Crown Lengthening

Crown Lengthening

A healthy smile is about more than just your teeth. Your gums play a big role too. If too much gum tissue covers your teeth—or if damage or decay is hidden below the gum line—crown lengthening can help.

At Back Bay Periodontics & Dental Implants, we use this procedure to restore balance, protect your oral health, and give your smile a natural, confident look.

What Is Crown Lengthening?

Crown lengthening is a procedure that reshapes your gum line. In some cases, we also adjust a small amount of bone around the tooth. The goal is to gently expose more of the tooth’s surface.

This can make restorative care possible, like when a crown needs a stronger foundation. It can also make cosmetic improvements by reducing the appearance of a “gummy smile.” With crown lengthening, you get the structure you need for lasting health and the symmetry you want for a beautiful smile.

Why You Might Need Crown Lengthening

There are two main reasons patients choose crown lengthening—restoration and aesthetics.

Restorative care:

  • Treating decay below the gum line
  • Repairing or rebuilding a tooth that broke too close to the gums
  • Making space so a crown or bridge fits securely

Cosmetic care:

  • Reducing extra gum tissue that makes teeth look short
  • Creating a more balanced gum-to-tooth ratio
  • Evening out the gum line for a natural, attractive smile

Benefits of Crown Lengthening

Crown lengthening does more than reshape your gums. It creates a healthier environment for your teeth and sets the stage for long-term success. Benefits include:

  • Better access to teeth for treatment and daily cleaning
  • Stronger support for crowns and other restorations
  • Lower risk of future decay near the gum line
  • A balanced, more confident smile

What to Expect

Your visit begins with a thorough exam and consultation. We use advanced imaging to plan your treatment with accuracy and care.

On the day of your procedure, you’ll be fully numbed with local anesthesia. Sedation is available if you’d like extra comfort. Once you’re ready, we gently reshape the gum tissue—and sometimes the bone—around the tooth. Sutures are placed, and you’ll leave with clear instructions for healing.

Most crown lengthening procedures take just one visit. Our team stays by your side to make sure you feel comfortable and informed throughout.

Recovery and Healing

Recovery is usually straightforward. Some mild swelling or tenderness is normal in the first few days, but it’s easily managed with medication and good home care.

We may recommend:

  • Eating softer foods while the area heals
  • Using prescribed or over-the-counter pain relief if needed
  • Keeping the area clean with gentle brushing and rinsing

You should feel more comfortable within a week. Complete healing takes longer, but once your gums are ready, your tooth will be prepared for its final restoration—or you’ll enjoy the cosmetic improvement of a refreshed smile.

Crown Lengthening vs. Other Gum Treatments

It’s easy to confuse crown lengthening with other gum procedures. A gingivectomy, for example, removes gum tissue only. Crown lengthening is different because it also reshapes the bone when needed. This makes it the right choice if you need a secure foundation for a crown or if decay sits below the gums.

Why Choose Back Bay Periodontics & Dental Implants

Crown lengthening requires both precision and an artistic touch. At Back Bay Periodontics & Dental Implants, you’ll be treated by specialists who are highly trained in both periodontal and cosmetic procedures.

Patients choose us because we provide:

  • Advanced training and proven expertise
  • State-of-the-art imaging and technology
  • Personalized treatment plans designed just for you
  • A caring approach that puts your comfort first

With us, you don’t just receive treatment—you experience care that’s centered on you and your long-term health.

Take the Next Step

If you’ve been told you need more tooth structure for a crown, or if you’d like to improve the look of a gummy smile, crown lengthening may be the answer. At Back Bay Periodontics & Dental Implants, we make the process clear, comfortable, and tailored to your needs.

Call us today to schedule your consultation and learn how crown lengthening can bring health and balance back to your smile.

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Meet the Doctor:
Daniel Sabra

DMD, MS

Highly skilled periodontist, Dr. Sabra has performed more than 1,000 procedures for Boston area residents from same day dental implants to periodontal regeneration. Learn more about Dr. Sabra by visiting his bio.

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