Periodontal Crown Lengthening treatment procedure in Delhi, India.
Dr. Goswami’s – Delhi Dental Center, is a well-known Dental Clinic for Periodontal surgery and Gum Disease treatments with cosmetic and aesthetic dentistry in East Delhi. We welcome people looking for Gummy Smile Correction with periodontal surgical treatments or Dental crown lengthening treatment procedure for proper fitting of their dental crown and bridge work.
If you’re bothered by a “gummy” smile or teeth that you feel are too small, you may want to consider getting surgical Dental Crown Lengthening treatment procedure – also known as a gum lift procedure, this cosmetic dentistry procedure can beautify your smile by exposing more of your teeth.
“Crown lengthening has been used by dentists for years to improve cosmetic smile, smile designing and in dental make over periodontal surgical treatment procedures, but it’s recently been gaining popularity as a cosmetic dentistry technique.
What Is Dental Crown Lengthening ?
Crown lengthening is a periodontal and oral surgery treatment that involves removing excess gum tissue, and possibly some bone, around the upper teeth to make them look longer. It’s a common procedure performed by Specialist Gum Dentists and periodontists, or gum specialists.
“If the gum line is uneven, crown lengthening can also sculpt the gum line to produce a more symmetrical smile,” says Dr. Goswami, owner of speciality Periodontal and gum disease dental clinic in Delhi.
Crown lengthening may be done for dental care and medical reasons as well as for the cosmetic effect. If there’s decay or fracture under the gum line, for example, crown lengthening can help expose more of the tooth’s crown in order to support a filling or porcelain crown.
What Does Crown Lengthening Involve?
Crown lengthening involves periodontal gum and oral surgery performed under local anaesthesia. After the area is numbed, the gum specialist dentist or periodontist makes small cuts to pull the gums away from the teeth and remove excess gum.
In some cases, removing gum tissue is all that is needed to expose more of the crown. But if there is too much soft tissue and bone covering the crown, a tiny bit of bone may need to be taken out, too. After the surgery is completed, the gums are washed with sterile salt water and stitched up.
Indications for crown lengthening treatments are.
- Restorative needs.
- To increase clinical crown height lost due to caries, fracture or wear.
- To access sub-gingival caries.
- To produce a „ferrule‟ for restoration.
- To access a perforation in the coronal third of the root.
- To relocate margins of restorations that are impinging on biological width.
- Short teeth.
- Uneven gingival contour.
- Gummy smile..
Contra-indications & Limiting Factors for Crown Lengthening treatment.
- Inadequate crown to root ratio.
- Non restorability of caries or root fracture.
- Aesthetic compromise.
- High furcation.
- Inadequate predictability.
- Tooth arch relationship inadequacy.
- Compromise adjacent periodontium or esthetics.
- Insufficient restorative space.
- No maintainability.
Pros and Cons of Crown Lengthening
Although crown lengthening is a common and safe procedure, it does involve surgery, which always has risks. So it’s important to weigh the pros and cons before going under the knife.
Advantages and Benefits of crown lengthening:
Unlike many cosmetic dentistry treatments, crown lengthening only needs to be done once, with no requirement for touch-ups down the road.
In addition to creating a wider, more symmetrical smile, crown lengthening can provide some dental care benefits as well.
“It can reduce the risk of tooth decay because more of the tooth is exposed for brushing and flossing.”
The surgery can usually be completed in 30 minutes to an hour.
Disadvantages of crown lengthening:
This cosmetic dentistry treatment can be pricey. Expect to pay USD $ 500 to USD $1,500 for crown lengthening.
As with other types of cosmetic surgery, you may experience swelling and pain afterwards. Recovery can take a few days to a few weeks, depending on how extensive the surgery is. Possible complications include excessive bleeding and infection, but these are rare.
Recovery and After Care after Crown lengthening process
The recovery time for this procedure is approximately three months. However, you’ll be able to resume normal functions as your gums heal.
You only need to avoid strenuous activity for the first two to three days. A physically demanding job, heavy lifting, and heavy exertion could inhibit your healing and cause more bleeding.
Talk to your surgeon about the specifics of your recovery. In general, follow these guidelines:
Take OTC or prescription medication : In your aftercare instructions, you’ll most likely be told to take ibuprofen or Tylenol at regular intervals. The doctor may prescribe antibiotics, as well as extra-strength painkillers.
Use an ice pack : Using a pack on your face for the first few hours after the procedure can reduce swelling. Alternate use of the ice pack, following 20 minutes on and 20 minutes off. You may switch to moist heat a couple days after surgery.
Avoid hot foods for the first 24 hours : Also, don’t rinse your mouth. Both can make the bleeding last longer. If bleeding continues, use a moistened tea bag or moistened gauze to apply slight pressure to the area for 20 to 30 minutes.
Leave dressings in for 7 to 14 days : The doctor may replace the dressing once or twice during this period.
Brush carefully : Gently brush only your biting surfaces where the dressing has been applied. Brush and floss normally in other areas. Chew on the opposite side of your mouth from the dressing.
Wear your stent or denture : If wearing a clear stent or upper denture was included in your instructions, don’t remove it for 24 hours. If your mouth pools with blood, rinse with lukewarm saltwater or Chlorhexidine rinse, without removing the stent or denture. After 24 hours, you may wear it as desired.
Eat a soft food diet : Avoid the surgical area when you eat. Also, don’t eat anything hard, brittle, acidic, spicy, sticky, or highly seasoned. Avoid nuts and small seeds. Drink plenty of fluids.
Avoid alcohol : Refrain from drinking until after your post-op appointment.
Avoid smoking : Refrain from smoking for the first 7 to 10 days or longer.
Avoid prodding the area : Avoid using straws and playing with the surgical site with your tongue or finger. Don’t pull down your lip to check the site, as the pressure can cause damage.
Is Crown Lengthening Right for You?
If you’ve always been bothered by a smile that shows too much gum, crown lengthening may be worth the cost and the short-term discomfort. But, for people who have wide teeth, crown lengthening could backfire. “You could end up with teeth that look too big,”.
On the other hand, if you are especially susceptible to tooth decay, crown lengthening can make it easier for you to take proper care of your teeth and perhaps decrease your risk of decay.
If you have excessive or uneven gums, crown lengthening can transform your smile and give you just the right look — and as an added bonus, it may just improve your overall dental health as well.