Crown Lengthening

Periodontal procedures are available to lay the groundwork for restorative and cosmetic dentistry and/or to improve the esthetics of your gum line.

You may have asked Dr. Straka about procedures to improve a “gummy” smile because your teeth appear short. Your teeth may actually be the proper lengths, but they’re covered with too much gum tissue. To correct this, Dr. Straka performs crown lengthening.

During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.

Dr. Straka may also recommend crown lengthening 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 adjust the gum and bone level to expose more of the tooth so it can be restored.

1. What is crown lengthening?
Crown Lengthening is a periodontal (gum) procedure, which is preformed for the purpose of exposing enough sound tooth structure, to allow for a restoration, usually a crown, to be placed on a tooth properly. The procedure can also be indicated for esthetics to correct a “Gummy Smile” or excess gum tissue over the teeth.

2. Why is it necessary?
It is necessary when either tooth decay, tooth fracture, tooth resorbtion or a filling is far below the gum tissue. The procedure will allow access for a new restoration to be placed on solid tooth structure. This will lead to a healthier long lasting restoration.

3. Where is it done?
It is usually preformed at a Periodontist’s office, with the use of local anesthetic.

4. What is involved?
It usually requires the removal of some bone and gum tissue, and the reposition of the gum tissue away from the area on the tooth where the final restoration will be placed. This allows the dentist access to see and restore the tooth properly. Minimal discomfort is expected. Motrin or advil is the drug of choice for discomfort. Most people do not need to miss work after this procedure.

5. How long before the new restoration can be placed?
Healing usually takes about 6 to 8 weeks before the final restoration can be placed, but the periodontist will make the final evaluation.