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FAQ:  Crown Lengthening


Crown Lengthening vs Dental Implant
Gum Tissue Diseases
Anatomy of Gum Recession
Bone and Gingival Tissue Grafting
Prevention of Periodontal Disease


  • Single Tooth Crown Lengthening: I recently had crown lengthening done. I only had it done on one tooth. It has been 2 days and I cannot see the results from where she removed the gum from. My dentist said she also removed bone so I should not worry. She said that the gum will shrink up. Is this normal and how long should it take? ... Visitor from NJ     (answer)

  • I have a tooth with a crown which also had a root canal. My dentist found some decay so he removed the crown and the decay. He then told me I would need a crown lengthening. I had the crown lengthening and it was very painful for several week. Now I am being told there is more decay and they cannot save the tooth. I am told I cannot have an implant either. Would this be the result of the crown lengthening would be the first part of my question. Secondly should they have seen the decay with an xray? ... Visitor from MA     (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)

  • 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)

  • 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)


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