Crown lengthening is a procedure that gently reshapes the gum tissue and sometimes the underlying bone to reveal more of the natural tooth. It may be recommended when there is not enough visible tooth structure to support a crown, or when excess gum tissue makes the teeth appear shorter than they are. In either case, crown lengthening is a precise and commonly performed procedure that can help improve both the health and appearance of your smile.
At Advanced Periodontics of New Jersey, Drs. Matei and Peto perform crown lengthening as part of a comprehensive approach to periodontal care for patients throughout Bergen County and the surrounding area. The procedure is precise, predictable, and often a critical step in allowing patients to move forward with broader restorative or cosmetic goals.
What Is Crown Lengthening Used For?
Crown lengthening serves two distinct purposes depending on the patient’s needs. The first is functional, meaning it is performed to prepare a tooth for a dental crown or other restoration. The second is cosmetic, addressing a gummy smile by reducing excess gum tissue to create a more balanced, proportionate appearance.
On the functional side, crown lengthening is recommended when a tooth has broken down below the gumline due to decay, fracture, or a failed restoration. Without adequate tooth structure above the gum, a crown cannot be placed properly or securely. Crown lengthening creates the space needed for the restoration to fit properly and remain stable over the long term.
Is Crown Lengthening a Surgical Procedure?
Crown lengthening is a minor surgical procedure performed under local anesthesia. According to the American Academy of Periodontology, the procedure involves reshaping excess gum and bone tissue to expose more of the natural tooth, and it can be performed on one tooth or across several teeth to even the gumline.
During the procedure, small incisions are made in the gum tissue to create a flap that allows access to the underlying bone. Depending on the case, a gingivectomy or an approach that also involves reshaping the bone, similar to what is done in osseous surgery, may be used. The gum tissue is then repositioned and sutured into place.
What Does Recovery From Crown Lengthening Look Like?
Recovery from crown lengthening is generally well tolerated, with most patients resuming normal activities within a day or two. Some swelling, tenderness, and sensitivity around the treated area are expected in the first several days, and over-the-counter pain medication is typically sufficient to manage discomfort. Keeping the head elevated and applying a cold compress during the first 24 hours can also help reduce swelling.
Sutures are usually removed within one to two weeks, and soft foods are recommended during the initial healing phase. Patients are advised to avoid anything hard, crunchy, or particularly hot near the surgical site, and to keep the area clean without directly disturbing the sutures. Full tissue healing takes longer than the initial recovery, and the gumline continues to stabilize over several weeks to months. Our team provides detailed post-treatment care guidance to support healing at every stage.
What to Expect Before a Crown or Restoration
Once the procedure is complete, the gum tissue needs adequate time to heal and stabilize before a permanent crown or restoration is placed. Moving forward too quickly can compromise the final result, so a healing period is built into the treatment plan.
Our team coordinates closely with your restorative dentist to ensure the timing is right and the final restoration fits well against healthy, stable tissue. This collaboration is essential for achieving a result that is both functional and long-lasting.
Advanced Periodontics of New Jersey Is Ready to Help You Move Forward
Advanced Periodontics of New Jersey brings together the clinical knowledge and experience of Drs. Matei and Peto to deliver patient-centered periodontal care. Dr. Matei holds advanced credentials from New York University and Columbia University College of Dental Medicine, is a LANAP-certified clinician, and has been recognized with the American Academy of Periodontics Educator Award for Excellence in Teaching and Mentoring. Our River Edge practice is equipped to handle both the functional and cosmetic dimensions of crown lengthening with precision and care.
Navigating periodontal care is easier with a team that takes the time to answer your questions clearly and honestly. From treatment plans to what to expect at every step, our team is here to walk you through the process. To schedule a consultation, reach out using our contact form.
