Tuesday, November 10, 2009

Crown Lengthening by Houston Cosmetic Dentists

Houston cosmetic dentists perform a number of periodontal procedures that offer restorative and cosmetic benefit to the appearance of your gum line.

Some of you may have already conferred with a Houston dentist in the past about a condition that some call a gummy smile. This means your teeth appear too short when you smile. The problem does not lie with your teeth, either, but rather in the fact that there is simply too much gum tissue covering their surfaces.

Maybe your tooth has decayed and broken below the gum line, or maybe it has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the amount of gum tissue to expose more of the tooth so it can be seen.

In order to do this, a Houston cosmetic dentist will perform a procedure known as a crown lengthening. The following questions and answers are provided for those of you who have inquired about the nature and details of this treatment option.

Does crown lengthening hurt?
This is a surgical procedure, but it is not a complicated one that involves any real sense of discomfort. There will be some discomfort after the surgery, but nothing that something like Advil cannot fix. Most patients report a general sense of soreness in the mouth rather than any real sense of pain, per se.

So this does involve cutting into the gum?
In the first type of crown lengthening treatment (there are actually two procedures that Houston cosmetic dentists perform that are known by this name), gum tissue is cut away under minor anesthetic.
The first type of crown lengthening is very simple. We simply trim away excess gum tissue from the front of the teeth. In fact, as this is often done on adolescents, we often give them a mirror and let them watch. That way, they can see their smile literally improve right before their eyes.

In the second type of crown lengthening, we have do use techniques more common to general dentistry, although there is ultimately a cosmetic outcome in mind here. This type of procedure is intended to repair teeth that have been broken down by decay that goes far beneath gum tissue. We have to remove some of the gum tissue using soft tissue lasers in order to expose more of the tooth surfaces. We may also have to reshape teeth and bones using dental burs and surgical instruments, although it is seldom necessary to involve bone tissue in this procedure.

When do you recommend crown lengthening?
It is always our goal as Houston Cosmetic Dentists to look for ways to improve the smile of a person. Obviously, if the gums are hiding the teeth for any reason, we cannot ignore the problem this creates. Since this procedure is easy and comfortable, and since it generally offers instant payback in terms of cosmetics, we recommend it for anyone in good, general health.

Is there anyone for who this cannot be done?
There may be some patients with severe medical problems that cannot have this procedure performed. However, these cases are rare. The best thing to do if you have a gummy smile is come in to our office and let our Houston Cosmetic Dentists give you a dental checkup and review your medical records.

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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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