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Crown Lengthening Can Help Ensure a Successful Dental Crown Placement

For some patients, excessive gum tissue may cover the majority of their teeth, leading to complications when certain restorative procedures, such as a dental crown, are needed to repair a tooth. When there is not an adequate amount of tooth exposed above the gum line, a crown lengthening procedure may be recommended. Crown lengthening is a surgical procedure designed to remove gum or bone tissue to expose more of the tooth. This procedure can be performed safely by Dr. Navid Baradarian at our New York, NY, dental practice to allow for a secure and successful dental crown placement.

A before-and-after illustration showing the effects of crown lengthening
Crown lengthening can expose more of the tooth by removing excess gum tissue to help ensure the successful placement of a dental crown. 

The Crown Lengthening Procedure

During your initial consultation, Dr. Baradarian will perform a detailed examination of your teeth and gums with x-ray technology and review your medical history to determine whether you are a good candidate for this procedure. To ensure a successful surgery, certain preparatory procedures may be recommended, such as a dental cleaning and temporary crown.

During the crown lengthening procedure, anesthesia is provided for optimal comfort. We provide nitrous oxide or oral conscious sedation in addition to local anesthesia. For patients who may require stronger sedation methods, we can bring in an anesthesiologist to administer and monitor intravenous (IV) sedation.

Once you are comfortable, Dr. Baradarian will make an incision in the gum line to gently lift and pull the gums away from the teeth. He will either remove the excess tissue or stitch it together higher up on the tooth. In cases where there is excess bone tissue, Dr. Baradarian will gently reshape the base of the tooth before securing the gum tissue in place. The overall length of the procedure will depend on the amount of tissue being removed and whether any neighboring teeth are involved. In most cases, crown lengthening can generally be completed in one to two hours. Once the procedure has been completed, Dr. Baradarian can apply any necessary bandages to protect the area.

Crown lengthening can expose more of the tooth by removing excess gum tissue to help ensure the successful placement of a dental crown. 

The Recovery Process

After the procedure, you will be given detailed postoperative instructions to follow to ensure a smooth and successful recovery. Seven to 10 days following the procedure, you will return to our office to have any stitches removed and for Dr. Baradarian to monitor you for any signs of infection. Four to six weeks later, you will return for an additional follow-up visit for Dr. Baradarian to evaluate your final results.

The overall recovery generally takes about three months before a dental crown can be placed. If the dental crown is placed too soon, it could affect your recovery and cause functional and aesthetic issues. Throughout your recovery, you may experience minor bleeding and sensitivity as the tooth roots are exposed, but this will subside once the dental crown is in place.

Common Risks and Side Effects

Following a crown lengthening procedure, patients may be at risk of infection. Complications could include:

  • Increased, chronic pain
  • Excessive bleeding
  • Visible signs of infection (pus, discharge)
  • Increased swelling and redness around the area
  • Swollen lymph nodes (tender lumps below your jaw or in your neck)
  • Loose tooth

If you are experiencing any of these symptoms or if your bandages fall off, you should contact our office as soon as possible.

Schedule Your Consultation

If you require a dental crown but have excess gum tissue preventing you from undergoing this procedure, Dr. Baradarian can perform crown lengthening. To learn more about the benefits of this procedure, contact our office online or by calling (212) 581-4646 to schedule your consultation with Dr. Baradarian.

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116 Central Park S Ste 3
New York, NY 10019

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(212) 581-4646