Crown lengthening or crown elongation is a procedure prescribed by your general dentist to expose a region of your tooth due to fracture of tooth structure, previous deep cavity or deeply placed restoration margin.  Tooth biology requires a minimal amount of undisturbed tooth structure to be above the bone level.  This is where the gum attaches itself to the tooth and creates a seal.  If for any reason, this intimate tooth/gum junction is breached, inflammation occurs with little to no other symptoms or aches.  Unfortunately, proper biology must be re-established and maintained with your new restoration.  For this reason, a small amount of gum tissue and bone may need to be trimmed.  This will provide your general dentist with adequate exposed tooth surface to place a quality final restoration that will not promote gum disease or tooth decay.  The actual procedure usually takes less than an hour and you can go right back to work if you’d like.

If you have any questions of how a Crown Lengthening may benefit your long-term periodontal health, come in and discuss this treatment with Dr. Fotek. He is an expert in maintaining life long gum health.

Esthetic Crown Lengthening / Smile Lift Procedure


Esthetic Crown Lengthening is generally performed to improve the health of gum tissue or correct the undesired look of a “gummy smile”.  A "gummy smile" is referred to a condition where a patient will show a larger than usual amount of gum tissue when smiling.  The effect is a disproportionate gum-to-tooth ratio or stubby looking teeth.  This undesirable condition can be easily corrected in usually less than an hour, providing a life long smile improvement.  When performing the procedure, Dr. Fotek wants to establish correct gum to tooth relationship thereby exposing the previously covered tooth crown surface, enhancing not only your smile but also your self-confidence.  


Some of the most common causes of gummy smile include: 

  • Medication induced gum tissue overgrowth (hyperplasia) such as Dilantin, Cyclosporine, and calcium channel blockers
  • Orthodontic braces induced gum tissue overgrowth
  • Overgrowth associated with inflammation, poor oral hygiene, gum disease or faulty fillings
  • Hereditary and metabolic disorder related gum tissue overgrowth
  • Developmental variations of the upper jaw bone (maxilla)
  • High lip line due to hyperactive of the upper lip muscle - the upper lip rises much higher normal when smiling (high lip line)
  • Dental malocclusion/bite
  • Associated with excessive bone thickening (exostosis) on the outer surface of the upper jaw



A gummy smile can be an inherited condition or it can develop later in life.  Whatever the reason may be for your undesirable smile, a consultation with Dr. Fotek will amaze you how easily the beautiful and natural looking results can be achieved with a virtually painless surgical treatment. 


 



Affiliation Logos