Periodontal Surgery · Washington DC
When a tooth is broken below the gumline or there is not enough structure for a crown, crown lengthening exposes more of the tooth so your dentist can restore it properly.
Why Crown Lengthening
A crown needs a minimum amount of healthy tooth structure above the gumline to hold properly. When decay, fracture, or wear extends too far below the gum, there is not enough tooth left to support a restoration. Crown lengthening solves this by repositioning the gum and bone to expose more tooth.
This procedure is also used cosmetically. Patients with a gummy smile who need both gum reshaping and bone adjustment benefit from crown lengthening, which addresses soft tissue and bone together.
When It Is Needed
The Procedure
X-rays and clinical exam determine how much gum and bone need to be adjusted to expose adequate tooth structure.
The area is completely numbed. Sedation options are available for patients who prefer it.
Excess gum tissue is removed and bone is recontoured to create the correct biological width for a healthy restoration margin.
The site heals over 6 to 8 weeks. Once healed, your restorative dentist places the permanent crown or veneer.
Frequently Asked Questions
The procedure is performed under local anesthesia, so you feel no pain during treatment. Post-operative discomfort is typically mild and managed with prescribed or over-the-counter medication for a few days.
The gum and bone typically need 6 to 8 weeks to heal before the final restoration can be placed. A temporary restoration protects the tooth during this period.
When crown lengthening is performed for a medically necessary reason (to enable a restoration), dental insurance often covers a portion. Cosmetic crown lengthening is typically not covered. Our team verifies your benefits before scheduling.
Ready?
Schedule an evaluation. We will assess whether crown lengthening can preserve your tooth and prepare it for a lasting restoration.