Crown Lengthening

Dental crowns and the procedures required for them are well known. However, what fewer people know is what a dental crown lengthening procedure is and why dentists recommend it on occasion.

Dental crown lengthening is often a required step in preparing your tooth for a dental crown, restoration work, or cosmetic dentistry.
The treatment is classified as an oral surgery and is conducted by a periodontist (a dentist that specializes in gum and bone tissue supporting the teeth).
The procedure involves removal of gum tissues, bone, or both to expose more of the tooth’s structure for restoration or cosmetic treatment.

FLOSS Dental provides crown lengthening treatments in 10 convenient FLOSS locations Coppell, Lakewood, Southlake, Oak Lawn, Park Cities, Preston Royal, Uptown Dallas, 5th Street, 38th Street and San Antonio, Texas

Why Would You Need Crown Lengthening?

There are two major reasons why crown lengthening may be necessary.

1. Restoration

Broken Tooth: Sometimes patients may have a broken tooth at the gum line or below the gum line. If a large dental filling is required you may need a crown lengthening to expose more of the tooth structure.

Insufficient Tooth Structure : After your dentist removes the tooth decay, there may not be enough tooth structure for the dental crown to fit onto. Additionally, an ill-fitted dental crown can cause chronic inflammation and irritation.

2. Cosmetic Surgery

Crown lengthening can correct cosmetic problems such as a “gummy smile”. The treatment exposes more of the teeth’s structure creating a more pleasant smile.

How Is Dental Crown Lengthening Performed?

One of our periodontists will administer the oral surgery procedure in office under local anesthesia. If necessary, sedation can be used to ease fear during the procedure or when your periodontist feels it is necessary.
The periodontist will start the procedure by making incisions into the tissue and pulling the gum away from the tooth. In most scenarios, removing a little gum tissue is all that is necessary.

After the periodontist has exposed the tooth’s structure enough, he or she will use saline water to thoroughly wash the area and finish by stitching the gums together, and in some cases use a special bandage to cover the incision.


Your periodontist will provide you with a prescription for managing any pain or discomfort. You will be provided with a special mouth rinse and dental care instructions during recovery stages. You will be able to continue your normal oral hygiene routine. However, during recovery it is best to avoid the gum area of the procedures for a few weeks.

Your periodontist will want to see you back within about a week to remove the stitches. After the stitches are removed your gums will need some time to heal before your dentist finishes restoration or cosmetic treatment of the tooth.