Dental Crown Procedure

Dental Crown Lengthening

There are two reasons why individuals need a dental crown lengthening procedure: to properly restore a tooth or to make a "gummy smile" more attractive and cosmetic dentistry can help with both.

To properly restore a tooth, several millimeters of healthy tooth structure must be available above the crest of supporting bone. However, this often is not the case when teeth are fractured, severely decayed, or worn. If enough tooth structure is not available, and the restorations are placed too close to the bone, the body reacts by creating a chronic inflammatory reaction that can create red, swollen, and sensitive gums. The gums can bleed easily and even become painful. Eventually, the inflammatory reaction may lead to bone loss around the tooth. To prevent these problems and to properly restore the tooth, the patient should have a dental crown lengthening procedure before restorative treatment.

The gummy smile may be the result of gum tissue growing over teeth that are of proper size. Often times teeth that appear small are, in fact, normal-sized teeth that are hiding under excess gum tissue. Dental crown lengthening removes the excess gum tissue and establishes a more appealing gum line.

What to Expect from Dental Crown Lengthening

Dental crown lengthening is a surgical procedure in which gum and bone tissue is removed from the circumference of the tooth. It is done in the dentist's office with local anesthesia (lidocaine). One or several teeth can be treated at the same time. After carefully reshaping the gum and the bone to expose healthy tooth structure, stitches (sutures) are placed to aid in healing. The stitches are usually removed five to ten days after the surgery. Follow-up appointments are scheduled as necessary to evaluate healing and plaque control. The gums should be allowed to heal for six to eight weeks before making any new restorations. At that time, the gums are more stable and better esthetic results can be achieved.

Post-surgical discomfort can last a few days and is usually minimal. It can be easily managed with commonly available over-the-counter medications such as aspirin, acetaminophen, or ibuprofen. Patients can expect to follow their normal routine the day after surgery.

Benefits of Dental Crown Lengthening

Crown lengthening is recommended to properly restore a broken down tooth or to improve the esthetics of a gummy smile. If a general or cosmetic dentist does not frequently do surgeries, he or she may refer the individual to a periodontist who specializes in dental crown lengthening.

By Laura Minsk, DMD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Visit a Cosmetic Dentist - Raise Your Self-Esteem

What can cosmetic dental work do for your self-esteem that all the pots of cream and eyeliner on Madison Avenue can't? While we agree with the ad men that esthetics motivate how people see us, value us, and respond to us, true natural beauty has to do with good health, not technique with a make-up brush. When you admire the dazzling smile of that Revlon model, will you buy the lipstick - or seek the restorative dentistry that perfected the smile? Dentistry thee smile to health and symmetry. Cosmetics? Sure. But call on cosmetic dentistry for a beautiful smile that won't wash off.

• Vertical dimension is a key element in a pretty smile. It is the height between two points - one on the upper jaw, one on the lower - when the bite is closed. When vertical dimension is askew, facial features can appear "collapsed." A good denture maintains esthetic vertical dimension, likewise muscle tone and youthful looks.
• Sex a factor in dentistry? So-called masculine front teeth are boxier, more prominent, with "bold" cuspids, slightly rotated. A "feminine" smile has more delicate, rounder teeth, and open incisal embrasures, spaces, between the curved surfaces of adjoining teeth. This norm is changing, though. Women are seeking a "sportier" look.
• The "smile line" is used by some believers as a guide to cosmetic dental harmony. The theory goes that the curve of the bottom lip should reflect the curve of the upper front teeth. Whether your six front teeth are natural, or part of a denture or dental bridge, restorative dentistry can help bring out the best in your smile line.
• An early orthodontics evaluation assures healthy growth into a sound, balanced bite. The position of the jaw will determine profile. For jaw abnormalities, orthognathic surgery brings nothing short of miraculous results.
• Wear. As we age, our front teeth naturally wear down to an even line. Rounding edges with tooth bonding or dental veneers will achieve a younger aspect.
• Beautiful gums are intrinsic to a beautiful smile. Coral in color, firm-healthy gums are, well, sexy.
• Euclid's concept of "golden proportion" is followed by many cosmetic dentistry professionals. The rule holds that the most esthetically pleasing smile has certain proportions. Each tooth in this "perfect" smile is about 60% the size of the tooth just in front of it.
• Young teeth have more texture - stippling, concavity - than older teeth worn smooth with age.
• Light. The way teeth reflect light is another factor in pleasing the eye. Dental crowns, bridgework, dentures and other cosmetic dental work can be tinted to capture and reflect light just like natural teeth. Michelangelo, move over.
• A low lip line - one that hides tooth and gum in a grin - can be compensated for by veneering. The front teeth are lengthened to regain "ideal" form.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.