Do you have a "gummy" smile that makes you feel embarrassed when you smile, talk or eat? Do you have teeth that need a crown or filling but too much gum tissue makes that impossible? Don't worry. It's a fairly common problem. Some people have gums that cover a larger area of several teeth, while others have the same problem but with just a single tooth. Crown lengthening is a procedure that will change that.
What is Crown Lengthening?
This common procedure is done to either remove excess gum tissue for cosmetic purposes, or it can be done to make a crown or other restoration fit better. It can be done to single teeth or several, depending on what's needed.
Two of the top periodontists Beverly Hills has to offer are Dr. Abdy Moshrefi and Dr. Nazanin Daneshmand. Both are board certified and have gone through extensive periodontal training. Our entire dental team provides outstanding dental care as well as a caring, welcoming environment where our patients get long-lasting results with minimal time spent in the chair.
A common reason for too much gum tissue is simply the way the teeth grew in. This causes the teeth to look shorter than they really are. A gummy smile can make a person self-conscious about their mouth, and as a consequence, become unwilling to smile or even talk.
We will remove the excess gum tissue and possibly some of the underlying bone if necessary in order to expose more of the tooth. After applying a local anesthetic, the gum is cut and contoured carefully with exacting precision using hand held and high tech power instruments. The result will be an even gum line that now shows off your teeth instead of your gums.
Crown Lengthening to Make a New Crown Possible
There are times when a tooth needs to be more exposed so that a crown or filling can be properly placed. For example, a tooth may break off at the gum line, and there is not enough of it left for attaching a crown. This procedure enhances the height or size of the visible part of the tooth.
As much gum as necessary is removed and re-contoured. In some cases, the bone around the tooth may need to be reduced as well. Usually neighboring teeth are not affected, except in cases where reshaping them will help create a better balance.
Once the gum reduction and reshaping is completed, the tissues need to be sutured closed and allowed to heal. This usually takes about 2-3 months. We may cover the surgical site(s) with a periodontal bandage that will help prevent infection and speed the healing process. We can also provide pain medication and antimicrobial therapy as necessary.
You will be seen again in our office so we can be sure the area is ready for the next step. If it is, you could be fitted for a temporary crown until your permanent crown is ready. The crown lengthening process not only makes it possible to properly fit a crown or other restoration, it also makes it possible to better clean the teeth and gums. This is important for continued oral health.
Increased Confidence with a Beautiful Smile
Whether crown lengthening is needed to reshape the gums for aesthetic purposes or in order to prepare a tooth for a restoration, our board-certified periodontists take the time to answer your questions and ensure you understand the treatment plan. Our top priority is providing excellent results as well as ensuring your comfort, and we are confident you will find our doctors are the best periodontists Los Angeles has to offer.