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Crown Lengthening

Crown lengthening is also known as a gum lift. This procedure has a number of applications as aggressive treatment for periodontal disease, but it’s becoming more popular as a cosmetic measure to treat what is known as a gummy smile. In this procedure, the gum is reshaped and sculpted to reveal more of the tooth crown (the part visible above the gum line), making the smile appear more balanced and aesthetically pleasing.

As a restorative for damaged teeth, crown lengthening is mostly used on teeth that have fractured or broken off below the gum line due to accident or severe tooth decay. Exposing the undamaged surface of the broken tooth creates a base for further restorative measures, such as a crown or an implant if warranted. It is also frequently used to scale back the amount of gingiva (gum) showing around the teeth. Having a gummy smile isn’t necessarily a bad thing, but it can make people self-conscious about their smile as well as possibly more susceptible to gingivitis and other gum diseases.

The crown lengthening process is designed to increase the functionality and aesthetic appearance of your teeth. This procedure is typically performed under a local anesthetic, but sedation may be provided if necessary. Crown lengthening uses tissue removal to eliminate excess gingiva in a given area and sculpt the remaining gum tissue into a more functional and attractive shape.

Crown lengthening is a surgical procedure, and your preoperative and postoperative requirements may be subject to change based upon a number of factors which will be discussed with you during the consultation and after the surgery. Postoperative pain and recovery time are usually minimal because of the speed at which the mouth heals from injuries. However, these are some good rules to follow before and after undergoing any periodontal surgical procedure:

Preoperative Care, Do’s and Don’ts:

  • Avoid aspirin for at least a week before the procedure. Aspirin is a blood thinner and can result in slower healing and unnecessary bleeding during and after the surgery. Particularly if you are taking aspirin as part of a heart health regimen following a heart attack, this is important.
  • Other blood thinners such as cumadin, Plavix, or warfarin should be avoided if possible. Consult your physician to see if it’s safe for you not to take these medications. If so, like aspirin, they should be avoided for at least a week before the procedure.
  • Make sure you tell Dr. De Andrade about all medications, including over the counter pain relievers, allergy medications, and cold or flu treatments, as well as prescription medications, you’re taking. This can help prevent unnecessary complications arising from drug interactions or side effects of your medication. This also includes any homeopathic remedies or herbal supplements you may be taking.
  • High-dose vitamins such as C, B-complex, and calcium with magnesium are strongly suggested beginning at least a week before the procedure. This will strengthen your immune system and also promote overall oral health in the case of the calcium supplement.
  • Most surgical procedures Dr. De Andrade performs do not require fasting, and in fact fasting is not recommended. A bread or starch-based food more than an hour before the surgery will help you feel better after the surgery. (Note: This DOES NOT apply if you are undergoing intravenous sedation. If you are, you should not eat for a minimum of twelve hours prior to the surgery.)
  • Be sure to begin your antibiotics (if prescribed) one hour before the surgery. If you are taking antibiotics before the surgery, continue with the regimen Dr. De Andrade indicated.

Postoperative Care, Do’s and Don’ts

  • Do NOT smoke for at least twenty-four hours after the surgery. If you absolutely cannot refrain from smoking after the procedure, limiting your smoking until the sutures are removed will help prevent infection and irritation.
  • If you are prescribed narcotic prescription pain medications, DO NOT drive or operate machinery. Have someone present who can escort you home. The same applies if you are having intravenous sedation for the procedure. Driving under the influence of narcotics is extremely dangerous. Never mix alcohol with painkillers and never attempt to drink or drive for at least twelve hours after you take the last dose.
  • Plan ahead for any sensitivity you may encounter, especially immediately after the surgery, and make sure you have ice packs and soft food available.
  • Please don’t eat garlic at least a day before surgery and any follow-up visits.
Crown Lengthening before and after

Crown Lengthening before and after

The crown lengthening process is intended to shape the gums location back at the bottom of the tooth. The main aim is to bring out extra tooth surface for cosmetic or restorative function by adjusting the level of the exposed tooth. There are many dental conditions which require restorations in the process. Most common is extreme tooth decay under gum line. An additional situation when this procedure is performed is when you have a fractured tooth that has broken off from below the present gum line.

Reinstating Damaged Teeth

This process plays a very important role in restoring your damaged teeth. There may be extreme tooth decay that results in broken teeth or that has been destroyed under the gum line. By exposing the tooth this process offers a steady base for the ultimate tooth reinstatement.

Cosmetic Application

The process is often used at our Las Vegas dental implant center for supporting cosmetic dental processes. It is used in many situations where your gum expands far below the teeth length causing it to appear extremely short. This will enhance the vulnerability to any kind of gum disease. By removing this added gum tissue you can reinstate a normal look and hence improve your smile immediately building confidence.

The Crown Lengthening Process

The Crown lengthening procedure is executed under local anesthesia by our periodontist. This can be incorporated with sedation if you need it. The chosen part of your gums is then contoured by way of tissue elimination. The main aim is to extend the suitable teeth and create greater gum line symmetry.

Pre and Post-Surgical Care

As with all of our surgeries we will spend individual time with you to discuss what to expect during your individual procedure both before and after your surgery. If you have any question never hesitate to contact us and please see our general literature we have on our website for pre surgical and post surgical care to answer most general questions.

What Are The Benefits Of The Crown Lengthening Procedure?

Through this crown lengthening procedure you can enhance aesthetic beauty as well as functionality. So, with this procedure performed you can get a wonderful smile and have enhanced periodontal health. This process is the key to proper eating, beautiful smile and overall confidence. So, contact our Las Vegas periodontist today.

Periodontist Crown Lengthening Before

Crown Lengthening before

Periodontist Crown Lengthening after

Crown Lengthening After




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