Monday, March 16, 2009

Crown Lengthening Can Restore Teeth and Lay the Groundwork for More Advanced Cosmetic Dental Procedures



Crown lengthening is used to correct a condition called a gummy smile which occurs when teeth appear to be too small or too short. This condition can be the result of several things. Periodontal disease can cause excess gum tissue to overlap teeth and make them look much smaller than they are. If a tooth was previously filled with primitive amalgam fillings or capped with a gold crown, it can decay and lose significant surface area without the person even knowing this. When the cap or filling falls out, what remains of the tooth appears to retreat into the gum line. Also, teeth can break off right at the gums and appear to be completely missing.

Most dentists in past decades would have pulled these teeth. This is not so today. Crown lengthening enables dentists today to save and completely restore these teeth with a simple surgical procedure.

The surgery can be performed with traditional instruments, or with the PerioLase® MVP-7 laser used in LANAP. The choice of surgical tools depends on factors that from the patient’s medical history, the presence of gum disease, and whether or not the tooth itself has been subject to decay or severe impact. The dentist will make this decision, take x-rays of the mouth, and then commence with the surgery.

The surgery itself is a simple procedure performed under local anesthetic to kill the pain. The dentist makes small incisions in the gums and pulls them back. Excess gum and bone tissue is then reshaped until the desired amount of tooth surface is exposed. The dentist then replaces and stitches the gums with tiny sutures.

After a prescribed healing time, the stitches are removed and the tooth is covered with a porcelain crown. This cosmetic dental crown will provide a hard chewing surface that will allow the person to eat a normal diet, and it will prevent further tooth decay from occurring underneath its surface.

Crown lengthening offers a good many benefits that make it a very popular treatment here at the Medical Center Dental Group. It can improve periodontal health by being one of several steps taken in the treatment of gum disease. Porcelain dental crowns serve as a buffer against excessive and unhealthy gum growth by providing a solid, uniform surface gums can attach themselves too. This procedure has proven highly effective in saving teeth that would have otherwise had to have been pulled. On a purely subjective level, crown lengthening also lays the foundation for advanced cosmetic dental work that allows the patient to also eat a normal diet without fear of damaging their teeth.

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