Crown Lengthening

Crown lengthening is a dental procedure that reshapes the gum tissues and alters bone levels to expose more tooth surfaces. This is often done to prepare the tooth for a new crown. Crown lengthening is recommended for teeth that have undergone serious decay, fractures below the gum line, or teeth that appear too short.

Black Point Dental offers crown lengthening procedures tailored to your specific needs, whether you need a smile makeover or have a dental condition that requires treatment.

Dr. Ferguson from Black Point Dental in Honolulu, HI, can be reached at (888) 955-5922 for an appointment.

When is crown lengthening needed?

A crown lengthening procedure is necessary when the visible tooth area is not enough to support a dental crown. Dental crowns are used to cover and protect damaged teeth, preserving their shape, size, and strength. However, the crown may not fit properly if the tooth surface is insufficient, leading to instability and discomfort.

Crown lengthening helps reduce gum tissue to expose more tooth surface area, ensuring the crown can be securely attached. This procedure can also address several dental issues, including:

  • Teeth that are too short or have a "gummy smile" 
  • Dental decay below the gum line
  • Broken or cracked teeth beneath the gumline

In addition to these benefits, crown lengthening can enhance your smile's appearance, boost your confidence, and prevent further damage or decay in the affected tooth. However, it is essential to consult your dentist to determine if this procedure suits you and your unique dental needs.

What to Expect During a Crown Lengthening Procedure?

Prior to the Procedure

In your consultation session, Dr. Ferguson will talk about periodontal treatments suitable for your situation.

Your medical history and current condition will be reviewed, followed by a thorough examination of your teeth. Dr. Ferguson may also order X-rays to detect any related dental concerns.

If you choose crown lengthening as the ideal solution, your next appointment will be scheduled. In the meantime, Dr. Ferguson may provide a temporary dental crown to safeguard your teeth until the procedure is finished.

During the Procedure

Crown lengthening is a routine operation, typically completed within an hour. Patients who undergo this treatment can return home immediately afterward.

In the course of the procedure, Dr. Ferguson will make incisions in your gums and peel them back from your teeth, revealing the underlying bone and necessary tooth surface. Subsequently, the bone surrounding the tooth will be removed.

After meticulously cleaning the area with saline solution and disinfecting it, the gums will be stitched back into position. Dr. Ferguson might also apply a protective bandage over the treated area.

Following the Procedure

Dr. Ferguson may use a topical antibiotic after the procedure to minimize the risk of infection.

Based on the specifics of your case and your individual response, Dr. Ferguson might prescribe oral antibiotics. Make sure you complete the entire course of antibiotic treatment if prescribed by Dr. Ferguson.

Is the crown lengthening procedure painful?

Crown lengthening might lead to some discomfort; thus, your dentist will administer a local anesthetic to numb your gums prior to the procedure. Dr. Ferguson may suggest sedation dentistry alternatives to ensure maximum comfort throughout the procedure.

When the anesthesia wears off, you may experience pain. It is advisable to consult your dentist regarding a prescription for pain management medication.

What can you expect during the healing period following a crown lengthening procedure?

While the complete healing process after a crown lengthening procedure might take up to three months, most individuals can resume their everyday activities within a few days. To minimize discomfort during your recovery, we suggest implementing the following measures:

  • Refrain from engaging in strenuous activities for three days.
  • Follow the recommended pain relief medication regimen.
  • Apply an ice pack to alleviate swelling.
  • Steer clear of both hot and cold drinks.
  • Utilize a toothbrush with soft bristles.
  • Brush your teeth gently.
  • Steer clear of spicy and irritating food items.
  • Refrain from touching the affected area.

When is it advised to get in touch with your dentist?

Although it is uncommon to experience issues following a crown lengthening treatment, it's crucial to consult your dentist if you notice any of the symptoms listed below:

  • Persistent bleeding
  • Pain that persists even after taking pain relievers
  • Abnormal swelling
  • Development of nodules in the neck or jaw area

Crown Lengthening in Honolulu, HI

Black Point Dental offers crown lengthening procedures to help patients who want a smile makeover or treatment for dental conditions.

Dr. Patrick Ferguson is a member of the Hawaii Dental Association, the American Dental Association, and the American Board of Oral Implantology.

To schedule a consultation or appointment, call us at (808) 955-5922 or request an appointment online. You can also visit our office in Honolulu, HI. 

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