection, and once the anesthetic takes effect, you shouldn’t feel any pain during the procedure. (If you’re particularly nervous, some clinics offer sedation options, such as nitrous oxide or oral sedatives, to help you relax.) With these measures in place, most patients report feeling only slight pressure or movement as the dentist works.
The level of discomfort can also depend on the tools used. Traditional gingivectomies involve a scalpel, which may cause minor bleeding and require stitches. However, many dentists now use lasers for this procedure. Laser gingivectomies are less invasive, reduce bleeding, and often eliminate the need for stitches. They also tend to cause less post-operative discomfort, making them a popular choice for patients.
Recovery
Once the anesthesia wears off, you may experience some mild discomfort, but it’s usually manageable. The treated area may feel tender, similar to the sensation of a canker sore. Some mild swelling around the gums is normal and typically subsides within a day or two. Alternately, your teeth might feel slightly sensitive to hot or cold temperatures for a short time.
These symptoms are generally mild and can be alleviated with over-the-counter pain relievers like ibuprofen or acetaminophen. To minimize pain and speed up healing, follow these tips:
- Stick to Soft Foods: Avoid crunchy, spicy, or acidic foods that could irritate the treated area. Opt for soups, mashed potatoes, yogurt, and smoothies.
- Stay Hydrated: Drink plenty of water to keep your mouth clean and hydrated.
- Avoid Strenuous Activity: Take it easy for a day or two to reduce the risk of bleeding or swelling.
- Follow Post-Op Instructions: Use any prescribed mouthwash or ointments as directed, and avoid smoking, which can delay healing.
For most people, the worst of the discomfort is over within 24–48 hours. Any residual soreness usually fades within a week as the gums begin to heal. Full recovery can take 2–4 weeks, but this varies depending on the extent of the procedure and your body’s healing process.
While some discomfort is normal, severe pain, excessive bleeding, or signs of infection (like pus or a fever) are not. If you experience any of these symptoms, contact your dentist immediately.
The Bigger Picture
It’s worth noting that the temporary discomfort of a gingivectomy pales in comparison to the long-term benefits. Whether you’re treating gum disease, correcting a gummy smile, or addressing gum overgrowth, the procedure can improve your oral health, enhance your smile, and boost your confidence. For many, the relief of resolving chronic issues or finally feeling proud of their smile far outweighs the brief recovery period.
If you’re feeling nervous, talk to your dentist—they can tailor the process to ensure your comfort every step of the way. Remember, this small investment in your oral health can lead to a lifetime of smiles.