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.

Testimonials.

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Testimonials

I needed to find a replacement for dental care and chose Dr. Hausman. His overall professionalism and choice of staff is outstanding. He takes the necessary time with you to ensure your total dental issues are resolved. He discovered a tumor on my upper palate that was ultimately taken care of with early treatment. He also was able to offer implant alternatives and ensure overall tooth stabilization w/o spending a fortune. I highly recommend him and his staff for total dental care.

Michael W.

Pleasant fast and knowledgeable.
Everyone in this office is so nice!! Here is how this practice is different than every other dentist I've seen:
1. There are TV monitors in every room where they display pictures of your teeth, X-rays , etc. While they're not displaying items pertaining to dental care, the hygienist or doctor display pictures of their hobbies. Becky is a farm girl at heart, she has pictures of her farm, antique tractor and her dog Kentucky. Doctor H. Is an avid fisherman. He has pictures from all over the world with his catch of the day.
The other main difference is Doctor Hausman's professional and technical abilities. He can prep and fill a cavity in like 3 minutes flat. He is like a cavity assassin. Him and his dental assistant complement each other perfectly, as she acts as extensions of his own hands.
The last, and most important for some, thing to mention is that he and his hygienist are trained to work "not in your face" . Other dentist's offices can make you feel so claustrophobic, but never this one.
This place is great, give it a try if you are in town.

Patrick II G.

Longmeadow Dental Care is THE practice that we are glad to have to take care of our dental care. On top of the excellent care provided we noticed the attention to detail, the extreme friendliness, the no-pressure and the listening to our concerns by the Dr and his "crew". This is what a dental practice should be

J.C.

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