Crown lengthening is a procedure that exposes a larger surface area of the tooth to improve the appearance of a smile or to prepare the tooth for restoration.
Crown elongation involves removing or remodeling gum tissue, and sometimes bone, to reveal a larger surface area of the tooth. It can be performed on a single tooth, multiple teeth, or an entire gum line, depending on the objectives of the procedure. The procedure is commonly used to prepare a tooth for restorative treatments such as crowns or bridges or to improve the aesthetics of the smile.
Purpose and advantages
01
Restorative needs
Crown lengthening is often recommended when there isn't enough visible dental structure above the gum line to support a dental crown or other restoration. Exposing a larger part of the tooth allows for a secure bond, ensuring the longevity and stability of the crown.
02
Aesthetic improvement
For people with excessive gum coverage on their teeth, stretching the crown can reshape the gum line for a balanced, proportionate smile. This is especially useful for correcting a 'rubbery' smile or an uneven gum border, improving the overall appearance.
03
Prevention of tooth decay
Removing excess gum tissue can facilitate cleaning along the gum line, helping to prevent tooth decay and gum disease by reducing areas where bacteria can accumulate.
Treatment process
01
Consultation and examination
A comprehensive examination will determine the need to lengthen the crown and plan the procedure. X-rays may be taken to evaluate the structure of the tooth root and surrounding bone.
02
Procedure
The treatment is performed under local anaesthesia to ensure comfort. The dentist carefully reshapes the gum tissue and, if necessary, removes a small amount of bone around the root of the tooth. This reveals a greater tooth structure and creates an even gum line.
03
Temporary healing and restoration
In cases where a crown or filling is necessary, a temporary restoration can be carried out until the healing is complete. This provides protection for your teeth and gums.
04
Comfort and pain management
The lengthening of the crown is performed under local anesthesia, making the procedure painless. After the anaesthesia ends, mild discomfort or tenderness may occur, but may be managed with over-the-counter pain relievers and ice packs.
After-care and recovery
After the procedure, following specific care instructions will ensure optimal healing.
Tips for a smooth recovery include:
- Avoid hard or crunchy foods for the first few days.
- Rinse gently with a prescribed saline solution or mouthwash.
- Avoid strenuous activities and minimize mouth movements to prevent bleeding.
Healing typically takes one to two weeks for gums, although full healing for bone adjustments may take a few months.
Consequences of delayed replacement
If left untreated, missing teeth can lead to:
- Reduction of bite function and displacement of adjacent teeth.
- Difficulty chewing and speaking.
- Jaw bone resorption, which complicates future implant placement.
Costs and considerations
The cost of lengthening the crown depends on the complexity and extent of the procedure. While generally considered optional, stretching the crown for functional purposes, such as positioning the crown, may benefit from partial coverage. Alpine Smiles provides advice with detailed treatment plans and cost estimates.
Crown lengthening is a transformative option that not only facilitates essential restorations, but also improves smile aesthetics. Whether for restorative or aesthetic reasons, it helps patients achieve healthier gums and an attractive, well-proportioned smile.
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Find our clinic
We are at: Via Pico 19, 6900 Lugano - Switzerland
Bus
Take Bus No. 3 to Cassarate, Scuole and walk approximately 3 minutes along Via del Tiglio, or take Bus No. 2 to Cassarate, Monte Brè followed by a 5-minute uphill walk along Via Pico to our clinic.
Bicycle
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Parking
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Ferry
Take the ferry to the Cassarate stop, next to the Grand Hotel Villa Castagnola and the Funicolare Monte Brè. From there follow Via Pico uphill to our clinic.