Crown Lengthening

Crown lengthening, also known as crown exposure, is a surgical procedure performed when there is not enough exposed tooth structure to place a restoration on the tooth. This procedure removes gum tissue and/or bone to expose more of the tooth, allowing a crown or filling to be put in place. Crown lengthening is often performed after a tooth breaks off at the gum or a crown or filling is removed and the tooth underneath is significantly decayed. A decent amount of healthy tooth structure is needed in order to properly perform a restoration.

The Crown Lengthening Procedure

The crown lengthening procedure is performed under local anesthesia to minimize any discomfort, and takes about an hour to perform, although the time period may vary depending on the number of teeth being treated. During the procedure, the periodontist will make incisions in the gums to create a flap, which will allow access to the tooth root and surrounding bone. Gum tissue may then be removed to reveal enough of the tooth structure, although some cases may require bone removal as well. Bone removal is a more intricate process that involves several different surgical tools. The teeth may appear longer than usual after bone and gum removal, since more of the actual tooth is now exposed.

Recovery after a Crown Lengthening

After the crown lengthening procedure, the treated area will be sutured and dressed in a protective bandage to promote proper healing. It is recommended that patients apply ice to the region to reduce swelling and minimize discomfort. It is also recommended that the patient follow a soft diet for the first few days after treatment.

Patients are required to return to the periodontist's office 1 to 2 weeks after the procedure. At this point the sutures will be removed and the healing process will be evaluated. The crown or filling will not be placed on the treated tooth until at least three months after the lengthening procedure to ensure that the tooth is fully healed and prepared for restoration.

Although crown lengthening is considered safe for most patients, there is some risk of infection, bleeding and sensitivity to hot or cold food or drink.

Crown Exposure Manhattan | New York City | NYC

Before

Crown Exposure Manhattan | New York City | NYC

After

If you have any of these problems, please contact our New York Periodontist Dr. Stuart Froum in his Manhattan office at 212-586-4209 for a free consultation and for more information regarding crown lengthening.

Dr. Froum's Latest News

Preventing Periodontal Disease Periodontal disease, also referred to as gum disease or periodontitis, is an infection of the tissues that surround and support our teeth. It's one of the most leading causes of tooth loss in adults, and it's estimated that more than 50% of adults are living with some form of this condition. As periodontal disease can ... read more
5 Causes Of Tooth Pain A toothache can cause pain that is impossible to ignore--and with good reason, as tooth pain is usually an indicator of infection or another condition. The most important thing to do for a toothache is to seek the care of a professional as soon as possible, as they can pinpoint the cause of the tooth ... read more
Celebrate World Oral Health Day 2015 March 20, 2015 is World Oral Health Day. This global initiative is spearheaded by the World Dental Federation and focuses on promoting all aspects of preserving and improving oral health. This year's theme is "Smile for life," proving that people of every age can practice healthy habits to keep teeth strong throughout their lifetime. Get ... read more
What Research Says About Your Smile Your smile means more than you may believe. Researchers have been studying the effects of a smile for many years, and they've found that it has amazing benefits. These benefits aren't only for the person smiling, but for everyone else who sees it. Find out why having a smile you're proud of is an important ... read more

Request an appointment