Crown Lengthening - Procedure, Recovery & Who Needs It

Sometimes, the most beautiful smiles need a little reshaping. Crown lengthening is a procedure that sounds more intimidating than it actually is.

Let's break down what it involves and why it might be the solution to achieving the smile you've always wanted.

What Is Crown Lengthening?

Crown lengthening is a surgical procedure that modifies the gum tissue and, in some cases, underlying bone, to expose more of a tooth's structure. This procedure serves both functional and aesthetic purposes:

• Treating decay below the gum line ⁠— When cavities extend beneath the gum line, crown lengthening allows dentists to access and repair the damaged area effectively.
• Restoring broken teeth — If a tooth fractures below the gum line, this procedure exposes enough healthy tooth structure to enable crown placement.
• Creating adequate space — When dental restorations like crowns or fillings require a secure fit, crown lengthening can create the necessary space on the tooth.

• Correcting a "gummy" smile — For those whose smile reveals excessive gum tissue, crown lengthening can enhance the appearance by exposing more teeth to create a more balanced smile.
• Achieving a uniform smile — When one or more teeth appear shorter due to uneven gum growth, crown lengthening can reshape the gum line. This results in a more symmetrical and aesthetically pleasing smile.

What Happens During Crown Lengthening?

Here's a breakdown of what your dentist or periodontist will do each step of the way:

1. Consultation

A consultation is important before any procedure. During this appointment, your doctor will listen to your concerns about your current smile and your goals for changing it. 

They will also thoroughly examine your mouth, assessing gum health and tooth structure, as every detail is important in creating an effective plan. The doctor will take photographs to aid in planning the reshaping and provide you with "before-and-after" visuals. 

Consultations are when your dentist will answer all your questions, ensuring you feel confident and informed throughout the process. Don’t hesitate to raise any concerns you might have about the procedure.

2. Surgery

The crown lengthening procedure is typically performed in a dental office under local anesthesia, similar to what you would receive for a filling. Each case is unique, and your dentist will ensure you are comfortable and numbed to prevent any pain during the procedure. 

The surgical technique utilized will vary based on your needs and may involve:

• Removal of gum tissue only
• Reshaping of both gum tissue and underlying bone
• Use of specialized lasers, which can minimize bleeding and promote efficient healing

The sutures used in crown lengthening are often absorbable, meaning they dissolve naturally over time.

3. Healing Time

While some swelling is expected after crown lengthening, it is typically mild and can be managed with ice packs. Pain medication may be prescribed for a few days to alleviate any discomfort. 

During the recovery period, consider some our recommendations to help your healing:

• Dietary modifications ⁠— Opt for soft foods that require minimal chewing, such as yogurt or soup.
• Rest and recovery — For a few days, avoid strenuous activities, including heavy lifting, to minimize swelling and discomfort.
• Gentle oral hygiene ⁠— Your dentist may recommend a specific mouthwash to maintain cleanliness during healing.
• Patience and healing ⁠— Allow ample time for your gums to heal. Your new smile will be worth the wait.

What are the Benefits of Crown Lengthening?

Crown lengthening can give you the confidence boost you've been looking for, but like any procedure, it's important to weigh the pros and cons.

Here are some of the advantages of getting a crown lengthening procedure:

• Restores damaged teeth ⁠— In cases where a tooth has fractured or decayed below the gum line, crown lengthening provides access for repair and restoration, potentially saving the tooth.
• Ensures proper fit of dental restorations ⁠— By exposing more tooth structure, crown lengthening ensures that dental crowns and bridges can be properly fitted, promoting longevity and functionality.
• Enhances smile aesthetics ⁠— For people with a "gummy" smile, this procedure can reveal more teeth, creating a more balanced and aesthetically pleasing smile.
• Facilitates oral hygiene ⁠— Crown lengthening can simplify brushing and flossing, reducing the risk of future dental problems.

Possible Risks of Crown Lengthening

Despite the procedure’s benefits, you must be aware of the following risks of crown lengthening:

• Surgical complications ⁠— While generally minor, any surgical procedure carries a degree of risk, including infection, bleeding, and temporary sensitivity.
• Healing time ⁠— The complete healing process takes time, and the final results may not be immediately apparent.
• Not always a guarantee ⁠— Healing outcomes can vary among people who get the procedure. In some cases, despite the best efforts, complications may arise, and your dentist will be prepared to address these situations.
• Financial considerations ⁠— Insurance coverage for crown lengthening can vary, so it's important to understand your policy and associated costs beforehand.

Is Crown Lengthening Right for Me?

Determining if crown lengthening is right for you involves a multifaceted approach. First, clarify your primary motivation—are you seeking this procedure for health, aesthetics, or a combination of both? This will help you define your goals and expectations. 

Next, consult a trusted dental professional who can assess your oral health and tooth structure to determine your candidacy for the procedure. Your comfort and confidence in your chosen dentist are crucial. Don't hesitate to seek second opinions or consult with multiple practitioners to ensure you find the right fit for your needs and preferences.

While crown lengthening is often associated with cosmetic enhancement, its implications extend beyond aesthetics. Preserving a tooth through this procedure represents an investment in your overall well-being.

The psychological impact of an aesthetically pleasing smile cannot be underestimated. If self-consciousness about your smile affects your confidence and social interactions, a crown lengthening can be a transformative experience.