Changes

*'''Gingivectomy and gingivoplasty''' - should be carried out under general anaesthetic if significant pseudo-pockets are present between the gingiva and teeth crowns. The aim should be to eliminate the pseudopockets and re-establish the normal anatomy of the gingival margin.

*'''Gingivectomy and gingivoplasty''' - should be carried out under general anaesthetic if significant pseudo-pockets are present between the gingiva and teeth crowns. The aim should be to eliminate the pseudopockets and re-establish the normal anatomy of the gingival margin.

*

**'''Electrosurgery and Laser surgery''' - Care must be taken with electrosurgery to avoid contact between the teeth crowns and the electrodes to prevent irreversible heat damage to the pulp.

Oral feedings should be withdrawn in patients with severe stricture or oesophagitis. An oesophagostomy tube may be placed in these cases to provide nutritional support.

 

*Anti-inflammatory doses of corticosteroids (prednisolone) to prevent fibrosis and re-stricture.

 

*Surgical resection is not recommended because iatrogenic strictures at the anastomotic site are possible.

 

==Prognosis==

==Prognosis==