How safe is gingivectomy in the disto-lingual area without the risk of traumatising/severing the lingual nerve?
This question was submitted by a general dentist: 15-year old patient with partially erupted 37, 47. Deep pockets 6 mm, small residual pericoronal flap and slight inflammation. How safe is it to do gingivectomy (laser/electrocautery) in this disto-lingual area without the risk of traumatising/severing the lingual nerve?
Dr. Gordon Schwartz from GumDocs provided this quick initial answer:
1. Evaluate the position of the wisdom teeth as that might be the underlying cause.
2. Make sure to stay in the area of keratinized tissue.
3. As long as one stays towards the occlusal, it should be safe.
4. Our experience is primarily with scalpels (we have a laser); however, if one is working mostly on the occlusal, the others should be OK.
Nothing should go apical to the crown of the tooth.
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