For managing severe gingival hyperplasia, when is it recommended to perform scaling and root planing?

Performing scaling and root planing after a gingivectomy is often the recommended practice for managing severe gingival hyperplasia. This approach allows for the removal of any remaining calculus and plaque that may be contributing to the underlying periodontal issues post-surgery.

Following a gingivectomy, which involves the surgical removal of excess gum tissue, the goal is to create a healthier gingival contour and facilitate better oral hygiene practices. Scaling and root planing at this stage helps ensure that the root surfaces are smooth and clean, which can promote healing and reduce the risk of recurrent hyperplasia or periodontal disease.

Waiting until after the surgical procedure to perform scaling and root planing allows for a definitive evaluation of the tissue healing and the need for further treatment, as the surgical intervention itself can sometimes resolve the inflammation and soft tissue issues. This sequential approach can lead to improved outcomes in managing the condition while also ensuring that patients maintain better oral hygiene moving forward.