What is Crown Lengthening Surgery?


Esthetic crown lengthening is used to expose natural teeth covered by excessive gum tissue. When you smile, you may notice that your gums are very noticeable or you notice a ”gummy smile”. Crown lengthening can be completed to expose your natural teeth and leave you with a more natural and beautiful smile.
The gum tissue is removed to the cemento-enamel junction or the line where the root surface meets the enamel surface. The gum tissue is contoured to achieve an aesthetically pleasing look. Once the gums have been contoured to an appropriate level, the gum tissue is lifted back and the underlying bone is also contoured to prevent regrowth of the gum tissue. This procedure of bone removal can only be completed once bodily growth has been completed. The procedure is recommended in teenagers over 16 or adults. If excess gum tissue is a problem before full growth has been achieved, a gingivectomy (removal of only gum tissue) is recommended. Dissolving sutures are then placed to keep the gum tissue stabilized at the chosen level. THe sutures dissolve in about 1 week.

With this procedure, patients say they have little if any pain, but are immediately satisfied with the results. Please contact our periodontists at PerioLife to see if you are a candidate for esthetic crown lengthening or cosmetic dental surgery.

Frequently Asked Questions

Is Crown Lengthening painful?

If you are having a crown lengthening, you will be put under local anesthesia so that you will not feel any pain during the procedure. Your periodontist will then trim the gum and expose your tooth to its normal, natural size.

How long does it take to recover from Crown Lengthening?

The recovery time for this procedure is approximately three months. However, you'll be able to resume normal functions as your gums heal. You only need to avoid strenuous activity for the first two to three days.

What is the difference between a Gingivectomy and Crown Lengthening?

Crown Lengthening is an oral surgery treatment used to remove excess gum tissue and possibly bone around the teeth to lengthen the visible enamel. A gingivectomy is a similar procedure in which bone does not need to be removed for the same results.

When to do Crown Lengthening?

Crown lengthening can be done at any time. If you re undergoing orthodontic treatment with clear aligners or braces, it is recommended to have the crown lengthening done before you are done with orthodontic treatment in case any adjustments need to be made to tooth positioning.

 
For any questions regarding Cosmetic Dental Surgery/Esthetic Crown Lengthening, contact PerioLife periodontists in Dallas, Irving, Fort Worth or Keller offices.