What Is Crown Lengthening and Why Is It Done?

What is Crown Lengthening?

Crown lengthening is a dental procedure that involves removing a small amount of gum tissues, and sometimes bone, to expose more of a tooth’s surface. This is done to make the tooth longer, which is why it’s called crown lengthening. The “crown,” in this case, refers to the part of the tooth that’s visible above the gum line.

Sometimes, a tooth is too short or covered by too much gum tissue, making it hard to clean, treat, or even look good. Crown lengthening helps fix this by exposing more of the tooth, giving it a better shape and making it easier to work on.

Why Would Someone Need Crown Lengthening?

Here are a few reasons why your dentist might recommend crown lengthening:

• To Fix a Tooth for a Crown or Filling
  If a tooth is broken or has extensive decay, it might need a crown or filling to restore it. However, if there is not enough tooth above the gum line, the dentist will not have enough space to place the crown or filling properly. Crown lengthening creates more space so the restoration can fit securely.
• To Improve Gum Health
  Sometimes, excess gum tissue can make it hard to clean your teeth properly, leading to gum disease or decay. By removing some of the gum tissue, crown lengthening makes it easier to keep your teeth and gums healthy.
• For Cosmetic Reasons
  Some people feel like their teeth look too short or their gums are too prominent when they smile. This is often called a “gummy smile.” Crown lengthening can help balance the gum-to-tooth ratio, making your smile look more even and attractive.

What Happens During the Procedure?

Crown lengthening is usually done by a dentist or a periodontist (a gum specialist). Here’s a simple breakdown of what to expect:

1. Numbing the Area
   First, the dentist will numb the area around the tooth with local anesthesia so you won’t feel any pain during the procedure.
2. Removing Gum Tissue
   Next, the dentist will carefully remove a small amount of gum tissue to expose more of the tooth. If needed, they might also remove a tiny portion of bone to make sure the tooth has enough space.
3. Cleaning and Stitches
   Once the tooth is exposed, the area will be cleaned. Stitches might be used to help the gums heal properly.
4. Healing Time
   In a few weeks after the procedure, your gums will heal completely. Your dentist will, however, instruct you on how to care for the area during this time.

Is Crown Lengthening Painful?

Thanks to modern dentistry, crown lengthening is not painful. You’ll be numb during the treatment, so you won’t feel anything.

After the procedure, you might experience mild discomfort or swelling. This can be managed with over-the-counter pain relievers and by following your dentist’s aftercare instructions.