Esthetic Tooth Lengthening

Gingivectomy

This procedure is simply the removal of gum tissue. While it originated as a treatment for periodontal disease involving pockets, it is most often used today to remove gum tissue to expose the entire crown of the tooth improving esthetics and creating normal tooth proportions relating to width and height. It is also used to remove excessive gum tissue after orthodontic treatment, or to recontour gums in the front of the mouth to improve the esthetic appearance of the teeth often in conjunction with the placement of esthetic veneers or crowns.

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Crown Lengthening

When teeth are short but extra gum tissue is not the cause, or when the type of gum tissue dictates, it is necessary to remove bone to create the proper tooth length. The procedure has the same final appearance as the gingivectomy, but also contours the bone to support the gums and creates the optimal biologic relationship between the gums, bone and teeth. While this procedure sounds involved, the bone removal is limited to what the teeth can support and often involves only the bone that is not supporting the teeth and can be more stable over the long term than the gingivectomy.

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