Crown lengthening is a surgical procedure done to expose a greater amount of tooth structure, An incision is made on the gingival tissue around a tooth and the surround soft tissue displaced or remove to expose a given height of the alveolar bone. At BIDC, only a gum specialists or periodontists is given the privileges to perform the crown-lengthening surgical procedure.
Crown lengthening may be done to improve the esthetics of gum line prior to restoration of broken or severely decayed teeth. This procedure adjusts the gum and bone level to expose more of the tooth so it can be restored aesthetically.
Crown lengthening is also sometimes done to improve a “gummy” smile because the teeth appear short even though the teeth may be of proper length. Crown lenghtening may be used to remove excess gum and bone tissue is reshaped to expose more of the natural tooth
Procedure for Crown Lenghtening
- First Evaluation and diagnosis
- An oral examination and x-rays is done to determine if crown-lengthening is really warranted
- Relevant medical history are recorded. Do ensure that you report to your dentist any problems with any previous dental experience such as bleeding problems, medical conditions or allergies to medicationsand supplements
- Site tooth preparation
- Local anesthetize is given to "numb up" the tooth, jawbone and surrounding gums
- Crown lengthening procedure is done
- the periodontist makes a small incision and expose the bone and reshapes gum tissue
- Stitch up to close surgical site
- Instructions on post care directions given
Step 1 & 2
Crown Length Preparation
Gum is reshaped and height of tooth exposed
Care of Gums
Bleeding may occur but should stop within 15-30 min. after operation and may take longer in some case. You may follow your regular daily activities, avoiding excessive exertion typed of activities such as exercising or sunbathing.
Postcare Instructions after Crown Lengthening
- Do not use mouthwash for six hours after oral surgery
- If mild bleeding occurs, hold cold salt water in the mouth until it warms to body temperature
- Do not rinse for 12 hours
- After 12 hours you may rinse with a solution of teaspoonful of salt in a glass of warm water. Antiseptic mouthwash is also recommended to use in the morning and before bedtime
- Brush your teeth as usual, but do not brush the wound
- Take only soft, non-spicy and cold foods, if possible, for 2- 3 days
- Avoid smoking and alcohol
- Avoid swelling by sleep on the thick pillow during night time.
- Mild pain can be controlled with pain relieve medications as directed by your dentist
- Complete taking the course of your prescribed antibiotic medication as directed.
- Non-absorbed suture should be removed within 7-10 days after the surgery.
- Contact the clinic immediately if:
- Excessive bleeding other than slight staining occurs.
- Severe pain is present.
- Marked swelling occur.
- suspect any symptons of allergic reaction.
Related Information to Gum Treatment
Goto section on periodontal treatments