A crown lengthening is a surgical procedure that involves the removal of excess gum or bone to expose more of the tooth to create a healthy and beautiful smile.
What is Crown Lengthening?
The most common reason this procedure is preformed is due to an individual having the appearance of a “gummy” smile, whichgives the appearance that their teeth are much shorter. A dental crown lengthening is the surgical removal of the excess tissue that has grown over the teeth to allow them to look like their natural length.This can also include the removing and reshaping of bone tissue to give each tooth or even the entire smile a healthy and beautiful smile.
Another reason behind a dental crown lengthening procedure is to make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.
Crown Lengthening Procedure
Prior to the procedure taking place the periodontist will conduct an evaluation, and establish a proper treatment plan. In conjunction with an examination and x-ray, all necessary steps will be taken to ensure the final result is a healthy mouth. It may be determined that the teeth should be cleaned, or that the crown should be replaced before the procedure is preformed. Should this be the case the periodontist will explain everything in detail, and conduct the crown lengthening when the mouth is fully healed.
The patient undergoing crown lengthening surgery is initially placed under local anesthetic. Most of the time it involves multiple teeth to ensure the final result allows the tissues to be reshaped gradually for an even smile. The time of the procedure is dependent on the amount of teeth involved in the surgery. If both bone and soft tissue are removed, the procedure will take longer than if only soft tissue is removed. It may take additional time if the patient has temporary crowns that may be removed before the procedure begins, which will be placed back after the surgery.
Esthetic Crown Lengthening
The periodontist will make an incision to pull the gums away from the teeth to expose the roots of the teeth and the surrounding bone. If the reasoning for the surgery is to place a crown or filling then it can be sufficient to only remove a little gum tissue for the dentist to successfully perform. In most cases, bone tissue will also need to be removed from around the roots of the teeth. Once the respective area has been revealed enough tooth, the surgical site will be washed with sterile salt water and the gums will be stitched together.
Patients will be given medications to relieve any discomfort and a mouth rinse to help maintain the site after the surgery. Home health and dietary standards will be indicated by the periodontist both before and after the surgery. Brushing the teeth around the stitches is advised, but the patient must avoid the gums of the area where the surgery took place.
What Are The Benefits of Crown Lengthening?
Whether you have dental crown lengthening to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health – your keys to smiling, eating and speaking with comfort and confidence.