in today's video guys we're going to be

talking about the ginger victim II

procedure so this is a procedure which

is done usually when we have a

hyperplastic gingiva so in this case it

results in pseudo pockets because of the

overgrowth of the gingiva when you use a

periodontal probe to check the bottom of

the pocket or so gingival sulcus it's

going to be above four millimeters just

because of this enlarged gingiva and it

can even be greater it can be five six

seven depending on how hyperplastic the

gingiva is so one of the indications is

to eliminate pseudo pockets it can also

be done if we want to create a more

aesthetic appearance in the anterior

when we have kind of a gummy smile so

the patient wants to expose more of

their tooth or if we want to expose more

sort of sub changeable preparation if

we're making crowns or veneers so that's

when a ginge rectum we can also be done

the instruments that we use for the

ginger ectomy are special pliers for

marking the pockets we also use scalpel

blades that's different types which can

be used for a ginger ectomy procedure or

we can use ginger vechta meat specific

knives and in some cases scissors can be

used as for minor contouring so that's

the equipment that we need

I mentioned the pocket marking pliers at

the beginning so these are used to mark

certain bleeding points and you can use

them with Goldmann fox marking pliers or

crane coupling so the way it works is

one arm of the pliers is put inside the

pocket the other arm is kind of outside

the pocket and it has a sharp inward

point so when you squeeze it together

it connects together and through the

gingiva it marks it basically makes a

mark which starts to bleed so you insert

it to the bottom of the pocket squeeze

and it marks the base of the pocket once

you mark the base of these pockets using

these pliers it then gives you a

reference point for your incision

because you've marked the base of the

pocket so for the incision depending on

which scalpel blade you're using you can

use a number 11 12 D scalpel can be you

you can also use specific ginger víctima

knives like the Kirkland knife or the

Auburn knife so it's entirely dependent

on the clinician which one they use but

you're gonna make a continuous incision

across the entire surface so you've

marked the bleeding points we make this

continuous sort of scalloped incision

it's going to be at an angle of 120

degrees to the tooth axis we try to

avoid doing horizontal incisions in this

case because the kanto starts a lot

kinda like balcony like so it's usually

something we try to avoid also exposure

of the bone should be avoided just to

prevent post-operative pain and delayed

wound healing once we've removed the

excess tissue we can do some minor

adjustments just to shape the area as we

need now that we've exposed more of the

tooth surface we can proceed with some

scaling and root planing to ensure that

the tooth surface is smooth and clean

it's a perfect opportunity to debride

the area now that we've removed the

tissue a dressing is usually placed a

periodontal Park it's usually replaced

after one week the patient is instructed

to use Co hexa diene mouthwashes between

0.1 percent and 0.2 percent twice a day

it needs to be done and then when the

patient feels the pain has subsided and

they're more comfortable with the area

feels a bit more comfortable then they

can continue with their normal oral

hygiene routine so after a week the

patient returns just for a check-up and

we clean the wound surface any fibrin

remnants and epithelial remnants we kind

of just remove off and then we apply a

new periodontal dressing the normal

healing period for a ginger ectomy is

between two to four weeks but the

patient must be monitored weekly just to

ensure healing is going appropriately

and to replace the periodontal pox to

end the video I'm going to show you guys

an eye

before-and-after picture of a ginger

vechta me procedure so this has been

done by dr. Teresa Viera I think that's

how you pronounce her surname yeah you

can see in the before picture that

really hyperplastic gingiva really

covering the neck of the anterior teeth

really doesn't look very aesthetic

especially you can imagine when the

patient smiles when you have excessive

gum tissue like that it can really

contribute towards a gummy smile and we

have the after picture on the bottom

very nice picture very nice quality of

picture as well but you can really see

the contour of the gingiva is much more

appropriate and this is the type of

result that you can get with a ginger

ectomy so that's all for the video today

guys if you have any questions please

write them in the comment section below

and I'll do my best to reply to you guys

as soon as possible