Crown Lengthening

crown lengthening

What Is Crown Lengthening?

The crown of your tooth is that part of the tooth that shows above the gums. Crown Lengthening is a periodontal procedure where more of the tooth’s crown is uncovered by reshaping the gums and bone around your tooth. Crown lengthening is done to ensure the success of other dental work or to improve the appearance of your smile.

Cosmetic Crown Lengthening 

You may have what is known as a “gummy” smile. This is where your gums cover too much of your teeth causing them appear too short or immature. A gummy smile can lead to a self-consciousness and also contribute to periodontal problems later in life. 

Fortunately, cosmetic crown lengthening for one or several front teeth can dramatically enhance your appearance with a beautiful new smile. Cosmetic crown lengthening can also restore a balanced, healthy look to your teeth allowing you to eat, speak and smile with confidence.

Cosmetic crown lengthening starts with a cosmetic evaluation to ensure the final result will enhance not only your smile but your entire facial appearance. During the cosmetic evaluation, Dr. Metz will determine how your gums and bone tissues should be sculpted for an ideal and symmetrical appearance.

Overall - This periodontal treatment is usually done in one visit of about an hour under local anesthesia. It can take longer if more teeth are involved or sedation is preferred.

Initial Examination - Before crown lengthening treatment, you will see the periodontist for a medical history check, x-rays and a short examination. Dr. Metz is a specialist in the treatment of conditions relating to the gums and bone tissue that support your teeth.

The Treatment - After you are fully anesthetized, Dr. Metz will make small incisions in the gums around your tooth and gently displace the gums to reveal the underlying tooth structures and supporting bone. Next, these structures will be reshaped using special instruments to expose more of your natural tooth. Your gums will then be contoured to fit the new level of the tooth. 

End of Treatment - Once Dr. Metz has uncovered your gums and bone, the area will be washed with sterile salt water and the gum tissue stabilized with sutures and bandages.

After Treatment - After surgery, you will be given an antimicrobial mouth rinse to keep the area free of bacteria and an ice pack to reduce swelling and any possible bleeding. There will be some soreness as the anesthetic wears off and you will be given a prescription for a mild pain reliever. You may also be given a prescription for a stronger sedative in case it is needed.

The First Day or Two - Usually you can return to your normal routine on the next day or two. A soft diet is recommended and you can brush your teeth near the sutures, but it is best to avoid the gums. Flossing in the area should be avoided.