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Crown lengthening is required when your tooth needs a new crown or filling, but the extension of the crown or filling is too far below the gum line. The edge of that restoration is deep below the gum tissue and not accessible. It is also usually too close to the bone or below the bone. This situation prevents your general dentist from placing a stable, healthy restoration.
The procedure involves adjusting the levels of the gum tissue and bone around the tooth in question, to create a new gum-to–tooth relationship. This allows your dentist to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edges of the restoration when you brush and floss to prevent decay and gum disease. The procedure takes approximately one hour.
When the procedure is completed, sutures and a protective “bandage” are placed to help secure the new gum-to-tooth relationship. You will need to be seen in one or two weeks to remove the sutures and evaluate your healing.