Orthodontic Procedures – Cosmetic Crown Lengthening

Short Looking Teeth may actually be the Proper Length

When a patient comes to us with an aesthetic issue such as having an ample amount of gums show when they smile, we have a solution for them. Drs Barr and Marinak have a procedure called cosmetic crown lengthening. This is a periodontal plastic surgery wherein excess gum and bone tissue can be reshaped to expose more of the natural teeth. This can be done for a single tooth or for an entire gum line to increase the area of the teeth for a fuller and less “gummy” smile. Crown lengthening can be done by itself or along with another restorative procedure.

3 Reasons for Crown Lengthening

Crown lengthening is a common procedure that has effective benefits. Most patients who have undergone this surgery are pleased with the results.

Restoration of Damaged Teeth

To increase the clinical crown below the gum line where teeth have been damaged from trauma or decay. Crown lengthening can be used to prepare the area for a restorative procedure and providing enough tooth structure so the new restoration will not come loose.

Cosmetic Surgery

Reduce the amount of extra gum tissue that makes teeth look aesthetically short. This procedure can achieve balanced, healthy looking smile.

Dental Crowns

Crown lengthening creates more space between the supporting bone and 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 routinely performed under local anesthetic. This and the time involved to complete the procedure depend and how many teeth, bone and soft tissue are to be treated or removed. Any pre-existing dental crowns will be removed before the procedure, and replaced with new ones afterwards.
During the procedure, the oral surgeon 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 is requiring the reform, adjoining teeth are usually treated to provide a more even reshaping.

The removal of a small amount of tissue may provide enough tooth exposure to place a crown. In other instances, the surgeon will also need to remove a small amount of bone from around the teeth.

When the dentist judges that the correct amount of exposure has been made for the teeth, the treated tissue will be cleaned with sterile water and then be sutured with small stitches. The teeth will look noticeably longer following the surgery because the gums have been repositioned.

Preventing infection, the dentist will then secure the gums with an intraoral bandage. Prescriptions pain relief will be provided and an antimicrobial mouth rinse may be given to help reduce any growth of bacteria. The gums will be completely healed in approximately two to three months.
If you have any questions about crown lengthening, please call Drs. Barr and Marinak.