Functional crown lengthening

Fix excessive gum tissue with functional crown lengthening

Crown lengthening is performed to create a healthy relationship between the gum and underlying bone, by working to expose the tooth covered by excessive gum tissue. The treatment can help to enhance gum tissue health, and ready the mouth and gums for permanent crown placement. Crown lengthening works to expose the part of the tooth underneath the excess tissue by reshaping and harmonizing the existing bone and gum tissue. The procedure can be performed on any number of teeth, and results in a healthier and more beautiful smile for patients.

Why Crown Lengthening?

Crown lengthening is used for a number of reasons including:

Restoring Periodontal Health:

If a tooth is severely worn, decayed or fractured, crown lengthening is performed to gain access to the tooth beneath the gum line so your periodontist can restore the damaged tooth health and function.

Dental Crown Retention:

In cases where patients lack sufficient tooth structure but are in need of a restoration, like a crown or bridge, crown lengthening is performed to increase the space between the jawbone and dental crown. This process stops the new crown from damaging the surrounding gum tissue and bone once it’s secured.

Cosmetic Enhancement:

Crown lengthening is often performed to fix the appearance of a ‘gummy smile,’ where excessive gum tissue covers the natural tooth, creating the appearance of shorter teeth. Removing the excess gum tissue creates a healthier look, and a more aesthetically pleasing smile.

The Process

Preparation: IV Sedation is used to help patients relax, and a local anesthetic is applied to numb the area. Patients are in a ‘twilight’ state of sleep, while still conscious, unlike general anesthesia, and will not remember the procedure or feel any pain. The length of the procedure is contingent on the number of teeth being treated, and the type of work required, which Dr. Aalam or Dr. Krivitsky will determine once they begin. If a patient has a dental crown in place, the periodontist will remove it prior to treatment, and immediately replace it after the surgery with a temporary crown. After 4-6 weeks the area should heal completely, and the final restoration can placed over the tooth.


Dr. Aalam or Dr. Krivitsky will create a number of small openings in the gum tissue to pull the gums away from the tooth. These incisions allow the surgeon to access the underlying bone and tooth root for restoration and reshaping. Once they remove enough excess gum tissue to expose the bone, a permanent crown can be placed. In some cases, the periodontist may need to remove a small part of the bone from around the tooth in order to make room for the crown. If only one tooth requires crown lengthening, your periodontist will most likely treat the adjacent teeth to create the appearance of a more even gum line. When Dr. Aalam and Dr. Krivitsky complete the procedure, and sufficient gum is exposed or the new crown is placed, the area is cleaned and the gums are fastened with stitches to heal. The procedure leaves patients with immediate results, as teeth appear distinctly longer after the surgery.

post op

Your experienced Brentwood periodontists will take the necessary steps to ensure you heal fully post procedure. Dr. Aalam and Dr. Krivitsky will prescribe pain medication to manage the initial discomfort after the surgery. An antimicrobial mouth rinse will be provided to reduce chances of any post-op infection. You will be provided with necessary aids to take home to properly maintain the area and keep it clean 


crown lengthening

We had a unique opportunity to correct a faulty dental job performed by a different provider. We strive to ensure each patient receives excellence in care, personalized plans to treat their particular cases, and life-changing results. Although this becomes challenging when we’re correcting damage sustained by a different provider while also treating the initial problem, we successfully rejuvenated this patient’s smile and restored his confidence!

This patient came in with gum tissue inflammation as a result of inadequate tissue handling in the case of an incorrect crown lengthening procedure. The treatment was initially done to correct his gummy smile because he experienced excessive gum tissue that covered his teeth and an uneven gum line. He opted to treat the gummy smile, but an incorrect diagnosis led to incorrect treatment. As a result, his gum line remained uneven, and his tissue became damaged.

Upon closer examination, Dr. Aalam diagnosed the patient with having excessive gum tissue, as well as underlying bone, both which needed to be removed. Dr. Aalam performed osseous surgery to remove the affected bone, and a crown lengthening procedure to eliminate the inflammation and excess tissue. As a result,  Dr. Aalam successfully re-established gingival and smile harmony, and provided this patient with a broader, more beautiful smile!

Our process

Are you in need of single or multiple dental implants but unsure which implant solution is right for you?

Contact us today for a consultation with Dr. Aalam or Dr. Krivitsky who can help you decide which implants best meets your needs.  

Virtual Brentwood Office Tour
American Academy of Implant Dentistry
American Academy of Periodontology
Herman Ostrow School of Dentistry of USC
American Board of Periodontology
American Board of Oral Implantology/Implant Dentistry
American Academy of Esthetic Dentistry
American Academy of Implant Dentistry
American Academy of Periodontology
Herman Ostrow School of Dentistry of USC
American Board of Periodontology
American Board of Oral Implantology/Implant Dentistry
American Academy of Esthetic Dentistry