Dr. Robert Kiel
Crown lengthening is required when your tooth needs a new crown or other restoration and the edge of that restoration is deep below the gum tissue and not accessible.
It is important for you to be able to clean the area where the new restoration meets your existing tooth.
Reshaping The Gum and Supporting Tissues: This will allow your general dentist adequate room to place a quality final restoration.
The procedure involves adjusting the levels of the gum tissue and bone around the tooth in question, to create a new gum-to-tooth-to-bone relationship.
This allows your restorative dentist assess to the edge of the restoration to ensure a proper fit to the tooth, and to provide enough tooth structure so the new restoration will not come loose in the future.
It also allows you access to clean the edge of the restoration of the restoration when you brush and floss, in order to prevent decay or gum disease.
After the procedure is finished, sutures and occasionally a protective “bandage” are placed to help secure the new gum to tooth relationship.
You will need to be seen in one week to remove the suture sand evaluate healing.
After the area has had a chance to heal, your restorative dentist will begin the process of placing your permanent replacement tooth.
Sometimes the teeth are quite small in relation to the gum tissue. This can create an unattractive or “gummy” smile. An uneven gum line can also be distracting.
The gum line, and the bone just beneath the gum line, can be lowered to change the appearance of your smile. This can create a more even gum line or make the teeth appear longer. “Gingival (gum) contouring” is the process of recontouring the gum only. “Crown lengthening” refers to recontouring of both gum and supporting bone.