Rock Dental
Periodontal Services

Crown Lengthening in New York, NY

Crown lengthening reshapes the gum line to show more of a tooth, either to balance a gummy smile or to make room for a crown or filling.

About Crown Lengthening at Rock Dental

For patients who believe that their smile is too “gummy” or that their teeth are too short, we are proud to offer crown lengthening services to fix those concerns. Crown lengthening procedures are done to expose more of the tooth and remove extra gum tissue. By doing this, we can reshape your gums and help give your teeth the look and shape you desire. In addition to the life-changing results, crown lengthening is a minimally-invasive procedure that will allow for a more balanced, even smile.

Before we begin treatment, we will first meet to learn more about your desired results as well as determine if crown lengthening is the best procedure for you. Factors such as oral hygiene and gum health will determine the best course of action and treatment plan. During the dental crown lengthening procedure, our team will remove excess gum and bone tissue to reshape the tooth to expose a more natural tooth. This procedure can be done to just one single tooth or several, or even to your entire gum line. These changes can be done for restorative or cosmetic purposes depending on your needs.

The recovery time for the crown lengthening procedure is approximately three months. As your gums heal, you’ll be able to resume normal habits and functions. In recovery, you will be asked to avoid demanding activities during the first two to three days after your operation. Some patients report mild discomfort during the procedure and increased sensitivity after the treatment is complete, but with a personalized treatment plan we can help manage any discomfort and pain. Moving forward, practicing good oral hygiene is paramount.

Who Crown Lengthening Is For

People usually come to crown lengthening by one of two routes. The first is appearance, meaning teeth that look short or a smile that shows a lot of gum. The second is practical. If a tooth has broken near the gum line, or decay runs below it, there may not be enough tooth showing for a crown or filling to grip. Exposing more of the tooth can give your dentist the room needed to restore it rather than remove it.

It also matters for the health of the gum itself. A crown edge that sits too deep under the gum can irritate the tissue and make the area hard to keep clean. Leaving the right amount of space between a restoration and the bone lets the gum settle comfortably around it. Good candidates have healthy gums to begin with, so any gum disease is typically treated first. Your dentist or our periodontist will advise whether the procedure is right for you.

How to Prepare and What Happens Afterward

Before your procedure, share your full medical history and a list of your medications, including blood thinners and supplements, and follow any instructions you are given about them. A professional cleaning beforehand is often recommended so the gums are as healthy as possible. If the tooth is getting a crown, a temporary one may be placed first to protect it. Plan a quiet day afterward, stock up on soft foods, and ask about nitrous oxide if you feel nervous.

The area is numbed with local anesthetic for the procedure. Afterward, your dentist will typically suggest cold packs for swelling, soft and cool foods, and gentle cleaning around the site while it is tender. Avoid smoking, since it slows healing. You will usually return so the area can be checked and any stitches removed. A final crown is generally placed only once the gums have settled, so its edge sits in the right spot. Call (212) 332-1020 if bleeding or pain increases.

Crown Lengthening

Common Questions

Is crown lengthening the same as a gum lift?
They overlap. A cosmetic gum lift often reshapes only gum tissue, while crown lengthening may also adjust a small amount of the bone beneath it so the gum stays at its new level. Which approach suits you depends on your anatomy and your goals. Your dentist will explain what is recommended and why.
Why do I need crown lengthening before getting a crown?
A crown needs enough solid tooth above the gum to hold onto. If a tooth is broken, worn down or decayed near the gum line, there may be too little to work with. Crown lengthening exposes more of the tooth so the crown can fit securely and its edge stays easy to clean.
When can I get my final crown after crown lengthening?
Your dentist will advise based on how you heal. Gums continue to settle for weeks to months after the procedure, and the final crown is typically made once the gum line is stable. A temporary crown usually protects the tooth in the meantime. For front teeth, dentists often wait longer so the result looks even.
Will my gums grow back after crown lengthening?
When bone is reshaped along with the gum, the new gum line is generally stable once healed. Some minor rebound of the tissue can happen during healing, which is one reason final restorations are timed carefully. Keeping the area clean and attending follow-up visits gives your gums the conditions they need to heal well.
How much does crown lengthening cost?
Cost depends on your treatment plan, including how many teeth are involved and whether the procedure is combined with a crown or other work. After your consultation, our team will go over the plan and its costs with you before treatment begins.
Glossary

Terms You May Hear

Gingiva
The clinical term for your gums, the soft tissue that surrounds the teeth.
Gum line
The edge where your gum tissue meets the visible part of your tooth.
Periodontist
A dentist with additional specialty training in the gums, the bone that supports teeth, and dental implants.
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  • Veneers

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630 Fifth Avenue, Suite 1865
New York, NY 10111
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