What Is the Crown Lengthening Procedure?

Crown lengthening is a routine dental procedure that reshapes the gum tissue, and sometimes the bone, around a tooth to expose more of its surface. Dentists often recommend it when placing a crown isn't possible because there’s not enough visible tooth above the gumline. If your dentist has suggested crown lengthening, you may be wondering why it’s needed and what it involves. Read on to better understand this procedure so that you can feel more prepared and confident about your treatment.

Why Might Someone Need Crown Lengthening?

Dental crowns are used to restore teeth that are cracked, broken, misshapen, or weakened by decay. For a crown to fit properly, there must be enough of the natural tooth visible above the gumline. If too much of the tooth is hidden or damaged below the gums, a secure fit becomes difficult. Crown lengthening creates the necessary space by removing or reshaping excess gum tissue, and sometimes a small amount of bone, so that the crown can be placed successfully.

Crown lengthening is also used in other dental procedures. It may be needed to support a bridge, complete a root canal treatment, or prepare a tooth for a large filling. In some cases, patients choose to have the procedure done for cosmetic reasons. People with excessive gum tissue might feel that their teeth appear short or uneven when they smile. In those situations, crown lengthening can reshape the gumline to improve the overall look of the smile.

What Happens During the Procedure?

Crown lengthening is usually performed in a dental office as an outpatient procedure. The dentist will begin by administering local anesthesia to numb the area. Once you're comfortable, they will make small incisions in the gum tissue around the affected tooth. This allows the dentist to carefully lift and reshape the gumline.

In simpler cases, only gum tissue is removed. But if the tooth is severely broken or there’s not enough structure exposed, a small amount of bone may also need to be removed to provide adequate space for the crown. The goal is to reveal enough of the tooth so that the crown can be placed securely and comfortably.

After the reshaping is complete, the area will be cleaned, and the dentist may place sutures to help the gums heal properly. The entire process typically takes less than an hour, depending on the number of teeth involved and how complex the situation is.

Is This Procedure Right for You?

If your dentist has recommended a crown, and there's limited visible tooth structure, crown lengthening might be part of your treatment plan. The procedure not only ensures that your crown fits securely but also helps protect the tooth and maintain proper oral hygiene in the long term.

What Should You Do Next?

If you have questions about crown lengthening or whether it's necessary in your case, speak with your dentist. They’ll review your situation and explain what the procedure involves, why it may be needed, and what to expect during recovery. With a clear understanding, you’ll be able to move forward with confidence in your dental care.

How Long Does Crown Lengthening Take?