What is the Crown Lengthening Procedure?
Dental crowns are widely used in dentistry to restore damaged teeth, support weakened structures, and enhance the appearance of your smile. These tooth-shaped caps fit securely over natural teeth and rebuild their strength and function. However, there are instances when a dentist needs to perform an additional step known as a crown lengthening procedure before placing the crown. If you've recently been told you need crown lengthening, you might be wondering exactly what it involves and why it might be necessary.
Why Might Someone Need a Dental Crown?
Dentists typically recommend crowns when teeth are severely weakened, damaged, or aesthetically compromised. Crowns are also frequently used to secure dental bridges, cover implants, or complete root canal procedures. In each of these cases, a secure fit of the crown is critical for proper oral function and stability. Sometimes there's not enough visible tooth structure for a crown to properly fit. This happens when teeth are broken or decayed below the gum line. It can also happen if the natural tooth structure isn't sufficient to anchor the crown securely. That's when a crown lengthening procedure becomes essential.
What Happens During Crown Lengthening?
Crown lengthening is a standard outpatient dental procedure designed to expose more tooth surface, allowing for secure crown placement. Your dentist performs the procedure in-office using local anesthesia to keep you comfortable.
The dentist makes small incisions around the tooth, gently reshaping or removing excess gum tissue to reveal more of the tooth structure. Sometimes, if needed, a small amount of bone surrounding the tooth is adjusted or removed. By reshaping the gums, the dentist ensures there's enough tooth exposed for the crown to fit snugly and securely.
Typically, crown lengthening procedures are completed in less than an hour, depending on the complexity and number of teeth involved. After reshaping the gums and bone, the area is cleaned thoroughly, and the dentist places sutures to aid healing.
Is Crown Lengthening Only for Restorative Purposes?
While crown lengthening is most often used in preparation for dental crowns or restorations, it's also performed for cosmetic reasons sometimes. Some patients have excessive gum tissue that creates a "gummy smile". This makes teeth appear unusually short. In these cases, crown lengthening can reshape the gums, revealing more of the teeth for a more balanced and aesthetically pleasing smile.
Is Crown Lengthening Right for You?
If your dentist has recommended a crown, you might wonder whether crown lengthening will be part of your treatment plan. Whether for restorative or cosmetic purposes, your dentist will carefully evaluate your teeth, gums, and overall oral health to decide if this procedure is necessary for you. If they determine crown lengthening is needed, they'll explain why and discuss what you can expect.
What Are My Next Steps?
The best way to understand whether crown lengthening is necessary for you is to speak with your dentist. They can explain your specific treatment plan in greater detail, answer your questions, and guide you through the decision-making process. With the right information, you can feel confident moving forward with your dental care, knowing that you're taking the right steps toward a healthier, more attractive smile.
