What Is a Cosmetic Crown Lengthening

In this procedure, dental surgeons perform cosmetic crown lengthening by recontouring gum tissue and sometimes bone to expose more of a tooth’s surface. The dentist decides to do crown lengthening either for cosmetic purposes, so they use a specialized instrument to reshape the patient’s gum until all teeth are symmetrically pleasing, or to adjust the tooth’s bone level so that the visible portion of the tooth can be extended enough to allow the new restoration have enough surface to be held in place.

Crown lengthening is a common procedure that can be performed under a local anesthetic or if the patient prefers, they can request sedation, and often takes less than an hour to complete.

Our experienced dentists in Mission Viejo can install dental crowns and help you get your beautiful smile back.

What to Expect After a Crown Lengthening Procedure?

Before the impression of the tooth or bridge abutment is made and delivered to the lab for crown or bridge manufacturing, the healing process post crown lengthening must be completed and it takes roughly two months to complete. The first two to three days after the procedure call for the most care on the part of the patient, even if the entire healing and development process takes many months. Patients should avoid chewing and brushing at the site of the crown extension during this critical post-operative phase to allow the gum tissue plenty of rest.
Play Video

Pain after treatment

A long-term anesthetic is used throughout the crown lengthening process to keep the pain minimal. Moreover, nonsteroidal anti-inflammatory drugs (NSAIDs) without aspirin may be prescribed for the patient to minimize the pain at home. To prevent needless discomfort, it’s critical to take medications correctly and per written instructions.

Bleeding & inflammation

A couple of hours after bone or gum grafting surgery many patients experience swelling and bleeding. Patients might apply a chilled ice pack or a cool, damp washcloth to the surgical site to control the swelling and bleeding. For the first 24 hours following surgery, it is preferable to stay away from hot meals and beverages. During this first day, patients must also stop cleaning their mouths excessively. Bleeding might continue if these recommendations are not followed.


Several weeks after surgery, teeth around the surgical site are usually sensitive to temperature extremes. As the surgical site heals, this should gradually become better. Avoid eating or drinking anything too hot or cold in the meantime.

Food & beverages

During the healing process, patients are recommended to eat bland, soft, readily digestible foods. Patients are instructed to chew on the side of their mouth that is opposite the surgery area. Patients are also encouraged to avoid alcohol and smoking in addition to following these rules because smoking and alcohol can contribute to prolonged bleeding and slow recovery.

After a crown lengthening, it is crucial to practice good dental hygiene. Patients should wipe their entire mouths after meals and snacks. Patients must use a soft bristle brush, taking care not to brush the surgery site. An antibacterial mouthwash is often prescribed as well for use in the cleansing process. Additionally, you should keep cleaning your healthy teeth.
The patient will be informed of any additional instructions and follow-up appointments at the time of operation. Call Mission Dental Implant for more details on crown lengthening.
Skip to content