Dr. Mirani, cosmetic dentist in Beverly Hills, recommends crown lengthening when she discovers severe decay below the gum line or a tooth breaks below the gum line and access to additional tooth surface is required to save the tooth. The crown lengthening procedure has both cosmetic and restorative purposes and is designed to reshape the gums at the base of the tooth in order to expose additional tooth surface. Once the procedure is completed and the gum tissue has healed, Dr. Mirani is able to cosmetically restore the affected tooth to its original condition with either a tooth colored filling or porcelain crown.
What can I expect from the procedure?
The procedure is perfomed under local anesthesia and the amount of time it takes varies depending on the number of teeth that require treatment. Although your problem may involve only one tooth, crown lengthening surgery also involves neighboring teeth so that the tissues can be reshaped gradually. If only soft tissue is removed, the procedure probably will take less time than if both soft tissue and bone are removed.
Incisions are made to "flap" the gums away from the teeth. This provides access to the roots of the teeth and the surrounding bone. In some cases, by simply removing a little gum tissue when the incisions are made, enough tooth structure will be exposed to place a crown of filling. However, in most situations it will also be necessary for her to remove some bone from around the roots of the tooth. The bone is removed using a combination of hand instruments (resembling chisels) and rotary instruments (similar to the drill and burs used to treat cavities).
Once enough tooth structure is exposed, the surgical area will be washed with sterile salt water and the flaps will be stitched together. Your teeth will look longer because the gums are now sitting at a lower level than before the surgery. After the initial procedure, you will return to our office in 7 to 10 days to have the sutures removed. A follow up visit in 4 to 6 weeks will also be required to make sure the wound has healed properly.
Your gums should heal for at least three months before the tooth is prepared for the final crown. If you do not wait this long, the gums may shrink as they heal and the margins of the crown could show, or other problems could develop.
What do I do if I think I am a Candidate for Crown Lengthening?
Dr. Mirani helps dental patients throughout Beverly Hills to achieve optimal oral heath through cosmetic and restorative dentistry, regular checkups and cleanings. Call Dr. Mirani’s office today at (310) 858-5933 to schedule an appointment if you feel any sort of tooth pain or you tooth has experienced trauma. Dr. Mirani will examine your tooth and if required will explain the finer points of crown lengthening.