Crown Lengthening

Crown lengthening is a procedure that removes gum tissue and sometimes bone to expose more of your tooth structure. This creates a longer-looking tooth crown (the visible part above your gums). We perform this procedure when there isn’t enough healthy tooth showing above the gum line to properly place a filling or crown, or for cosmetic reasons when your teeth look too short or your gums show too much when you smile.

You might need crown lengthening if a tooth is broken below the gum line, has extensive decay, or needs a crown but doesn’t have enough tooth structure showing. It’s also done for cosmetic reasons to fix a “gummy smile” where too much gum tissue shows when you smile. Sometimes teeth look short not because they’re actually short, but because gum tissue covers too much of them.

The procedure is comfortable because we use local anesthesia to numb the area completely. Dr. Fenton can also provide sedation options if you feel anxious. After the procedure, you’ll have some soreness and swelling for 3-5 days, similar to other oral surgery procedures. Prescription pain medication and ice packs help manage any discomfort during healing.

The procedure typically takes 30-90 minutes depending on how many teeth need treatment. If we’re working on just one tooth, it’s usually quicker than treating multiple teeth. The actual surgery time depends on how much gum tissue and bone need to be removed. We’ll give you a time estimate based on your specific situation during your consultation.

Plan for about a week of healing before feeling back to normal. You’ll have some swelling and tenderness for the first few days. Stick to soft foods and avoid the treated area when chewing. Don’t brush or floss directly over the surgical site for the first week. We’ll see you for a follow-up visit to check healing and remove any stitches if needed.

You’ll usually need to wait 6-8 weeks after crown lengthening before getting your crown or filling. This waiting period allows your gums to heal completely and settle into their new position. If we place a crown too soon, it might not fit properly once your gums finish healing. We’ll schedule your follow-up treatment once everything has healed properly.

Crown lengthening typically costs $1,000-$3,000 depending on how many teeth need treatment and the complexity of the procedure. Single tooth crown lengthening costs less than treating multiple teeth. Cosmetic crown lengthening for a gummy smile usually costs more because it involves more teeth. This procedure is separate from the cost of any crowns or fillings you might need afterward.

Insurance coverage depends on why you need the procedure. When crown lengthening is necessary to save a tooth or place a needed crown, many dental plans cover it at 50% under major services. However, if it’s done purely for cosmetic reasons to improve your smile appearance, most insurance plans won’t provide coverage. We’ll verify your benefits and explain your coverage before treatment.