Your gums need at least 2mm of tooth surface area to bond with in order to prevent trapped foods and other potential problems. If part of a tooth is missing or if the decay is too deep, crown lengthening is used to recreate the required amount of exposed tooth so that restorative dental procedures will not weaken or fall off. Crown lengthening is a very common surgical procedure, usually performed in less than one hour. Specialized surgical instruments are used to re-contour both the gum tissue and the underlying bone around the tooth for which your crown has been planned.
Only the tissue that is in the immediate area surrounding the tooth will be treated, and there is no risk of damage to the neighboring teeth. Crown lengthening is performed by your periodontist under a local anesthetic. This can be combined with sedation for patients who desire it.
The selected area of the gums is reduced and contoured through the removal of small amounts of tissue. The goal is to lengthen the appropriate teeth and create greater symmetry at the gum line. For most patients, crown lengthening does not require any additional post-operative care, and any slight pain can be easily managed with ibuprofen.
While crown lengthening patients can return to work and begin eating soft foods the day after surgery, full recovery of the gum tissue generally takes one or two weeks. Because this is a surgical procedure, it may very well catch you off guard. However, if recommended, there is usually a good reason for the procedure. To bond with a crown, your gums need, at the very least 2 millimeters of surface area.
This not only helps with bonding but prevents the trapping of foods or other potential complications like various restorative dental appliances weakening or falling off of the tooth. Crown lengthening is recommended for an array of dental conditions. The most common conditions requiring crown lengthening are: teeth that are too short, tooth decay that is severe below the gum line, or a broken or fractured tooth beneath the gum line.
When a tooth experiences severe decay or breaks, the healthy area that remains is reduced. This affects the success rate of tooth restoration as restorative dental appliances have little surface area to work with. With more surface area to work with, various dental appliances have a greater chance of staying put and not weakening or falling off. Crown lengthening is a common procedure and, while intimidating at first, is not something that a patient should be wary off. Most crown-lengthening procedures can be performed in under one hour and are done in an outpatient facility.
Before the procedure, you will likely be fitted with a temporary crown; this is to ensure that your tooth remains protected until your permanent crown can be placed around a month after your crown-lengthening procedure. Performed by a periodontist gum specialist while under a local anesthetic if you have anxiety associated with dental procedures, you can request other methods of sedation , the area of gums surrounding the tooth and the underlying bone in question will be recontoured using specialized surgical instruments.
Crown lengthening is an oral surgery treatment that involves removing excess gum tissue, and possibly some bone, around the upper teeth to make them look longer. Dentists and periodontists frequently perform this standard procedure. If the gum line is uneven, crown lengthening can sculpt the gum line to produce a more symmetrical smile. Crown lengthening may also be performed for other dental reasons.
For example, crown lengthening may be necessary to support the installation of a crown. A dental crown, or cap, may be required due to a cracked or damaged tooth.
Untreated cavities frequently become too large to be corrected with a filling, leaving you in the position of needing a dental crown. Additionally, crowns can also cover misshapen or discolored teeth. Unlike many other cosmetic dentistry treatments, crown lengthening only needs to be done once.
In addition to creating a broader, more symmetrical smile, crown lengthening can provide other dental care benefits. Crown lengthening treatments can also reduce tooth decay because more of the tooth is exposed to brush and floss. This outpatient procedure can often be completed in about an hour.
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