Gingivektomi_VIDEO PEMBELAJARAN FKG UNEJ

Introduction

This tutorial provides a step-by-step guide on performing a gingivectomy, a dental procedure aimed at removing gum tissue to improve oral health. Understanding this procedure is essential for dental students and professionals, as it enhances skills in periodontal treatments and patient care.

Step 1: Preparation and Patient Assessment

• Begin by assessing the patient's oral health, including:
  • Medical history
  • Current medications
  • Previous dental procedures
• Conduct a thorough examination of the gums to identify areas requiring intervention.
• Ensure the patient understands the procedure and obtains informed consent.

Step 2: Anesthesia Administration

• Administer local anesthesia to ensure the patient is comfortable during the procedure.
• Common techniques include:
  • Inferior alveolar nerve block
  • Local infiltration in the gingival area
• Confirm the anesthesia's effectiveness by checking the patient's response.

Step 3: Gingival Tissue Removal

• Use a scalpel or electrosurgical device to excise the necessary gingival tissue.
• Follow these guidelines:
  • Make precise incisions along the gingival margin.
  • Remove any diseased or excess tissue carefully.
  • Ensure minimal damage to surrounding healthy tissue.

Step 4: Hemostasis and Cleaning

• Control any bleeding using:
  • Pressure with gauze
  • Electrosurgery if necessary
• Rinse the area with saline to keep the surgical field clean.
• Inspect for any remaining tissue that may require additional excision.

Step 5: Suturing the Site

• If necessary, place sutures to aid in healing:
  • Use absorbable sutures for convenience.
  • Cut sutures to an appropriate length, ensuring they are not too tight or too loose.
• Check that the sutures do not cause discomfort to the patient.

Step 6: Post-Operative Care Instructions

• Advise the patient on post-operative care:
  • Avoid hard or crunchy foods for a few days.
  • Maintain oral hygiene, but avoid the surgical site.
  • Use prescribed medications for pain management.
• Schedule a follow-up appointment to monitor healing.

Conclusion

Performing a gingivectomy requires careful planning, skillful execution, and a focus on patient care. By following these steps, dental professionals can ensure effective treatment and improve patient outcomes. Remember to keep the lines of communication open with patients and provide clear instructions for their recovery.