Gingivectomy / Frenectomy - Arlington, TX

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Soft Tissue Treatment with Gingivectomies and Frenectomies

Are you struggling with gum disease or other gum tissue-related issues? At DFW Implant Center, Arlington, TX periodontist, Dr. Farhad Boltchi offers soft tissue treatment options, including gingivectomies and frenectomies to help patients maintain healthy gums and teeth. Learn more about these options for soft tissue treatment including the benefits of both and what to expect.

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Dr. Farhad Boltchi

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What is Soft Tissue Treatment?

Soft tissue treatments refer to a range of dental procedures designed to address issues related to the soft tissues in the oral cavity, primarily the gums, cheeks, lips, and tongue. These treatments are integral to maintaining optimal oral health, improving oral function, and enhancing the overall well-being of individuals. At DFW Implant Center, we offer two options for soft tissue treatment; gingivectomy and frenectomy. 

Our Soft Tissue Treatment Options

A gingivectomy is a dental procedure involving the careful removal of gum tissue. This is typically done to serve two primary purposes:

  • Gum Disease Treatment: Gingivectomies are often employed as a treatment for gum disease (periodontal disease). By eliminating diseased or damaged gum tissue, the procedure aims to halt the progression of the disease and promote healthier gums.
  • Cosmetic Enhancement: In some cases, gingivectomies are performed for cosmetic reasons. This involves reshaping the gumline to improve the appearance of the gums, particularly in cases where excess gum tissue makes teeth appear shorter or less symmetrical, also called a “gummy smile”.

A frenectomy, on the other hand, focuses on the removal of frenulum tissue, which is a small piece of tissue that connects various parts of the mouth to the gums. Frenectomies are commonly performed for the following reasons:

  • Tongue-Tie Correction: Frenectomies are frequently carried out to address a condition known as “tongue-tie” or ankyloglossia. In tongue-tie, the lingual frenulum, which connects the tongue to the floor of the mouth, is excessively short or tight, potentially restricting the range of motion of the tongue.
  • Lip-Tie Correction: Similarly, frenectomies can be employed to treat “lip-tie,” where the labial frenulum, connecting the upper lip to the gums, is abnormally positioned, potentially affecting oral function.
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Benefits of Soft Tissue Treatment

  • Soft tissue treatments can resolve issues like gum disease and oral lesions, contributing to healthier gums and oral tissues.

Procedures like frenectomies can improve oral function by increasing tongue or lip mobility, benefiting speech and feeding.

Many soft tissue treatments have cosmetic benefits, enhancing the appearance of the smile by reshaping the gums and improving symmetry.

  • Some soft tissue treatments help prevent further complications such as tooth sensitivity and root exposure.

The Soft Tissue Treatment Process


Before undergoing a soft tissue treatment procedure, it’s essential to go through a consultation with Dr. Boltchi. During this initial appointment, you’ll have the opportunity to discuss your concerns and goals for the treatment. Dr. Boltchi will review your dental and medical history to ensure that the procedure is safe and appropriate for your unique circumstances. This consultation is also a chance to address any questions or apprehensions you might have about the process.


Before commencing the gingivectomy or frenectomy, Dr. Boltchi will administer a local anesthetic to numb the treatment area. This step ensures that you won’t feel pain during the procedure. We also offer sedation dentistry to patients who are feeling especially nervous or those due for a long procedure. 

Laser Technology

Dr. Boltchi will utilize advanced laser technology, such as LANAP, to precisely remove the excess gum or frenulum tissue. The laser allows for greater precision, minimizes bleeding, and often results in quicker healing. Actual removal of the tissue is a quick and typically painless process. The laser used by Dr. Boltchi ensures minimal discomfort during the procedure.

Post-Procedure Recovery

Following the soft tissue treatment, it’s normal to experience some post-operative effects. These are generally mild and temporary.

Soft Tissue Treatment Aftercare

Maintain Excellent Oral Hygiene

Gently brush your teeth twice a day using a soft-bristle toothbrush. Avoid the surgical area for the first few days, then resume gentle brushing. Gently floss at least once a day, preferably before bedtime.

Rinse as Directed

Use an antimicrobial or saline solution, as recommended by Dr. Boltchi, to keep the surgical area clean. 

Avoid Irritating Foods and Beverages

Steer clear of spicy, hot, or acidic foods that may irritate the surgical site. Opt for cooler, softer foods initially.

Pain Management

If you experience mild discomfort or pain, over-the-counter pain relievers like ibuprofen (if recommended by your dentist) can help. Follow the dosage instructions.

Swelling and Ice Packs

If you notice swelling, apply ice packs wrapped in a cloth to the outside of your mouth in 10 to 15-minute intervals during the first 24-48 hours.

Stay Hydrated

Keep yourself well-hydrated by drinking plenty of water. Avoid alcohol and carbonated beverages, as they can be irritating.

Dietary Considerations

Stick to a soft diet for a few days, incorporating foods like yogurt, applesauce, pudding, and soup. Gradually reintroduce solid foods as comfort allows.

Avoid Straws and Smoking

Refrain from using straws, as the sucking action can disrupt the healing process. Additionally, avoid smoking or any tobacco products, as they can impede healing and increase the risk of complications.

Follow-Up Appointments

Attend all scheduled follow-up appointments with Dr. Boltchi and our team. We’ll monitor your healing progress and address any concerns.

Report Any Issues

If you notice excessive bleeding, infection signs (such as fever or persistent pain), or other unexpected symptoms, contact your dentist or oral surgeon promptly.

Frequently Asked Questions

Soft tissue treatments may be covered by dental insurance if they are deemed medically necessary to address oral health issues. Procedures performed primarily for cosmetic reasons may not be covered. It’s essential to check with your insurance provider and discuss the nature of the treatment with your dentist to determine coverage.

Recovery times can vary depending on the type and extent of the soft tissue treatment. Generally, most patients can return to their regular activities, including eating and speaking comfortably, within a few days to a week. Your dentist will provide specific post-procedure instructions to guide your recovery.

While soft tissue treatments are generally safe, like any medical procedure, there can be risks. Potential complications may include infection, excessive bleeding, or delayed healing. To minimize these risks, it’s crucial to follow your dentist’s aftercare instructions diligently and attend all recommended follow-up appointments for monitoring and guidance.

Soft tissue treatment can be performed on individuals of various age groups. Some procedures, such as frenectomies, are commonly performed in infants and children to address issues like tongue tie. However, the suitability of a specific procedure may depend on individual circumstances, so it’s essential to consult with a dentist for personalized recommendations.

Enhance Your Gum Health with Soft Tissue Treatment by Dr. Boltchi!

Transform your oral health, appearance, and speech with soft tissue treatments at DFW Implant Center in Arlington, TX. For expert care and comfortable procedures, schedule an appointment today by dialing 817-663-4704 if you’re a new patient or 817-467-7731 if you’re current. You can also fill out and submit our online contact form below and one of our friendly team members will get back to you shortly. We conveniently serve Arlington and surrounding areas such as Irving, Fort Worth, and Grapevine, TX.

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