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Crown Lengthening

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

1. 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.

2. 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.

3. 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

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.

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.

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.

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-sales service 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.

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

Bus

Two bus stops a 3-minute walk away: “Cassarate, Monte Brè” and “Cassarate, Schools”. Or “Viganello, Centro” a 9-minute walk away.

Parking

Free parking is available outside the clinic and others are nearby, including the Campo Marzio car park at Lido di Lugano.

Bicycle

At the Playground, which is located right next to the hotel, there are bike kiosks.

Ferry

If you are traveling by ferry, there is a stop in Cassarate, next to the Grand Hotel Villa Castagnola.