Crown lengthening is a surgical dental procedure that can be performed for either functional or aesthetic reasons.
Functional crown lengthening is recommended when there is not enough visible tooth structure to support a dental restoration or when decay or damage extends below the gum line. Common causes include trauma, tooth decay, or gum disease. In these cases, crown lengthening exposes more of the tooth so that a crown, bridge, or filling can be placed securely.
There are situations, however, where functional crown lengthening may not be suitable. If a tooth is severely decayed, fractured below the gum line, or has too little healthy structure remaining, extraction may be the better option. In these cases, bone grafting followed by the placement of a dental implant may be recommended to restore function and aesthetics.
Aesthetic crown lengthening (often called a gum lift) is performed primarily for cosmetic reasons. This treatment improves the appearance of the teeth and enhances the smile’s balance. It is commonly recommended for patients with a gummy smile, where excess gum tissue makes the teeth look short or uneven. By carefully reshaping the gum line, the procedure reveals more of the natural tooth surface for a healthier, more attractive smile.
While the goals differ, the procedure for both functional and aesthetic crown lengthening is similar. The dentist will make small incisions in the gum tissue to access the tooth and remove excess gum or bone as needed. The result is either more exposed tooth structure to support a restoration or a more proportionate gum-to-tooth ratio that improves smile aesthetics.
After the surgery, patients may experience some swelling, discomfort, and sensitivity in the treated area. However, these symptoms typically subside within a few days, and patients can return to their normal activities within a week.
In conclusion, whether for functional or aesthetic reasons, surgical crown lengthening is an effective way to improve the appearance and function of the teeth. If you are considering this procedure, it is important to discuss your options with a qualified dental professional to determine whether it is the right choice for you.
