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1002 10th St, Suite 1
Hood River, OR 97031-1564
(541) 386-2020

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Crown Lengthening Hood River OR

At times, to properly restore your teeth, our team may need to take extra steps to increase the long-term prognosis of the restoration. A common step before placing a dental crown is the simple surgical procedure of crown lengthening. To lengthen the crown, or visible portion of the tooth, Bruce Burton, DMD, removes gum tissue from around the tooth. This step provides more of the tooth structure to attach a crown too, increasing its success. Additionally, crown lengthening is sometimes necessary when we suspect a decay, a crack or a fracture in the portion of the tooth under the gum tissue. Removing the tissue will help us gain access and restore the tooth.   

What is Crown Lengthening?

The terminology can sometimes confuse, crown lengthening is not extending the tooth, but removing gum tissue to expose more of the tooth. Most often, we recommend lengthening the crown to both improve the health of your gum tissue and to prepare the mouth for a restorative procedure including:

•  The Patient has a gummy smile:Known as a gummy smile, this occurs when the patient has excessive tissue that has developed around a tooth or hangs over the tooth. This is a common problem, but one that could increase their likelihood of developing gum disease. When gum tissue has excessive folds or hangs, it provides hiding spots for debris, food, and plaque. As the material gets stuck in these spots, it is then more difficult to remove when brushing or flossing, increase the chance of decay and infection. Bruce Burton, DMD, can remove the excessive tissue, while ensuring that the tissue is gradually removed from neighboring teeth to create a more even, natural appearance.
•  The Patient needs more tooth structure to attach a crown:When placing a crown, we want it to be firmly attached, this will help lengthen its longevity and success. To do this, we want sufficient tooth structure to attach the crown to. We may recommend a crown lengthening procedure to gain more access to the tooth structure.  
•  Bruce Burton, DMD, may remove gum tissue, considering the neighboring teeth for an even, natural appearance.
•  The patient has decay or a fracture on the covered portion of the tooth:At times, a patient may have decay, a crack or a fracture on a portion of the tooth that is covered by gum tissue. To gain access to this portion and restore the tooth, we may need to remove gum tissue. This procedure always considers neighboring teeth. We want the patient to feel comfortable in the end aesthetic while restoring the health of their teeth.

The Crown Lengthening Procedure

As with any surgical procedure, our concerns include the comfort of the patient and awareness of avoiding infection. The crown lengthening procedure takes approximately one hour in the chair, though this time can vary based on the specific work you are having done. In most cases the patient is given a local anesthetic to numb the area, this will assist with any possible pain or discomfort.

Once the patient is numbed, Bruce Burton, DMD, will perform a series of small cuts, or incisions, removing tissue and separating the gums from the patient’s teeth. During this process, Bruce Burton, DMD, will also remove tissue to recontour around the neighboring teeth, giving you a more aesthetic and smoother look. In some situations, the reshaping of a small amount of bone will be necessary.  Bruce Burton, DMD, may apply sutures, or stitches, as needed. The area is then cleansed with sterile water, and we may apply a protective bandage. We will review care instructions and advise the patient on signs of infection, and when they should contact us, any abnormal bleeding or symptoms of infection can be an indication that medical assistance is needed.

Crown lengthening is a simple surgical procedure that can help the patient significantly increase the health of their teeth. For more information, contact Bruce Burton, DMD, at 541=386-2020, our staff is happy to assist you. (541) 386-2020

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Bruce Burton, DMD

1002 10th St, Suite 1
Hood River, OR 97031
(541) 386-2020
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1002 10th St, Suite 1, Hood River, OR 97031



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