Crown lengthening is usually performed to improve the health of the gum tissue, prepare the mouth for a procedure, or correct a “gummy smile”. A “gummy smile” is used to describe an instance where teeth are covered with excess gum tissue resulting in a less esthetically-pleasing smile. The procedure involves reshaping or recontouring the gum tissue and bone around the tooth in question to create a new gum-to–tooth relationship. Crown lengthening can be performed on a single tooth, many teeth, or the entire gum line.
Crown lengthening is often required when your tooth needs a new crown or other restoration. The edge of that restoration is deep below the gum tissue and not immediately accessible. It is also usually too close to the bone or below the bone.
Crown lengthening allows us to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease.
Crown lengthening takes approximately one hour but will largely depend on the amount of teeth involved and if any amount of bone will need to be removed. The procedure is usually performed under local anesthetic and involves a series of small incisions around the tissue to separate the gums from the teeth. Even if only one tooth requires the procedure, it will probably be necessary to adjust the surrounding teeth to enable a more even reshaping. In some cases, extraction of a small amount of bone will be necessary as well.
When Dr. Hadeed is satisfied that the teeth have sufficient exposure and the procedure is completed, the incisions will be cleaned with sterile water. Sutures and a protective bandage are then placed to help secure the new gum-to-tooth relationship. Your teeth will look noticeably longer immediately after surgery because the gums have now been repositioned. You will need to be seen in one or two weeks to remove the sutures and evaluate your healing. The surgical site should be completely healed in approximately two-to-three months following the procedure.
Patient Reviews for Cosmetic Crown Lengthening
Aesthetic Laser Periodontics & Dental Implants
Peter Hadeed, DDS, with wife and assistant Tracie, keep things light. The two joke with each other and the patient, tell a few stories, and explore subjects other than periodontics. With a routine reminiscent of comedy team Stiller and Meara in the 60s and 70s, they make it easier to undergo otherwise not-so-pleasant periodontal procedures. This does not detract from D. Hadeed’s focus on meticulous surgery. My so-called “crown lengthening” procedure, combined with the removal of my wisdom tooth, was surprisingly complicated. Who knew? I was grateful to Dr. Hadeed and his staff for their willingness to spend the time it took to help me understand what was involved. I also took advantage of advanced imaging technology Dr. Hadeed offers to get much more detailed pictures of the surgical sites than available by x-ray. Periodontics is close-in work. I considered it prudent to obtain these images, even though they were not covered by insurance
- Vic K
Can’t describe how wonderful my experience was today. They thoroughly explain the process, make sure you’re comfortable the whole time, and treat you like family. I will no longer put off dental work as I have found such a comforting and welcoming place. Thank you so much Dr. Hadeed and Tracy!
- Bryce R
This was my first procedure with Dr Hadeed and his assistant Tracie. I was hoping to only have gum lenthening done but found that two teeth had to be extracted due to severe decay deep into the roots. One tooth was a wisdom tooth. I was very concerned and nervous of the thought of it all, but honestly I must say that this team made me feel comfortable the whole time and it was literally pain free, very important for me. I admit Im saddened to have lost two teeth but feel much better knowing that I’ll never be bothered by these two bad teeth and will soon be welcoming a bright shiny implant!
- Brian B