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.