Muco-Gingival Surgery

1. What is mucogingival surgery?

Muco-gingival surgery or plastic surgery of the mucogingival tissue is applied to correct morphological defects in the position, quantity and quality of soft tissue and underlying bone.


2. When is it used?

It allows to treat in particular

  • to stop the progression of gingival recessions (Gingival graft)

  • to cover a bare root (Gingival graft)

  • to thicken your gums that are too fine (Gum graft)

  • to reduce a gum smile (Gingivoplasty)

  • to increase the size of your teeth (Gingivectomy)

  • to find again a natural smile prevented by a too short brake (Freinotomy & Frenectomy)


3. Surgical techniques used

The generally used surgical techniques are

  • The freenotomies (or partial removal of the brake) and the freenectomies (labial & lingual)

  • Vestibuloplasty

  • Tattered procedures (moved coronally or laterally)

  • Buried epithelio-conjunctiva or conjunctiva gingival grafts

  • Surgical coronary elongation



4. Gingival transplant & Gingivoplasty

A page dedicated to gum grafting is available.


Gingivoplasty is a gum graft whose more aesthetic purpose is to give a natural appearance to the gums and thus reshape the patient's smile.


5. Gingivectomy

Gingivectomy can have a medical and / or aesthetic purpose with the elimination of gum tissue either sick (mainly in the treatment of periodontitis) or in excess (gum smile).

6. Contraindications

  • Life-threatening heart disease (valve disease, patient with a pacemaker)

  • Haematological disorder (acute leukemia, hemophilia, agranulocytosis, etc.)

  • Neurological disorder (multiple sclerosis, parkinson's disease)

  • Radiotherapy (patient irradiated in the cervico-facial sphere)

  • Immune deficiency

Please discuss with your dentist if you enter any of the following cases:

  • Hormonal disorders (diabetes)

  • Pregnancy: first and third period of amenorrhea

  • Cardiovascular pathology