Procedure The gingivectomy is a procedure performed under local anesthesia. Involves removing the diseased wall of the bag. The gingivectomy is performed commonly in patients with chronic inflammatory gingival enlargement or enlarged in patients after orthodontic treatment. Healing usually not a problem because the area is covered with periodontal cement. The steps are: 1. Local anesthesia of the surgical area. 2. Location bags. This uses a periodontal probe that identifies the bottom of the bag. Subsequently, determine its depth and indicates that distance, on the outside of the gum, with the score of Crane-Kaplan, both buccal and lingual. 3. Primary incision. The incision starts from apical to points scored, and directed coronal to a point between the base of the bag and the bone crest. This should be beveled to 450 on the tooth surface, following the scalloping of the gum. Avoid exposing the bone. 4.Secondary Incision. After the primary incision for buccal and lingual soft tissue is separated by an inter-proximal Orban knife incision, number 1 or 2 or Waerhaug Knife. 5. The separate tissues are carefully removed with a curette and removed the granulation tissue, calculations and cement remaining necrotic, leaving the root smooth and clean. During surgery permanently irrigated area in order to eliminate tissue curettage and improve visibility. 6. The area is covered with a dressing of collagen. The gingivectomy is indicated when there are supra-alveolar pockets. Technique can be used to reshape the contours gingival gingivectomy abnormalities as craters and hyperplasia in these cases, the technique is called gingivoplasty. This technique is not recommended in areas where there is little gingiva because we run the risk of removing all the remaining gums.The gingivectomy presents some problems if not correctly evaluate the degree and type of destruction that exists before surgery. Sometimes undiagnosed defects can become a problem inherent in many cases, changing the technique to use in the last minute.