Crown lengthening can be a very useful procedure as it can be used to treat a few different
problems. Although it might sound dramatic, it is often carried out quite frequently and the use
of dental lasers can be hugely beneficial.
If you have broken off a tooth right near the gum line, then it could be tricky for your dentist to
mend it, as a certain amount of the tooth has to be exposed and shaped in preparation for a dental
crown or a filling. In order to do this it is necessary to remove some of the gum tissue and
sometimes the bone covering up the tooth.
If you do need crown lengthening, then you will need to see a periodontist, for example Dr.
Navid Rahmani at Manhattan Periodontics & Implant Surgery. Dr. Rahmani will review your
dental history and may need to take dental x-rays to plan your surgery. This treatment can often
be carried out using the very latest laser technology. Dental lasers are extremely safe and
treatment is much more comfortable. Crown lengthening with a dental laser is often more
accurate as it will precisely cut the bone or gum tissue. The gums often heal more quickly after
laser surgery and there is less swelling and discomfort during the healing period.
Once the correct amount of gum and possibly bone has been removed, the gums are left to heal
for some time before the tooth can be permanently restored with a filling or a crown. If the tooth
needs a crown then you will be provided with a temporary crown to protect the tooth during the
healing period.
You don’t necessarily need to have broken a tooth to benefit from crown lengthening as this
treatment is also useful for correcting a gummy smile. This is where the teeth are covered up by
an excess of gum tissue which is particularly visible whenever you smile, even though they may
be a perfectly reasonable length underneath. Removing the excess gum tissue with a laser can
create a more appealing smile and crown lengthening is often done for cosmetic purposes.
Ideally, whenever you smile you should not show very much gum tissue. The gums surrounding
your teeth should look balanced and even with contours that complement the shape of your upper
lip. Often people with an excess of gum tissue will feel reluctant to smile, feeling their teeth look
unattractive.
If you do have a gummy smile then it is important to get a proper diagnosis from your dentist or
periodontist. Although it is often caused by an excess of gum tissue there could be other reasons
for this condition. Sometimes it can be caused by overactive facial muscles which pull the upper
lip up too far. It can also be caused by abnormal growth of the teeth or bones. These can all be
corrected but treatment may be slightly different.
In: General Periodontal Topics | Periodontal Gum Surgery
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