Crown Lengthening Specialist

What is crown lengthening surgery?

Crown lengthening surgery is a procedure that is performed to expose more of the tooth surface so a more extensive restoration or repair can be performed. Crown lengthening surgery is usually performed when a tooth breaks off at or below the gum line or when a filling or other restoration falls out, revealing more decay beneath the restoration. In order to perform the necessary repair, more of the tooth structure needs to be exposed so the new restoration can be properly attached. Crown lengthening surgery can also be used cosmetically in people who have excessive gum tissue, creating what is referred to as a “gummy smile.”

What happens during the crown lengthening procedure?

Crown lengthening can be performed using a local anesthetic to numb the area prior to treatment. Incisions are made in the gum tissue to allow the gum to be pulled away from the tooth surface so the tissue can be removed. Depending on the type of restoration that is being performed, some bone tissue may also be removed to make room for the restoration. Once the gum tissue has been removed, the remaining gum will be repositioned, and sutures will be used to hold it in place while it heals. If the tooth being treated has a crown or other restoration, the restoration may need to be removed during the procedure and then replaced afterward.

How will I feel after my procedure?

Immediately following the procedure, a patient may experience some swelling and discomfort. Over-the-counter pain medication and ice packs applied to the cheek or jaw can help reduce pain and inflammation. Complete care instructions will be provided to ensure the area can be properly cleaned without increasing pain or irritation. About a week after the procedure, the stitches will be removed, and a follow-up visit will be scheduled to perform the final restoration of the tooth if needed. Complete healing takes about three months in most patients.