Crown Lengthening Los Angeles

Sometimes there is not enough of the tooth exposed for a crown or filling to be supported. In these cases, a crown lengthening procedure is in order. Crown lengthening is a surgical procedure, through which the dentist removes a controlled amount of gum tissue, bone or even both. This procedure is done in order to expose more “crown” of the tooth. It is done when the tooth is damaged and needs to be fixed. For example, when the breach is in the gum line or when the decay is under the crown, in order to perform a filling procedure, the dentist needs more of the tooth to be exposed. “Gummy smiles” are also treated through crown lengthening procedures.

Before the procedure

Before the surgery, you may need to visit the periodontist, Dr. Elisha. The Dr. will check your medical records and analyze your X-rays. ou will arrange the date of the surgery. You may also need to see the hygienist and get professional teeth cleaning beforehand.

If your dentist planned to mill a crown, he may decide to put the temporary crown on the tooth. It will not only protect your prepped tooth but will also make the surgery more easy for the periodontist to remove the soft tissue.

During the procedure

Your dentist will use local anesthesia. This will facilitate the tissue’s reshaping. If the bone must be removed also, the procedure may take longer.

Your periodontist will make some incisions, in order to recede the gums from the teeth. He will also have access to the bone and roots.  Sometimes just a little gum removal will be enough for filling or crown placement. When there is sufficient tooth exposure, the surgical area will be sterilized with special salt water. After that, the gums are stitched and banded.

You will get some prescriptions for special mouth rinse and pain reliever. You may also need to follow a soft food diet. When you brush your teeth, you will need to try avoiding brushing on the gums, but you will be able to clean the teeth near the stitches. It is useful to try using a toothpick or an irrigator to remove food particles.

After surgery

The area would heal for around three months. After that, your tooth will be prepared again. Then the new temporary crown would be fitted to the lengthened tooth, in order to protect the tooth until the permanent crown will be fabricated.


After the surgery for the first couple of hours, try to put some ice on your face in order to reduce some swelling. After about 7-10 days your stitches will have to be taken out and after 4-6 weeks you will have to come for follow-up visits. 3 months before the final crown preparation gums should be healed. They may shrink a little bit.


  • Bleeding. The surgery area may bleed for some time after the surgery. Also, an infection may occur.
  • Sensitive teeth. The teeth may get more sensitive to cold and hot foods and drinks. With some time the sensitivity will go away.
  • After surgery in that area teeth may look a little longer than the other ones. That happens because of bone and soft tissues removal.
  • Teeth can loosen up. That happens because of bone removal. But after that, in the future tooth implantation may be more difficult.

Our team at Southern California Implant Centers will be happy to assist you if you have any questions or doubts about the procedure. If you would like to schedule your appointment with our periodontist Dr. Jacob Elisha give us a call: 310-231-5100.