Aesthetic crown lengthening is usually done to improve gum health or to prepare the mouth for restorative or aesthetic procedures. In addition, crown lengthening procedures can also be used to correct a gummy smile, in which the teeth are covered with extra gingival tissue. Crown lengthening allows natural teeth to be more visible by remodeling the contour of the bones and gums. This treatment can be performed on a single tooth, on several teeth, or on all the gums to expose an attractive, aesthetically-pleasing smile.
Aesthetic crown lengthening is a common and versatile procedure that has many benefits and uses. The vast majority of patients who have undergone this type of surgery are very happy with the results. Here are some of the most common reasons for crown lengthening:
Periodontal diseases can cause serious tooth damage as well as trauma, cavities, and lesions. When teeth are damaged under the gum, crown lengthening can be used to prepare the surface for new restorations that will correct damaged teeth.
Excess gums can make teeth appear short and also increase susceptibility to periodontal infections. Removal of excess gingiva can restore a normal balance in the appearance of the teeth and thus improve the aesthetic appearance of the smile.
Crown lengthening increases the space between the jawbone and the dental crown. This prevents the new crown from damaging the gingival and bone tissues after placement.
Crown lengthening is normally performed under local anesthesia. The time required for this procedure depends largely on the number of teeth involved and whether or not a small amount of bone and soft tissue are removed. All existing dental crowns will be removed before the procedure and replaced immediately thereafter. During the procedure, Dr. Gaumet will make a series of small soft tissue incisions to separate the teeth from the gum. Even if a single tooth requires contour remodeling, adjacent teeth are usually treated for better uniformity. The separation of the gums gives Dr. Gaumet access to the root of the tooth and the underlying bone. In some cases, removal of a small amount of tissue will provide sufficient tooth visibility for crown placement. In other cases, the dentist will also need to remove a small amount of bone around the teeth. Bone is usually removed using a combination of special hand instruments and rotating instruments, the latter of which is a bit like the drill used for the treatment of dental cavities. When Dr. Gaumet is satisfied with the exposure of the teeth, the wound will be cleaned with sterile water and the gum will be sutured shut. The teeth will appear significantly longer immediately after surgery because the gums have been reshaped. Finally, we will bandage the surgical site with an intraoral bandage that serves to prevent infection. A prescription for pain medication can be provided and a mouthwash containing chlorhexidine (antimicrobials) can be given to help reduce the bacteria. The surgical site will be completely healed in about two to three months.
If you have any questions about aesthetic crown lengthening, please contact Dr. Gaumet today. Next, learn about bone grafting.
