Cosmetic Dentistry: What Is a Crown Lengthening Procedure?

Crown lengthening is a cosmetic dentistry procedure for correcting a condition called a “gummy” smile. Also called a gum lift, the treatment exposes more of the teeth structure to beautify the smile. Dentists have used crown lengthening over the years to improve oral health, but it has become popular nowadays as a cosmetic dental treatment.

Crown lengthening

Crown lengthening involves the removal of excess gum tissues, and sometimes bone, around the upper or lower teeth to make them appear longer. If the gum line is uneven, crown lengthening can be done to carve the gum line to make the smile more symmetrical. The procedure may be for dental or medical reasons, but it can also be done for cosmetic effects. If decay or fracture occurs below the gum line, for instance, crown lengthening can expose more of the tooth structure to place a filling or porcelain crown.

The procedure

The process is usually done under local anesthesia. The dentist will numb the area before making tiny incisions to detach the gums from the teeth and cut off the excess gum. Sometimes, cutting excess gum tissue is enough to expose the crown. However, if excess soft tissue and bone are covering the crown, a small part of the bone may also be removed. After the procedure, the dentist will wash the gum flaps with sterile saline and stitch up the tissues. The procedure typically lasts for 30 minutes to one hour.

Benefits and drawbacks

Although crown lengthening is common and safe, it is still a surgical procedure, which means there are risks. Patients need to weigh the benefits against the drawbacks before undergoing the procedure.

Unlike many cosmetic dentistry procedures, crown lengthening is a one-time procedure. Aside from creating a wider, symmetrical smile, crown lengthening also has dental health benefits. It can minimize the risk of tooth decay since more of the tooth is exposed for brushing and flossing.

The procedure can be somewhat pricey. When done for medical reasons, insurance may cover some of the costs. As with other cosmetic surgeries, patients may experience slight soreness and pain afterward. It may take a few days to a few weeks to fully recover, depending on the extent of the surgery. Potential complications include infection and excess bleeding but are rare.

Recovery after crown lengthening

After the procedure, the dentist may give a prescription for pain relievers and provide additional instructions to reduce swelling. Patients may need to stick to a diet of soft foods and be gentle when brushing to avoid opening the stitches. Total healing can take up to three months. Other cosmetic procedures can happen after recovery.

In conclusion

If you have concerns about your smile looking too “gummy,” you can consider crown lengthening to transform your smile. However, if you have wide teeth, crown lengthening may not be the best option, as it may make the teeth look too big. When you meet with the dentist, your teeth will be examined to ensure that the procedure will produce the results you desire.

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