Crown Lengthening

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Crown Lengthening

Releasing a Healthier, More Beautiful Smile and Re-establishing Healthy Oral Function

Crown lengthening is a routine dental procedure that enhances the look and function of your smile. Whether it’s correcting a “gummy smile,” preparing a tooth for a crown, or treating decay below the gum line, crown lengthening may be the way to go. The surgical process recontours the gum tissue—and sometimes bone—to reveal more of the tooth structure.

What Is Crown Lengthening?

Crown lengthening is when gum tissue (and sometimes a segment of bone) is removed or relocated to reveal more surface of the tooth. While it might sound like something aesthetic, crown lengthening is typically needed for restorative dentistry. Crown lengthening can actually make your smile look better by getting a better balance of gums and teeth.

The treatment is performed on a single tooth, multiple teeth, or the entire gum line, depending on your personal situation.

Why Crown Lengthening Is Performed

There are aesthetic and restorative purposes crown lengthening is performed for:

  1. Restorative Needs:

To hold a dental filling or crown: If a tooth is decayed or damaged near the gum line, crown lengthening reveals sufficient of the tooth for a filling or crown to securely hold in place.

To repair subgingival decay: If the decay or damage is below the gum line, your dentist may need to pull back gum tissue in order to reach and repair the area.

  1. Cosmetic Reasons:

To refine a “gummy smile”: Some people just happen to have more gum. This makes their teeth appear short or stumpy. Crown lengthening recontours the gum line to a more proportionate, symmetrical smile.

To optimize aesthetics before veneers or other cosmetic treatments: An acceptable tooth-to-gum ratio is required for lasting result and aesthetic balance.

The Crown Lengthening Procedure

Crown lengthening is usually accomplished by a periodontist or an oral surgeon on a local anesthetized patient. What to anticipate during the procedure:

  1. Initial Assessment:

Your dentist assesses your oral situation, takes X-rays, and formulates the treatment based on your goals and requirements.

  1. Anesthesia:

Local anesthesia is administered to numb the area, ensuring your comfort throughout the procedure.

  1. Gum Recontouring:

The gums will be pulled away from the teeth in small incisions made by the dentist. In certain instances, an amount of bone is also excised to allow the proper exposure of the tooth.

  1. Suturing and Healing:

The repositioning and suturing of the gums are done. The site is cleaned and dressed to allow healing.

Recovery and Aftercare

After the procedure, you may experience some temporary swelling, pain, or sensitivity for a couple of days. Your dentist will provide you with complete aftercare instructions, which may include:

  • Control of pain with over-the-counter or prescription medications
  • Special mouth rinse to prevent infection
  • Soft food diet for the first healing period
  • Avoiding heavy exercise for a few days

Most patients can return to normal activity after 1–2 days. Complete gum healing may take weeks.

Benefits of Crown Lengthening

  • Improved appearance: More attractive, harmonious smile
  • Healthier oral condition: Brushing and flossing made easier
  • Increased restorability: Better surface on which to bond crowns or fillings
  • Increased comfort: Relief from pain caused by excess gum tissue

Is Crown Lengthening Right for You?

Crown lengthening may be indicated if you:

  • Have worn, decayed, or broken teeth close to the gum line
  • Desire improvement in short or crooked teeth
  • Are having crowns or veneers and desire more tooth structure exposed
  • Have too much uneven gum tissue

Your dentist will closely examine to determine if you are a good candidate for the treatment and tailor the treatment to your specific needs.

Schedule Your Consultation

If you are considering crown lengthening for functional or aesthetic reasons, we can help. We employ the latest technology along with personalized treatment to produce optimal results. Call us now to schedule your appointment and start your way towards a healthier, brighter smile.

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