When a tooth breaks near the gumline—or decay extends below it—there may not be enough healthy tooth above the gums to hold a crown securely. In other cases, extra gum tissue creates a “gummy” smile or uneven gumline. Crown lengthening adjusts the gum (and sometimes the underlying bone) to expose more tooth structure and create a balanced, healthy frame for your smile.

Why choose us

• Restorative–esthetics synergy: Planned with your final crown or smile design in mind for long-term health and beauty.
• Precision contouring: Careful reshaping of gum and bone to protect the natural gum-to-bone space and prevent relapse.
• Comfort-first: Thorough local anesthesia, gentle technique, and clear aftercare; nitrous available.
• Insurance-friendly: Transparent estimates, benefits verified, and claims submitted on your behalf.

What is crown lengthening?

A minor surgical procedure that removes a small amount of gum tissue—plus a controlled amount of bone when needed—to expose more of the tooth. This provides:

• Adequate tooth structure for a secure crown or filling (functional/restorative crown lengthening)
• A more proportional, even gumline for smile harmony (esthetic crown lengthening/gingival recontouring)

Who is a good candidate?

• Tooth fracture or decay extending below the gumline
• Crown that repeatedly loosens due to short remaining tooth
• Gummy smile or uneven gum levels on front teeth
• Short-looking teeth hidden by thick gum tissue

How the procedure works

1. Consult & planning: Exam, photos, and X-rays (or 3D scan if indicated). We map final crown margins or esthetic goals first.
2. Anesthesia: Local anesthesia; optional nitrous for relaxation.
3. Tissue contouring: Precise reshaping of gum tissue; limited bone recontouring as needed for healthy spacing.
4. Sutures & dressing: Fine sutures placed; a protective dressing may be used.
5. Follow-up & healing: Suture removal typically in 1–2 weeks; soft-tissue maturation continues over several weeks.
6. Final restoration timing: For front teeth/esthetic areas, we typically wait 8–12 weeks before finalizing the crown or veneer; for back teeth, 4–6 weeks is common. You’ll wear a well-fitted temporary in the meantime if needed.

Aftercare & recovery

• Mild soreness or swelling for a few days is typical; most patients manage with over-the-counter medication.
• Soft foods and gentle brushing around the site at first; avoid vigorous rinsing and hard/chewy foods for several days.
• We’ll provide written instructions and see you for a quick check to ensure smooth healing.

Risks & considerations

All procedures carry some risk (bleeding, infection, temporary sensitivity). Careful planning and good home care keep risks low. In select cases, orthodontic extrusion (slowly bringing the tooth up with braces) is an alternative—we’ll discuss what suits your situation best.

Esthetic crown lengthening (gum recontouring)

For a gummy smile or uneven gumline, we reshape the gum (and bone if necessary) to reveal balanced tooth proportions. Your final smile plan may include whitening, bonding/veneers, or orthodontics for the most natural result.

Cost & insurance

Fees depend on the number of teeth involved, whether bone contouring is needed, and if the goal is restorative vs. purely cosmetic. Many plans contribute when the procedure is required to place a restoration; cosmetic cases have more limited coverage. We’re insurance-friendly—we verify benefits in advance, provide a clear written estimate, and submit claims for you. Payment options are available.

FAQs

Will my teeth look longer?
Yes—by design. We reveal the natural tooth hidden by excess gum so proportions look balanced.

Is it painful?
You’ll be well-numbed during treatment. Post-op soreness is usually mild and short-lived.

How soon can I get my crown?
Often 4–6 weeks for back teeth and 8–12 weeks for front teeth to allow gums to stabilize for precise margins and esthetics.

Will my gums grow back?
Healthy spacing between gum and bone is established to minimize relapse. Good hygiene and follow-ups help maintain the result.

Is this the same as a gingivectomy?
A gingivectomy removes excess gum only. Crown lengthening may also include careful bone contouring to create lasting, healthy space.

Ready to restore function—and refine your smile?

Book a crown lengthening consultation at our Upper East Side office. We’ll review your goals, outline timelines and costs, and plan a result that supports strong restorations and a confident, balanced smile.