What Is Crown Lengthening?

Crown lengthening is a precise periodontal procedure used to expose more of the tooth structure by reshaping or removing gum tissue—and sometimes a small amount of bone—around the tooth. This treatment is commonly recommended for both restorative and cosmetic purposes, especially when there is not enough visible tooth above the gum line to support a crown or other restoration.

At North Houston Periodontics & Dental Implants, we offer advanced crown lengthening procedures tailored to your needs. Whether you’re preparing for a dental crown, improving gum symmetry, or correcting a “gummy smile,” our team delivers expert care using the latest techniques in soft tissue management.

When Is Crown Lengthening Recommended?

Crown lengthening may be necessary in several clinical or cosmetic scenarios:

• Insufficient tooth structure – When a tooth breaks near the gum line or has deep decay, additional tooth exposure is needed to secure a proper restoration.
• Restorative treatment planning – Prior to placing a ceramic or porcelain dental crown, lengthening the crown can help avoid subgingival margins and improve the success of the final restoration.
• Excess gum tissue – To treat a gummy smile or uneven gum lines, crown lengthening can improve the visual proportion between teeth and gums.
• Preparation for other procedures – In some cases, crown lengthening is performed to facilitate gum grafting or cosmetic gum surgery.

This treatment is closely related to gingivectomy, which involves the removal of gum tissue without altering the underlying bone. Gingivectomy is often used for aesthetic reshaping or to reduce pocket depths in gum disease treatment, while crown lengthening generally focuses on gaining access to tooth structure for restorative reasons.

How the Procedure Works

Crown lengthening is performed with your comfort in mind. Our periodontal specialists may use a combination of traditional surgical techniques and laser technology for precise, minimally invasive results.

1. Evaluation and imaging – We start with a comprehensive exam and 3D cone beam CT scan to plan the procedure with precision.
2. Tissue reshaping – Under local anesthesia, a small amount of gum tissue—and in some cases bone—is gently removed to expose more tooth surface.
3. Wound management and healing – Sutures may be placed, and a protective dressing applied to aid healing.
4. Recovery and follow-up – You’ll return for evaluation and, if needed, to begin the restorative phase such as placing a dental crown.

Our advanced oral surgery protocols and state-of-the-art lasers significantly reduce swelling, bleeding, and recovery time.

Crown Lengthening vs. Gingivectomy

Though often confused, crown lengthening and gingivectomy differ in purpose and depth:

• Crown Lengthening
  
  
  • Focused on exposing tooth structure
  • May involve gum and bone removal
  • Typically used for restorative dentistry
    
    
• Gingivectomy
  
  
  • Removes overgrown or infected gum tissue
  • Does not alter the bone
  • Often used in gum disease treatment or for minor cosmetic reshaping

Trusted Periodontal Care in Houston

Patients throughout Champion Forest, Kleinwood, Greenwood Forest, and surrounding areas choose Dr. Mack Coker and Dr. Daniel Ho for their compassionate, skilled periodontal care. Our practice is known for:

• Specialized expertise in aesthetic and functional gum procedures
• Minimally invasive options using Pinhole Surgical Technique
• Detailed case planning supported by digital CT scans
• Honest communication and individualized care plans

Our Houston-based team ensures you’re informed, comfortable, and confident throughout your experience.

FAQs About Crown Lengthening

Is crown lengthening painful?
Most patients experience minimal discomfort during the procedure thanks to local anesthesia. Some mild soreness is normal afterward, but it’s typically manageable with over-the-counter medication and good home care.

How long does it take to heal after crown lengthening?
Initial healing usually takes about 7–10 days. Complete healing of the gums and bone (if altered) may take up to 6–12 weeks, depending on your body’s response and whether follow-up treatments are planned.

Can I get a crown immediately after the procedure?
In many cases, the gums need time to heal before a permanent crown can be placed. Your restorative dentist will coordinate with our periodontists to ensure the best timing for long-term results.

Is this a cosmetic or medical procedure?
It can be either. If it’s performed to improve smile aesthetics, it may be considered cosmetic. However, crown lengthening for restorative access—such as for a damaged tooth or to place a crown—is a medically necessary treatment and may be covered by insurance.

What’s the difference between a crown lengthening and a gingivectomy?
While both procedures reshape the gum line, gingivectomy removes only gum tissue and is commonly used for treating periodontal disease or minor reshaping. Crown lengthening may involve reshaping the bone as well to expose more of the tooth, especially for restoration purposes.

Schedule Your Crown Lengthening Consultation Today

If you’re ready to improve your smile or prepare a tooth for restoration, schedule your evaluation with North Houston Periodontics & Dental Implants today. Call us at (281) 444-4704 or contact us online to request a consultation with Dr. Mack Coker or Dr. Daniel Ho. Our office proudly serves patients in Houston, Champion Forest, Kleinwood, Greenwood Forest, and Memorial Northwest.