Crown lengthening is required when either:
- Your tooth has decay that has gone deep below the gum tissue and is not accessible or
- Your tooth needs a new crown or other restoration where the edge of that restoration is deep below the gum tissue and not accessible.
In both situations the decay or the edge of the new crown are usually too close to the bone or below the bone.
Therefore the procedure involves adjusting the level of the gum tissue and bone around the tooth in question to create a new gum-to-tooth relationship. This allows us to remove all the decay or reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease. The procedure takes place generally at the time that the root canal is done.
When the procedure is completed, sutures, and a protective bandage are placed to help secure the new gum-to-tooth relationship. You will need to be seen in two weeks to remove the sutures and evaluate your healing.
If you are interested in seeing some of our work, please visit our Interesting Cases Section.