A member asked:

I have moderate recession on my canine. the general dds did not talk about correcting this first with grafting. now, ihave a crown that's so very long. now what should i do?

4 doctors weighed in across 3 answers
Dr. Gary Lederman answered

Specializes in Dentistry

Retreat: The tooth is probably fine, albeit a bit longer than the other side, assuming there is still good bone support, adequate zone of attached, keratinization gum tissue and favorable occlusion. For better esthetics, the crown could be removed and grafting done. Then place a shorter crown. Or, a crown with a pink porcelain neck that blends. This is often a problem with restoring dental implants.

Answered 9/21/2013

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Dr. Janelle Ferber-Stumpf answered

Specializes in Dentistry

Bite is off: Cosmetic options are limited with caine bone loss. The bone responded to trauma and resorbed over time. While you can drop the tissue down with a graft, it doesn't have bone support under it and long term success is guarded at best. If the new crown has smooth edges and is well polished, you may be able to still drop the tissue with a graft. Talk to a periodontist for pros and cons. Good luck.

Answered 7/28/2013

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Dr. Gary Sandler answered

Specializes in Dentistry

Find: The best gd (or prosthodontist) & periodontist you can in your area, preferably ones that work together & have a good relationship with each other. That's important but not essential. We have had similar cases & have resolved the issue by removing the crown & placing a shortened temporary crown. The periodontist can then graft the site & a new shorter crown made. No guarantees. Get a consult first.

Answered 12/10/2013

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