Before

Before

After

After

Before

Before

After

After

Before

Before

After

After

Immediately after laser treatment and bonding

Immediately after laser treatment and bonding

Cosmetic Crown Lengthening: Case 1

Quite often people will come in with a complaint that their teeth are too small. While occasionally they are most of the time its about spacing, other orthodontic issues or gums that cover too much of the tooth. Sometimes it’s both. When the gums are part of the problem it can be treated with what’s called crown lengthening. Some of the gums and in other cases bone under the gums needs to be removed. It’s not a big procedure to have this done. If bone is removed there can be some post-operative discomfort but it can be easily managed so that patients remain comfortable. If it involves removal of just gums often ordinary non-prescription drugs are all that are needed. There are different ways to accomplish the reshaping of the gums. What I prefer to use is a diode laser. At times laser treatment can be accomplished with just topical anesthetic but most often I still get people numb. There is no bleeding whatsoever and only minimal post-op precautions are necessary. The photos show two almost identical cases where the patients wanted immediate results. Bonded composite resin was used in both to close spaces and add a little length to the teeth to keep tooth proportions within acceptable limits.