What Is a Crown Lengthening Procedure?

BY Dr. McDowell  |  
A man with light hair wearing a navy suit and vest over a light shirt is standing outdoors. The background is softly blurred, suggesting an urban or park setting.
Dr. McDowell
Dr. McDowell has always been focused on using the latest technology to improve the patient experience. From radiation-free imaging to laser dentistry, he has always been ahead of the curve and is dedicated to improving the practice of dentistry one ..

Crown lengthening is a dental procedure designed to expose more of the tooth structure by reshaping or removing gum tissue and, in some cases, bone. This common procedure is often recommended for both functional and cosmetic reasons. Whether you’re looking to improve your smile or your dentist has suggested it as part of your oral health care, understanding crown lengthening can help you feel more confident in moving forward.

Here are three key points to know about crown lengthening:

Now, let’s explore the details of crown lengthening, its purposes, the steps involved, and what you can expect from recovery.

Why Do Patients Need Crown Lengthening?

A dentist wearing blue gloves holds a dental mold in one hand and positions a single dental crown with the other hand, demonstrating dental work or tooth restoration.

Crown lengthening is recommended by dentists for a variety of reasons, ranging from practical oral health concerns to aesthetic improvements. Here’s a closer look at when and why it’s necessary:

🦷 Functional Needs of the Tooth Structure

When a tooth is severely decayed, broken, or fractured below the gum line, crown lengthening can be a crucial step in repairing it. The procedure exposes more of the tooth structure so your dentist can place a crown, filling, or other restoration safely and securely. Without it, the restoration might not bond properly or might irritate the surrounding gum tissue over time.

✨ Cosmetic Enhancements

If you’re unhappy with the appearance of your gums in relation to your teeth, crown lengthening can help. For individuals with a “gummy smile”—where excessive gum tissue makes teeth appear shorter than they are—a dentist can reshape the gums to create a more proportionate and attractive smile. This cosmetic adjustment often boosts confidence and improves the balance of your facial features.

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✅ Oral Health Benefits

Excessive gum tissue can sometimes create pockets that trap bacteria, increasing the risk of gum disease. Crown lengthening, by exposing more tooth structure and reshaping the gum line, can also improve gum health by making it easier to maintain proper hygiene through regular brushing and flossing.

How Is a Crown Lengthening Procedure Performed?

Crown lengthening is a minimally invasive procedure that is typically completed in a single visit under local anesthesia. Here’s what you can expect during the process from start to finish:

Initial Consultation

Before your dentist schedules the procedure, an initial consultation will be conducted. During this appointment, your dentist will:

This step ensures that crown lengthening is the right procedure for your needs and provides a personalized treatment plan tailored to your situation.

Preparing for the Procedure

On the day of the crown lengthening, your dentist will begin by numbing the area with local anesthesia to keep you comfortable. If extensive work is needed or if multiple teeth are involved, sedation options may also be discussed.

Once you’re ready, the dentist will prepare the surrounding area, isolating the specific tooth or teeth being treated.

Reshaping Gum Tissue and Bone

Using specialized tools, your dentist will carefully remove or reshape the gum tissue to expose more of the tooth structure. If needed, a small amount of bone around the base of the tooth may also be removed to create adequate spacing for the intended restoration. The goal is to achieve the proper balance between the gum line, bone, and tooth surface.

Completing the Crown Lengthening Surgery and Post-Surgical Care

After the shaping process is complete, your dentist will clean the area to ensure no debris remains. The gum tissue will then be sutured (stitched) in place to aid healing. A protective dressing may also be applied to the area for additional comfort. Detailed post-operative instructions will be provided to guide you through recovery.

A close-up of a dental model showing a metal tool placing a ceramic dental crown onto a tooth, demonstrating dental restoration work.

5 Steps to Recover After a Crown Lengthening Procedure

Healing after crown lengthening is typically straightforward if proper aftercare steps are taken. Follow these five steps to ensure a smooth recovery:

1. Manage Discomfort

After the procedure, it’s common to experience minor swelling or tenderness in the treated area. Over-the-counter pain relief, such as ibuprofen, can help reduce discomfort. If your dentist prescribes medication, be sure to follow the dosage instructions closely.

2. Maintain Oral Hygiene

Keeping the area clean is critical to avoid infection. Your dentist may ask you to rinse with an antimicrobial mouthwash to protect the gum tissue while it heals. Be careful not to brush too aggressively near the treated site.

3. Adjust Your Diet

Stick to soft foods for the first few days following the procedure to protect the healing gums. Avoid hard, crunchy, or spicy foods that could irritate the tissue. Some recommended options include yogurt, soup, scrambled eggs, and smoothies.

4. Attend Follow-Up Appointments

Your dentist will schedule follow-up visits to monitor your healing progress and remove any stitches if necessary. These appointments ensure that the gum tissue is healing as expected and that any potential issues can be addressed promptly.

5. Follow Recovery Instructions

Follow any additional guidance provided by your dentist, such as avoiding smoking or strenuous activities that could interfere with healing. Rest is also crucial during the initial days following the procedure.

A dentist wearing a mask, safety glasses, and gloves examines a patient seated in a dental chair under an overhead light in a dental clinic.

FAQs About Crown Lengthening

Does Crown Lengthening Hurt?

How Long Does Recovery Take?

Is Crown Lengthening Permanent?

Are There Risks Associated With Crown Lengthening?

Can I Brush My Teeth After the Procedure?

Why Trust Wayzata Dental With Your Crown Lengthening Procedure?

At Wayzata Dental, we understand the importance of expert care when it comes to your smile. Our experienced team is dedicated to providing gentle, effective crown lengthening procedures tailored to your specific needs. From advanced techniques to personalized aftercare plans, we’re here to make sure your health and comfort come first.

Whether you’re looking to enhance your appearance or restore your oral health, you can trust us to guide you every step of the way. Don’t wait to achieve the confidence and comfort you deserve.

Contact Wayzata Dental today to book an appointment!

Dr. McDowell
Dr. McDowell has always been focused on using the latest technology to improve the patient experience. From radiation-free imaging to laser dentistry, he has always been ahead of the curve and is dedicated to improving the practice of dentistry one ..