Crown Lengthening: Enhancing Your Smile and Dental Health

Crown lengthening, a common procedure, is typically performed to enhance the health of the gum tissue, prepare the mouth for further dental procedures, or correct a "gummy smile." A gummy smile, where teeth appear shorter due to excess gum tissue, can affect the aesthetics of your smile. The crown lengthening procedure reshapes or recontours the gum tissue and bone around the tooth, establishing a new and more appealing gum-to-tooth ratio. At Perio Implant Health Professionals in Los Angeles, California, we offer tailored treatments and can apply crown lengthening to a single tooth, multiple teeth, or the entire gum line for a harmonious, pleasing appearance.

When is Crown Lengthening Necessary?

Crown lengthening is a vital procedure in various dental treatment scenarios. Primarily, it's essential when a tooth needs a new crown or other types of restorative work. In many cases, the edge of the planned restoration, such as a crown or bridge, lies deep below the gum line or too close to the underlying bone. This positioning can make the restoration difficult to fit and may compromise its stability and longevity.

The crown lengthening procedure exposes more of the tooth's structure, ensuring a proper fit for the new restoration. This is particularly important for the longevity and functionality of the restoration. By exposing more of the tooth, crown lengthening not only enhances the fit but also contributes to the aesthetic outcome. Moreover, it provides enough tooth structure above the gum line, ensuring that the new restoration does not become loose over time. This exposure is also crucial for oral hygiene, as it allows for easier cleaning of the tooth's edge, effectively preventing tooth decay and gum disease. Crown lengthening can also be a cosmetic solution for a 'gummy smile,' where excess gum tissue makes the teeth appear unnaturally short.

The Crown Lengthening Procedure Explained

The crown lengthening procedure is a delicate process that requires precision and expertise. Typically, it takes about an hour, although this can vary depending on the number of teeth involved and the extent of bone and gum tissue removal required. Performed under local anesthesia to ensure patient comfort, the procedure involves making small incisions in the gum tissue. These incisions allow the dental specialist to gently pull the gum away from the teeth.

Once the gums are retracted, the dentist has access to the roots of the teeth and the surrounding bone. If necessary, a small amount of bone around the roots may be removed to create space for the new restoration and ensure a proper fit. This bone removal is done with great care to preserve as much of the natural structure as possible while also achieving the desired clinical outcome.

Reshaping the gum and bone around the teeth is a critical part of the procedure. It's not just about exposing more of the tooth but doing so in a way that is both functional and aesthetically pleasing. Even if the procedure is intended for a single tooth, it may involve adjusting the gum line of surrounding teeth. This ensures that the final result looks natural.

After achieving the desired reshaping, the gums are secured back against the teeth, and the area is cleaned. If necessary, sutures are used to hold the gums in place during healing. Teeth will appear longer and more proportional immediately after the crown lengthening procedure, leading to a more pleasing smile.

A follow-up appointment is typically scheduled to monitor the healing process and ensure the success of the crown lengthening. The healing time can vary, but patients are usually able to return to their normal activities shortly after the procedure, with complete healing occurring over the following weeks.

Preparing for Your Crown Lengthening Surgery

Before undergoing crown lengthening, it’s important to have a thorough consultation. Our team will review your medical history, current medications, and conduct a detailed examination of your teeth, gums, and bone structure. This comprehensive approach ensures that the crown lengthening surgery is tailored to your specific needs and dental goals.

What to Expect During Crown Lengthening Surgery

Depending on individual cases, the gum tissue may be contoured using a laser, or some bone might be removed to achieve the desired aesthetic and functional results. While crown lengthening is a routine procedure, like any surgery, it carries certain risks such as infection. Our team might prescribe antibiotics to prevent or treat any post-surgical infections. Managing post-operative bleeding is also a crucial aspect of care.

Post-Surgery Care and Recovery

Effective aftercare is essential for a smooth recovery. Immediately following the surgery, applying an ice pack can help reduce swelling. It's advisable to avoid hot foods and engage in only mild activities for the first few days. Pain management may involve prescribed or over-the-counter medications.

Long-Term Care and Maintenance

Post-surgery, your gums may be sensitive to temperature changes for a while. We recommend a diet of soft foods and ample water intake to expedite healing. Refraining from alcohol, smoking, and rigorous oral activities like brushing over the treated area is crucial during the initial healing phase. Regular follow-ups will ensure that your recovery is on track, and any concerns are promptly addressed.

Choose Perio Implant Health Professionals for Your Crown Lengthening Needs

When considering a crown lengthening procedure in Los Angeles, Perio Implant Health Professionals stands out with our patient-centric approach, advanced techniques, and a team of experienced periodontists. Our commitment to providing conservative, yet effective care tailored to each patient's needs ensures that your journey towards a healthier, more beautiful smile is in safe hands. Contact us today to discuss how the crown lengthening procedure can benefit you and schedule your consultation.

Five-Star Reviews


Perio Implant Health Professionals is proud to serve our community in Los Angeles, CA, with integrity, passion, and kindness. See what our patients have to say about us.
I went in today for a consultation and had a great experience. I am terrified of going to the dentist but Dr. Rodriguez was kind and patient with me while I had a mini breakdown. His assistants Danny and Mariano were also very kind. I have my surgery appointment in August and although I am nervous, I know I'll be in good hands.

Athenas O.

Tampa, FL

I met Dr Joan Otomo-Corgel while bringing my client to see her. While there I showed her my front gums that had amalgam leaking from very old post & core with crowns & multiple bone graft procedures.  My dentist sent my X-rays to her office and she examined my whole mouth to advise me & my dentist what she suggests as treatment options. Meeting Dr. Otomo- Corgel gave me great peace of mind about next steps. Once that part of my mouth is tackled, I would definitely come back for an implant consultation in another part of my mouth!  Her assistant Marcello was very welcoming & thorough with my intake & exam. What a blessing!

Lisa B.

Tampa, FL

Dr. Otomo is a caring and highly skilled periodontist.  I've suffered from chronic gum inflammation for years, but have seen significant improvement since I began seeing her.  She's active in the research aspects of her field and knowledgeable of the latest treatments. Her sense of humor is a nice bonus.

Ross D.

Tampa, FL