Crown Lengthening​

Crown lengthening is a dental surgical procedure that involves the removal of gum tissue, bone, or both to expose more of a tooth’s crown (the visible portion of the tooth above the gumline). This procedure is typically performed for functional or cosmetic reasons and is often carried out by a periodontist, a specialist in the treatment of gum and supporting tissue.

What To Expect​

Diagnosis and Consultation
Dr. Christos Constantinides begins by conducting a thorough examination and consultation with you. This typically includes X-rays to assess your tooth and surrounding structures. During this step, Dr. Constantinides will determine the amount of tissue to be removed and discuss your specific goals for the procedure, be it functional or cosmetic.
Anesthesia and Incisions
On the day of the procedure, local anesthesia is administered to ensure your comfort. Dr. Constantinides makes small incisions in the gum tissue to access the underlying bone and tooth. In some cases, a small amount of bone may also be reshaped to achieve the desired outcome.
During this step, Dr. Constantinides carefully repositions the gum tissue and removes any excess tissue to expose more of the tooth's surface. This helps achieve the desired crown length and prepares the tooth for further restorative work, if necessary.
Sutures and Healing
Following the reshaping, the incisions are closed with sutures, and a protective dressing may be applied to the surgical site. Dr. Constantinides provides post-operative care instructions, which you should follow diligently to ensure proper healing.

Goals Of Crown Lengthening​​

1. Functional Restoration:

Crown Lengthening is often performed to restore teeth with insufficient crown length for effective attachment of dental crowns, fillings, or other restorations. This ensures the stability and functionality of the restoration.

2. Cosmetic Enhancement:

For patients with a “gummy smile” or concerns about the proportion of their teeth to gums, Crown Lengthening can reshape the gumline to create a more balanced and aesthetically pleasing smile.

3. Tooth Preservation:

In cases of severe tooth decay or fractures below the gumline, Crown Lengthening allows access to and restoration of the affected tooth, preserving natural dentition.

4. Improved Oral Health:

By addressing functional and aesthetic concerns, Crown Lengthening contributes to better oral health and overall well-being.

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Frequently Asked Questions

We will be as gentle as possible. The periodontal exam can be completed with little or no discomfort.

We will need current periodontal x-rays in order to see disease not otherwise visible. If your referring dentist has taken x-rays, you may request that they be forwarded to us.

Since all patients are different, your periodontist must complete your examination before establishing your treatment planning and the fee for care. The fee for periodontal treatment can vary considerably depending on the type of problems and the complexity and length of treatment. An approximate fee can usually be determined at the initial visit; but on occasion, some initial treatment or further diagnostics must be completed before the final treatment planning can be established. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.

Dental insurance policies often cover periodontal treatment. Please bring all medical and dental benefit information and cards to your examination appointment.

Not everyone needs periodontal surgery. If treated early, gum disease can be controlled without surgery. We will make recommendations based on your individual situation. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.

The recent advances in periodontal treatment allow us to successfully treat most teeth.

Our office and your dentist will work closely together. If crowns and fillings are needed your dentist will provide them. Regular visits to your dentist are an important part of periodontal maintenance.

Periodontal disease is a progressive, painless infection. Delay can cause you further bone loss and more expense. If your teeth are lost, dentures are never as effective as your own natural teeth.

After tooth extraction, if the walls of the socket are very thick, they will usually fill naturally with bone in two to three months. However, when the walls of your socket are very thin (such as in your upper and lower front teeth), this type of healing will not be as predictable. In these situations, a bone graft is often placed at the time of tooth extraction to help your body fill in the empty socket with bone. This step will maintain the width and volume of bone you will need for implant placement several months later.

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