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Crown Lengthening

Crown lengthening is generally performed in order to improve the health of the gum tissue, or to prepare the mouth for restorative or cosmetic procedures.  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 can be performed on a single tooth, many teeth or the entire gum line, to expose a pleasant, aesthetically pleasing smile.

Reasons for crown lengthening

Crown lengthening is a versatile and common procedure that has many effective uses and benefits.  The vast majority of patients who have undergone this type of surgery are highly delighted with the results.

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

  • Restoration of damaged teeth – Periodontal disease can cause severe damage to the teeth, as can trauma and decay.  Where teeth have been broken beneath the gum line, crown lengthening can be used to prepare the area for a new restoration to correct the damaged teeth.

  • Cosmetic uses – Extra gum tissue can make teeth look unnaturally short, and also increase susceptibility to periodontal infections.  Removing excess gum tissue can restore a balanced, healthy look and thus improve the aesthetic appearance of the smile.

  • Dental crowns – Crown lengthening serves to provide more space between the supporting jawbone and dental crown.  This prevents the new crown from damaging gum tissues and bone once it is in place.

What does crown lengthening involve?

Crown lengthening is normally performed under local anesthetic.  The amount of time this procedure takes will largely depend in how many teeth are involved and whether a small amount of bone needs to be removed, in addition to the soft tissue.  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.

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We at Prosites sincerely appreciate the opportunity to design and host your new website. Your dedication to educating and serving your patients is evident by the excellent information and background your website provides to visitors. We salute your efforts in providing that extra level of communication and service that is so important to patients.

Lance V. McCollough President & CEO Prosites, Inc.

Dr. Carpenter,



So many times in business and life in general, we are pummeled with the negative. I just wanted to drop a quick positive note to let you know how pleased I am with yourself and the entire staff at M Street Dental. My entire family have been patients with you for many years. I don’t believe anyone will tell you they enjoy going to the dentist and I will confess I am no exception. M Street Dental however has always maintained a genuinely positive and friendly atmosphere where I feel as though I am among friends. This includes your entire staff. On Thursday, January 17th, I went into your clinic expecting to have a what was left of a tooth that had broken off extracted. To my pleasant surprise you have put me on a treatment plan to basically “resurrect” this tooth. Keep up the great work & kudos to you all.

Brian Buckingham

When I asked for an evaluation of my mouth, I thought I would probably lose all my remaining teeth, and start over. Remarkably you immediately removed the remains of 2 teeth and set up time the next day to make impressions. Your assistant made very good impressions, and made time the next day for your lab people to add to and repair my existing partial plates. A great job by all of you! The fit is amazing, and they work almost as well as normal teeth. They have needed no adjusting and I can eat green salad again, and apples! And the teeth that show in a smile look very natural. Thank all of you for a good job, well done. It is much appreciated! All done in 4 days!! Unbelievable! Thank you very much.

June Cheek

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