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Should You Get Crown Lengthening? |
Posted on 5/1/2026 by Todd Jorgenson |
 Is your dentist talking about crown lengthening? It might sound intimidating, but understanding what it is and why it's done can help you feel more confident about your dental health. Let's break down what you need to know.
#1 What is Crown Lengthening? Crown lengthening is a surgical procedure performed by a periodontist, a dentist who specializes in the gums and supporting structures of the teeth. It involves reshaping the gum tissue, and sometimes the underlying bone, to expose more of a tooth’s structure. Think of it like revealing more of a beautiful building that's partially covered by the ground. The goal is to create more space between the gum line and where a restoration, like a crown, will be placed.
#2 Why Would I Need It? There are several reasons why crown lengthening might be recommended:
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To Fix a Broken Tooth: If a tooth is broken or decayed below the gum line, there isn't enough tooth structure for a dentist to properly attach a crown or filling. Crown lengthening exposes more of the healthy tooth so the restoration can be successful. |
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For a Better Fit: Sometimes, even without a break, a tooth might not have enough height above the gum line to securely hold a crown. Crown lengthening provides the necessary space and stability. |
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To Improve Appearance: In some cases, crown lengthening is done to correct a "gummy smile," where too much gum tissue is visible when smiling. Reshaping the gums can create a more balanced and aesthetically pleasing smile. |
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To Improve Oral Care: If a restoration is placed too close to the gumline, it can be difficult to properly clean the area. This can lead to inflammation, gum disease, and even bone loss. Crown lengthening can improve access for brushing and flossing, promoting better oral care and preventing future problems. |
#3 What to Expect The crown lengthening procedure is typically performed under local anesthesia, so you'll be comfortable throughout. The periodontist will carefully reshape the gum tissue, and if necessary, remove a small amount of bone. Afterward, you might experience some mild discomfort, which can usually be managed with over-the-counter pain medication. Your periodontist will give you specific instructions for post-operative care, including how to keep the area clean and promote healing.
#4 Crown Lengthening and Restoration Dentistry Crown lengthening is often an integral part of restoration dentistry. It ensures that restorations like crowns and bridges have a solid foundation for long-term success. By providing adequate tooth structure and improving access for cleaning, crown lengthening helps protect your investment in your dental health and prevents future complications.
#5 Is Crown Lengthening Right for You? The best way to determine if crown lengthening is right for you is to consult with a qualified periodontist. They can evaluate your specific situation, explain the benefits and risks, and answer any questions you may have. Remember, healthy gums are essential for a healthy smile! |
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