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FAQ:  Crown Lengthening

Gum Tissue Diseases
Anatomy of Gum Recession
Bone and Gingival Tissue Grafting
Treatment - Prevention of Periodontal Disease

  • Reverse crown lengthening procedure to fill gaps of lost gum tissue? Two (2) weeks ago I had crown lengthening on 2 teeth. One is in the front. I also has 2 implants placed in the back. My gums have receded drastically over the years. I'm very upset because when the dentist did the crown lengthening she left large gaps in between my teeth. My gums are now gone, also making it difficult to speak correctly due to spaces. Is there a procedure such as gum grafting that can possibly reverse this prior to having my crowns placed, and if so, does tissue grow on its own? I went to see another dentist and they said it was not even necessary. It also raised the gums around my implant which worries me alot. ... Visitor from VA     (answer)

  • Alternatives to Crown Lengthening? I am scheduled for a crown (with crown lengthening) in a few days. I am waiting for 2nd opinion from my dental plan which probably won't arrive in time. After reading about the gum destruction caused by CL (crown lengthening), and the possible problems of dental plans, I'm wondering if there's any alternative to crown lengthening. I've had 14 crowns, several involving decay under gums, without CL. So I can't help but wonder if the dentist is padding or if the procedure is really necessary. I was also told that the tooth needed a preventive root canal, but I declined this. ... Visitor from CA     (answer)

  • Crown Lengthening and Implants: My filling came out and the tooth cuspid broke at the gum line. I coincidentally was referred to a periodontist due to my regular dentist is out of the country. The periodontist referred me for a root canal evaluation and to come back and do a crown lengthening. I saw an endodontist today who confirmed I need a preventative root canal and lengthening. He said he could do the lengthening at the same time as the root canal. He explained how he would trim back the gum, but no mention of bone trimming. I asked him about the bone, and he said he wouldn't be doing that. Does shaving bone cause implant attachment problems down the road if the crown doesn't work out? ... Visitor from FL     (answer)


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