Many orthodontic patients experience an overgrowth of tissue around their braces. This excessive tissue often leads to gingivitis and/or periodontal disease by making it difficult to cleanse the teeth. Often this overgrowth will interfere with your orthodontic treatment. This excessive tissue is often accompanied by red and swollen gums that bleed, look nasty, and can become very sore to the patient. T his is often accompanied by bad breath. In these situations, a gingivectomy is recommended. This simple procedure involves the removing and reshaping of the excessive gum tissue. Procedure times vary depending on the number of teeth that are involved. Both topical and local anesthetic will be used to make the procedure comfortable. Upon completion of this procedure, proper gingival contours will exist. The patient can resume normal oral hygiene techniques shortly after the procedure. Acetaminophen or Ibuprofen post-operative is sufficient and is accompanied by an anti-microbial rinse for about one week. The patient may experience slight redness of the gums around the treated teeth but can resume normal activities, including sports.