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Crown Lengthening

Crown lengthening is a procedure that exposes more of the tooth’s surface to improve the appearance of the smile or to prepare the tooth for a restoration.
Crown lengthening involves removing or reshaping gum tissue, and sometimes bone, to reveal more of the tooth’s surface. It can be performed on a single tooth, several teeth, or an entire gum line, depending on the goals of the procedure. The procedure is commonly used to prepare a tooth for restorative treatments like crowns or bridges, or to improve the smile’s aesthetics.

Purpose and Benefits

1. Restorative Needs
Crown lengthening is often recommended when there is not enough tooth structure visible above the gum line to support a dental crown or other restoration. Exposing more of the tooth enables a secure bond, ensuring the longevity and stability of the crown.

2. Aesthetic Improvement
For individuals with excessive gum coverage on their teeth, crown lengthening can reshape the gum line for a balanced, proportionate smile. This is especially beneficial for correcting a “gummy” smile or uneven gum line, enhancing the overall appearance.

3. Preventing Tooth Decay
Removing excess gum tissue can make it easier to clean along the gum line, helping to prevent tooth decay and gum disease by reducing the areas where bacteria can accumulate.

Treatment Process

Consultation and Examination
A comprehensive examination will determine the need for crown lengthening and plan the procedure. X-rays may be taken to assess the tooth’s root structure and surrounding bone.

Procedure
The treatment is performed under local anaesthesia to ensure comfort. The dentist carefully reshapes the gum tissue and, if necessary, removes a small amount of bone around the tooth root. This reveals more of the tooth's structure and creates an even gum line.

Healing and Temporary Restoration
In cases where a crown or filling is needed, a temporary restoration might be placed until healing is complete. This provides protection to the tooth and gums.

Comfort and Pain Management
Crown lengthening is done under local anaesthesia, making the procedure pain-free. After the anaesthesia wears off, mild discomfort or sensitivity may occur but can be managed with over-the-counter pain relief and ice packs.

Aftercare and Recovery

After the procedure, following specific care instructions will ensure optimal healing. Tips for a smooth recovery include:
• Avoiding hard or crunchy foods for the first few days.
• Gently rinsing with a saline solution or prescribed mouthwash.
• Avoiding strenuous activities and minimising mouth movement to prevent bleeding.

Healing typically takes one to two weeks for the gums, though full healing for bone adjustments may require a few months.

Cost and Considerations

The cost of crown lengthening depends on the complexity and extent of the procedure. While it’s generally considered elective, crown lengthening for functional purposes, such as crown placement, may be eligible for partial coverage. Alpine Smiles provides consultations with detailed treatment plans and cost estimates.

Crown lengthening is a transformative option that not only facilitates essential restorations but also enhances smile aesthetics. Whether for restorative or cosmetic reasons, it helps patients achieve healthier gums and an attractive, well-proportioned smile.

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