Crown Lengthening

It is a dental procedure that involves removing gum tissue and possibly bone to expose more of a tooth, usually in preparation for a dental restoration, such as a dental crown. It's a surgical procedure often performed by dentists or specialists, such as periodontists or oral surgeons. Here's an overview of crown lengthening:

What Is Crown Lengthening?
  • Crown Refers to Tooth Structure: In dentistry, the term "crown" can refer to any part of the tooth structure that is above the gumline. It may include the visible portion of a natural tooth, a dental cap or crown, or an artificial tooth attached to a dental implant.
  • Crown Lengthening Definition: Crown lengthening specifically refers to the surgical process of exposing more of a tooth's structure above the gumline. This is often done when a tooth is damaged or broken near the gumline, and there isn't enough visible tooth structure for proper restoration, like placing a crown.
Procedure Overview
  • Initial Assessment: The procedure begins with an evaluation by a dentist or specialist to determine the necessity of crown lengthening. It is typically recommended when there is not enough tooth structure visible above the gumline to support a dental restoration.
  • Local Anesthesia: To ensure patient comfort during the procedure, local anesthesia is administered to numb the area.
  • Surgical Incisions: Small incisions are made in the gum tissue to access the tooth and its root structure. The goal is to create more visibility and access for the restoration.
  • Possible Bone Reshaping: Depending on the case, some bone may be removed or reshaped to expose additional tooth structure.
  • Gum Reattachment: After the necessary alterations are made, the gum tissue is repositioned and stitched back in place. The surgical site is cleaned, and a period of healing begins.
  • Pain Management: Patients are often prescribed or recommended pain management medications to ensure comfort during the recovery period.
Recovery and Final Restoration:
  • Minimal Pain: Patients generally report minimal discomfort after the procedure.
  • Healing Period: After the crown lengthening, there is a healing period during which the gum tissue heals and becomes stable.
  • Suture Removal: Approximately one week after the procedure, sutures are removed, and the dentist evaluates the healing process.
  • Final Restoration: Once the gums have fully healed, the final dental restoration, such as a dental crown or filling, can be placed on the tooth.

Crown lengthening is a crucial procedure that allows dental restorations to be performed effectively and comfortably. It ensures that the restored tooth has a stable and healthy foundation, which is essential for the longevity and functionality of the restoration.