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 DEFINITION
The gingivectomía is a surgical procedure for which (gum) extirpates the textile gingival injured. At present it is used for the treatment of: hiperplasia (growth) of the gum for medicines, fibrosis of the gum, bags supraóseas in difficult places, to improve the access in technical restorers who invade the space subgingival. It is named by quadrant because it usually do a hemiarcada in every meeting.
SYMPTOMS
The illness periodontal cannot give symptomatology up to stadiums of severe affectation. The principal motives for which it usually consults the patient sound: hemorrhage, mobility, sensibility, etc. The growths of the gum produce also esthetic alterations that the patient recognizes.
SKILL
The suitable position of the patient and of the professional, the use of a correct skill and a few measurements of asepsis are essential norms for the success of the gingivectomía. A previous history and exploration, as well as the achievement of a radiology they are also essential.
The skill must be realized of a ruled form and understands: correct anesthesia, marked with the depth of the bags in the gum, court with scalpel following the marks, elimination of the gingival textile and reshaping, curettage and smoothed radicular, and laying of a dressing periodontal. The abstracted material must be sent for his analysis histopatológico.
COMPLICATIONS
The complications are very infrequent and they split in immediate and mediate (secondary or late). The immediate complications can be: tears, hemorrhages hurt by soft parts; injuries of the nearby nerves; submucous emphysema, break of set of instruments, etc. The mediate complications: infectious, hemorrhagic (of local or general cause); personal details (bacteriemas, septicemias, glomerulonefritis, crisis hiperglucémica or hyperthyroid, descompensaciones cardiac, hepatitis, etc).
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DEFINITION 
