Do I Need Crown Lengthening?

If your dentist has told you that you are a candidate for crown lengthening, you might be wondering what exactly that means and whether it is something you really need. Crown lengthening is a routine dental procedure that involves reshaping or removing gum tissue to expose more of the tooth’s surface. It’s most commonly done to prepare a tooth for a crown, but it can also have cosmetic or health benefits. Read on to learn more about the procedure and to better understand if you are a candidate for crown lengthening.

What Is a Dental Crown?

A crown is a cap that covers a damaged or weakened tooth. Dentists use crowns to restore the shape, function, and appearance of teeth that are cracked, broken, misshaped, or weakened by decay. For a crown to fit securely, there needs to be enough tooth structure above the gumline. If a tooth is too short or broken too close to the gum crown lengthening becomes necessary. Crown lengthening exposes more of the tooth so the crown can be properly placed.

Reasons You Might be a Candidate for Crown Lengthening

There are a few common situations where a dentist might recommend you as a candidate for crown lengthening. Here’s why you may be a good candidate:

  • To Prepare for a Crown or Filling: If a tooth is broken or has decayed below the gumline, a dentist may not have enough room to place a crown or filling securely. Crown lengthening helps expose more of the tooth so the restoration fits properly and lasts longer.
  • To Improve a “Gummy” Smile: Some people naturally have excess gum tissue that makes their teeth appear short or hidden when they smile. In these cases, crown lengthening can reshape the gumline and create a more balanced, natural-looking smile.
  • To Manage Gum Disease: Gum disease can cause the gums to pull away from the teeth and form deep pockets where bacteria build up. Crown lengthening can sometimes be used to reshape the gum tissue to reduce these pockets and help improve oral hygiene.
  • To Repair a Tooth Fracture Below the Gumline: If a tooth is cracked below the gumline, it may be difficult to reach and treat properly. By removing or reshaping the surrounding gum tissue, crown lengthening can give your dentist better access to repair the tooth.

What Happens During the Procedure?

Crown lengthening is usually done as an outpatient procedure under local anesthesia. The dentist makes small incisions in the gums around the affected tooth to expose more of the tooth’s surface. If necessary, a small amount of bone may also be removed. The procedure typically takes about 30 to 60 minutes, depending on how many teeth are involved and how complex the case is.

How Do I Know If I’m a Candidate for Crown Lengthening?

Your dentist will let you know if crown lengthening is the right option for you based on your specific needs. It’s often recommended as part of a larger treatment plan, especially when preparing for a crown. Whether it’s to restore function, enhance your smile, or treat gum issues, crown lengthening can be an important step toward improving your overall oral health.

Crown Lengthening Pain, Healing & Risks