Crown Lengthening
Crown lengthening is a periodontal surgical procedure that removes excess gum tissue and, in some cases, bone around a tooth to expose more of the tooth's natural structure. The procedure is performed for both functional and aesthetic reasons. Functionally, it creates the space needed for a dental restoration such as a dental crown to be placed properly. Aesthetically, it addresses a "gummy smile" by revealing more of the tooth surface and creating a more balanced, proportionate gumline.
At Bensonhurst Dental Care, crown lengthening is performed by Dr. Geoffrey Rubinshtein, who brings the precision and soft tissue expertise of a board-certified periodontist to every case. The procedure involves carefully reshaping the gum tissue and, when necessary, the underlying bone to expose the appropriate amount of tooth structure. Dr. Geoffrey evaluates the biological width, tissue health, and overall treatment objectives before determining how much tissue should be adjusted, ensuring the result supports both the health of the tooth and the quality of any planned restoration.
In restorative cases, crown lengthening is often necessary when a tooth is broken below the gumline or when decay extends beneath the gum tissue, leaving insufficient structure for a crown to grip onto. Without adequate tooth exposure, a crown cannot be fabricated or seated properly, and the restoration is at risk of failure. Crown lengthening solves this by revealing enough healthy tooth structure to allow for a secure, long-lasting fit.
For patients pursuing crown lengthening for cosmetic reasons, the procedure can dramatically improve the appearance of a smile by correcting an uneven gumline or reducing the amount of gum tissue visible when smiling. When combined with treatments from the cosmetic dentistry program, such as porcelain veneers, crown lengthening can be part of a comprehensive smile transformation.
Frequently Asked Questions
Is crown lengthening the same as gum contouring?
They are related but not identical. Gum contouring typically refers to reshaping the gum tissue for cosmetic purposes using a laser. Crown lengthening is a more involved surgical procedure that may include bone recontouring in addition to soft tissue adjustment, and it is often performed for functional restorative purposes as well as aesthetics.
How long does recovery take?
Most patients heal within two to three weeks, though the full maturation of the gum tissue takes longer. A soft diet and gentle oral hygiene are recommended during the initial healing phase. Dr. Geoffrey provides detailed aftercare instructions to ensure a smooth recovery.
Will I need crown lengthening before getting a crown?
Not always. Crown lengthening is only needed when there is insufficient tooth structure above the gumline to support a crown, typically due to fracture, decay, or a naturally short clinical crown. Dr. Geoffrey evaluates the tooth and makes a recommendation based on what the restorative case requires.
How long after crown lengthening can I get my crown?
A healing period of four to six weeks is typically recommended before the final crown is fabricated and placed. This allows the gum tissue to stabilize and ensures an accurate impression and a proper fit for the restoration.
