Crown Lengthening In San Jose, CA: Your Treatment Guide

Crown lengthening in San Jose, CA, is a precise periodontal procedure that reshapes the gum line, and sometimes a small amount of bone, to expose more natural tooth structure. At My AZ Dental, this page explains when crown lengthening is recommended, how it works, benefits to expect, and typical healing timelines so you can make informed decisions about your care.

Crown Lengthening Explained

Crown lengthening is performed to create adequate tooth exposure above the gum line. This can be necessary when decay or a fracture extends beneath the gums, when a tooth does not have enough structure to hold a dental crown, or when a “gummy smile” or uneven gum line affects appearance. The procedure is usually completed under local anesthesia.

There are two general approaches. Functional crown lengthening helps a dentist place a restoration with a clean, accessible margin that is easier to keep healthy. Esthetic crown lengthening focuses on gum contouring for symmetry and improved smile balance. In both cases, careful planning with clinical photographs and X‑rays guides the amount of tissue and, if needed, bone reshaping.

Benefits Of Crown Lengthening

  • Creates Proper Space For A Lasting Filling Or Crown.
  • Improves Access For Oral Hygiene Around The Tooth Margins.
  • Reduces The Risk Of Trapped Plaque And Recurrent Decay Under A Crown.
  • Balances An Uneven Gum Line And Minimizes A Gummy Smile.
  • Enhances Comfort By Positioning Gum Tissue At A Healthier Level.
  • Supports Long‑Term Stability Of Restorations And Gum Health.

How Crown Lengthening Works

The process is planned and measured to protect the tooth and supporting tissues. Here is a step‑by‑step overview of how crown lengthening works:

  • Evaluation And Planning: A clinical exam and X‑rays determine the amount of exposure needed and whether bone recontouring is required.
  • Local Anesthesia: The area is numbed to keep you comfortable throughout the procedure.
  • Tissue Recontouring: The gum tissue is gently adjusted to the new level; a small amount of bone may be reshaped to maintain a healthy biologic width.
  • Rinse And Sutures: The site is cleaned and sutured, and a protective dressing may be placed.
  • Provisional Restoration: If a crown is planned, a temporary crown may be adjusted to fit the new gum line during healing.

Most single‑tooth procedures take about an hour, while multiple teeth or esthetic contouring across the front teeth can take longer. Many patients return to normal activities the next day.

What To Expect Before And After

Before treatment, you will receive instructions that may include eating a light meal, arranging a ride if sedation is planned, and pausing certain medications only if advised by your medical provider. Good daily brushing and flossing before the visit supports smoother healing.

After treatment, mild soreness and swelling are common for a few days. Typical recovery follows this timeline:

  • First 24–72 Hours: Tenderness and swelling peak, then begin to improve with cold compresses and over‑the‑counter pain relief as directed.
  • One To Two Weeks: Sutures are removed or dissolve; most people resume normal brushing with a soft brush and a gentle rinse routine.
  • Four To Six Weeks: Gums continue to mature; sensitivity decreases as tissues stabilize.
  • Six To Twelve Weeks: Final impressions or the definitive crown are often scheduled once the gum line is stable.

Eat soft, cool foods at first, avoid chewing on the treated side, and do not smoke during healing. Call the office if you notice heavy bleeding, increasing swelling after day three, fever, or pain not controlled by recommended medications.

Frequently Asked Questions About Crown Lengthening