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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Testimonials

Thank you for giving me the best dental visit experience I have ever had in my entire life!

From the time I walked in to the office and the time I walked out, it was first class! Actually, that is an understatement.

This was my first appointment and I had my teeth cleaned, fluoride application, x-rays, and a test for oral cancer as I did smoke in the past. It was with great relief that not only did I pass the oral cancer test, but my teeth and gums received an A+ from Jennifer, the girl who cleaned my teeth.
The x-rays were very comfortable in my mouth. Lightweight and with digital imagery.

The office even has a flat tv screen by my chair with remote in case I wanted to watch tv while getting my teeth cleaned.

I could go on and on, but the bottom line is instead of dreading my next dental visit, I am actually looking forward to it!

Tricia Kelly

I wanted to take a moment and share the treatment that my FAMILY has received from Emerald Coast Dentistry. We have been treated with exceptional professionalism, kindness and competency for every dental need we have required. From a son who started his dental requirements at 5 years old; filled with fear, to a father and mother with challenging schedules. Emerald Coast Dentistry has taken the time to truely get to know the invidual needs of our family and actually exceeds expectations for every visit. How often do you hear those words from a long term customer. Imagine, exceeding expectations for over 5 years under challenging circumstances. As a family, we feel very fortunate to be patients of Dr. Erin Sutton and her exceptional staff!

Sincerely, Scott, Beth, and Eric Brubaker

This was my first visit to Emerald Coast Dentistry and I was treated like one of the family. Doctors Sutton and Hills were extremely nice and patient with me and seemed concerned about my past dental problems. They never seemed to be in a hurry and I felt very confident in their treatment and proposed dental plan. I am very thankful I found them.

Margie Hughes

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