Crown Lengthening Monterrey
Crown lengthening is a periodontal procedure aimed at increasing a tooth’s visible length. It involves a minor surgery in which gum and/or bone is carefully removed to expose more tooth structure, making it suitable to receive a porcelain crown.
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Crown Lengthening:
Indications and Procedure
This procedure is indicated when a tooth needs to be restored but has lost structure due to a malformation, fracture, caries, or occlusal wear (caused by tooth friction).
It is contraindicated when there is significant bone loss around the tooth, or in teeth with fractures that extend into the middle third of the root.
The surgery is quick and painless, taking about 45 minutes. During that time, the area is anesthetized, measurements are taken for the future porcelain crown, and the bone and/or gum is recontoured. In some cases, an acrylic provisional crown may be placed while the area heals and the final crown is fabricated.
If crown lengthening is not performed when needed, short-term consequences can include recurrent caries, chronic gingivitis, and localized periodontitis; long-term consequences may involve abscesses, bone destruction, pain, sensitivity, and tooth loss.
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Crown Lengthening frequently asked questions
No. Crown lengthening is a surgical procedure that must be carried out by a periodontist, the dental specialist in periodontal tissues.
The surgical area must fully heal first. Although sutures are removed one week after surgery, complete recovery typically takes six weeks. After that period, your dentist can take impressions to fabricate a crown tailored to your dentition.
Yes. The patient should be free of oral infections, have any systemic conditions well controlled, and not be undergoing radiation or chemotherapy.
It’s common to prescribe anti-inflammatories starting one day before surgery and continuing for the following days.
Avoid alcohol and smoking for three days; follow a soft, cold diet; refrain from strenuous physical activity for 72 hours; avoid the treated area when brushing and chewing; and follow the analgesic/anti-inflammatory regimen indicated by the periodontist.
If bisphosphonates are taken orally, surgery may be performed with prior authorization from the patient’s physician. When bisphosphonates are administered intravenously, the surgery is contraindicated.
Crown lengthening is a key step for a successful restoration.
Schedule an appointment via WhatsApp, phone call, or our contact form to determine whether this treatment is right for you.