Crown Lengthening

What is Crown Lengthening?

Crown lengthening is a surgical procedure that removes excess gum tissue and, in some cases, bone to expose more of a tooth's surface. This procedure is often performed to prepare a tooth for a crown or other restoration, or for cosmetic reasons to improve the appearance of a "gummy smile."

When is Crown Lengthening Needed?

Crown lengthening may be recommended in several situations:

• When a tooth is broken off at the gum line and there isn't enough tooth structure to support a crown
• When decay extends below the gum line and needs to be accessed for treatment
• For cosmetic reasons to reduce excessive gum tissue and create a more balanced smile
• When preparing a tooth for a dental crown or bridge
• To improve the appearance of teeth that appear too short

The Crown Lengthening Procedure

The crown lengthening procedure typically involves the following steps:

• Local anesthesia is administered to numb the area
• The periodontist makes small incisions in the gum tissue to separate it from the tooth
• Excess gum tissue is removed to expose more of the tooth
• In some cases, a small amount of bone may also be removed
• The gum tissue is repositioned and sutured in place
• A protective dressing may be placed over the surgical site

Recovery and Healing

After crown lengthening surgery, you can expect:

• Some discomfort and swelling for the first few days
• The need to avoid chewing on the treated area
• Special oral hygiene instructions to follow
• A follow-up appointment to remove sutures if needed
• Complete healing typically takes 2-3 months

Post-Surgical Care

To ensure proper healing after crown lengthening:

• Take prescribed pain medications as directed
• Apply ice packs to reduce swelling
• Avoid brushing the surgical area for the first few days
• Use a saltwater rinse as recommended by your dentist
• Avoid hard, crunchy, or spicy foods
• Don't smoke or use tobacco products
• Attend all follow-up appointments

Benefits of Crown Lengthening

Crown lengthening offers several advantages:

• Creates adequate tooth structure for dental restorations
• Improves the appearance of teeth that appear too short
• Reduces excessive gum tissue for a more balanced smile
• Allows for better access to decay below the gum line
• Provides a better foundation for crowns, bridges, or veneers
• Can improve overall oral health by making teeth easier to clean

Risks and Considerations

As with any surgical procedure, crown lengthening carries some risks:

• Infection at the surgical site
• Excessive bleeding
• Sensitivity to hot and cold temperatures
• Root exposure leading to increased sensitivity
• Changes in tooth appearance
• Need for additional procedures in some cases

When to Consider Crown Lengthening

You should consider crown lengthening if:

• Your dentist recommends it to prepare a tooth for a crown
• You have a "gummy smile" that you'd like to improve
• You have teeth that appear too short
• You have decay that extends below the gum line
• You need better access to a tooth for restorative work

Consultation and Planning

Before undergoing crown lengthening, your dentist or periodontist will:

• Conduct a thorough examination of your teeth and gums
• Take X-rays to assess bone structure
• Discuss your treatment goals and expectations
• Explain the procedure and recovery process
• Address any concerns or questions you may have
• Create a treatment plan tailored to your needs