Crown Lengthening

Crown lengthening improves gum health and prepares for restorative or cosmetic treatments. In addition, crown lengthening procedures can also be used to correct a “gummy” smile, where teeth are covered with excess gum tissue. Crown lengthening exposes more of the natural tooth by reshaping or recontouring bone and gum tissue. This treatment enhances one or multiple teeth or the gum line for a more aesthetic smile.

Reasons for crown lengthening

Crown lengthening is a versatile and common procedure that has many effective uses and benefits. This surgery leaves most patients highly satisfied with the results.

Here are some of the most common reasons for crown lengthening:

What does this involve?

Dentists usually perform crown lengthening with local anesthetic. The procedure’s duration depends on the number of teeth involved and whether removing bone along with soft tissue is necessary. Any existing dental crowns will be removed prior to the procedure, and replaced immediately afterwards.

The dentist will make a series of small incisions around the soft tissue in order to separate the gums away from the teeth. Even if only one tooth requires the re-contour, neighboring teeth are usually treated to provide a more even reshaping. Separating the gums provides the dentist with access to the roots of the teeth and the underlying bone.

In some cases, the removal of a small amount of tissue will provide enough tooth exposure to place a crown. In other cases, the dentist will also need to remove a small amount of bone from around the teeth. The bone is usually removed using a combination of special hand instruments, and rotary instruments. The rotary instruments roughly resemble the drill that is used in cavity treatment.

When the dentist is satisfied the teeth have sufficient exposure, the wound will be cleaned with sterile water and the gum tissue will be sutured with small stitches. The teeth will look noticeably longer immediately after surgery because the gums have now been repositioned.

The dentist will secure the surgical site using an intraoral (periodontal) bandage, which serves to prevent infection. Prescriptions may be provided for pain medication, and a chlorhexidine (antimicrobial) mouth rinse may be given to help reduce any bacteria attempting to re-colonize. The surgical site will be completely healed in approximately two to three months.

If you have any questions about crown lengthening, please ask your dentist.