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What is Crown Lengthening and Who Is a Good Candidate?


Posted on 1/25/2021 by Palisades Surgical Arts
What is Crown Lengthening and Who Is a Good Candidate?Sometimes people with gummy smiles may elect to have crown lengthening surgery, also known as a gingivectomy. This surgery takes away the excess gum, so the teeth appear longer.

Scheduling a Crown Lengthening Consultation


To determine if you are the right candidate for a gingivectomy, you should schedule an appointment with our office to learn more about the procedure. To determine if a patient is a good candidate, the teeth and gums are assessed to decide on the best way to address the situation. In some cases, the bone tissue must be removed or reshaped to obtain the desired results. Besides gingivectomy (removal), the patient may undergo a surgical extrusion or apically repositioned flap surgery. Factors that influence the method used include the crown-to-root ratio, the amount of bone loss, the position of the teeth, or if a tooth or teeth need fillings or caps.

The Various Procedures


Gingivectomy involves gum removal using a scalpel, laser, or electrocautery. Local anesthesia is used. In other cases, surgical extrusion may be used. This procedure, also known as intra-alveolar surgery for single-rooted teeth, is recommended for patients whose teeth have a compromised biological width, with roots that may not be considered restorable. This permits bone preservation or the ability to place implants. Apically repositioned flap surgery may also be performed, as it can offer some advantages over gingivectomy, including enhanced access to the alveolar bone, a faster wound healing time, and a more predictable placement of the gum tissue. If you call us for a consultation, we can examine your teeth, gums, and surrounding structures to determine the best plan of treatment. We will then outline what will be done during the process. We may use crown lengthening to add more room to place a crown as well. Whether you want to make your smile look less gummy or have a dental restoration placed, this type of procedure may be recommended.

If you have a gummy smile or related concern and wish to know more about crown lengthening, call us today to schedule a consultation and exam.

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Dental Blog | Palisades Surgical Arts - Pacific Palisades, CA
At Palisades Surgical Arts, Dr. Moncayo created an informative dental blog to help educate the community. Click to learn more.
Palisades Surgical Arts, 881 Alma Real Drive, Suite T4, Pacific Palisades, CA 90272 ^ (310) 459-0014 ^ palisurgicalarts.com ^ 9/17/2021 ^ Tags: Oral Surgeon Pacific Palisades CA ^ Oral Surgeon Pacific Palisades CA ^