Doctor insights on:
Crown Lengthening Vs Implant
Expectations?: Crown lengthening is a procedure performed to increase the clinical crown of a tooth so that a proper fitting crown can fit over top. This procedure involves removing bone around the tooth. The long term prognosis is fair at best. If the tooth has had prior root canal treatment, and unless you have a desire to keep this tooth as long as possible, I believe the implant would serve you the best. ...Read more
The crown of a tooth is that part of the tooth on top of the root. The crown of the tooth is the part that is visible in the mouth. A crown restoration is a procedure that restores the crown of a tooth that is damaged by fracture or extensive decay by cementing a replica of the crown over a prepared tooth, and is one of the most common ...Read more
Implant: The crown lengthening is utilized to expose more of the tooth so that the crown can finish on solid tooth, at or just below the gumline. Crown lengthening removes valuable bone height, and weakens the support by increasing the crown/root ratio. Unless a medical condition exists contraindicating the implant, go for it. ...Read more
Old root canal without crown now has cavity. Should I opt for crown lengthening with filling and crown or pull it and get an implant?
Depends: It does depend on the strength of the tooth. Generally if a tooth has a root canal it had multiple fillings before this possibly a fracture -it is compromised already even after all the time and financial commitments of restoring, the chances of that tooth surviving 3 -5 years is not great. Then you are back to getting an implant. I try not to pay for things twice, but it is a decision between you. ...Read more
I have a filling in my last molar near gum. Dentist recommend a crown lengthening and an onlay. Does this now stop me from getting an implant later?
When there is not enough solid tooth structure above the bone level to have a crown, the dentist will remove several millimeters of bone so that the crown will fit correctly.
This is considered a periodontal surgical procedure. An incision is made, gums pushed back, bone removed, and gums apically repositioned.
It works well! ...Read more
Minimal risks: Possible risks include root sensitivity of the adjacent teeth or possible increase in food retention in area. There can also be some post operative pain in the bone. ...Read more
How long will it take my gums to heal after crown lengthening? I want to have a crown lengthening procedure done to fix my smile and would like to know how long before my gums heal fully..
The: The initial healing will take place within ten days to two weeks, again depending upon the technique and extent of the procedure. If crowns or veneers are going to be placed in these areas, I like to allow approximately eight weeks for all healing and gum remodelling to occur. ...Read more
Had root canal and crown done last night, with crown lengthening and final impr. For crown. Read online I'm supposed to wait 4 weeks for impr. Did the dr. Really do the lengthening? I've had no pain.
Standard of care: The soc is to wait 6 weeks for the gum tissue to heal and mature if it is a back tooth, longer 2-6 months if it is a front tooth. This is most predictable. However if the preparation margin is within the biologic width parameters it is theoretically possible to do it all at once. He question is " why the rush? If it is a real time issue and at your request, I understand. If not, then why? ...Read more
Is a crown lengthening something I have to have done? After having most of my tooth ground down for the the permanent crown after my temporary crown was removed, I was told that I will need a crown lengthening in order for the permanent crown to fit prope
It is: A method of gaining enough length of tooth so that the final restoration finishes in solid tooth high enough above bone not to cause another problem. The tissue is reflected, the appropriate amount of bone is removed and the tissue is re-positioned and let to heal for a minimum of 6 weeks. ...Read more
Longer tooth: If a tooth is too short above the gum line a crown won't stay on it predictably. Crown lengthening makes it longer by surgically moving the gums and bone holding the tooth toward the root to expose more tooth above the gums. A crown can then be made that will predictably stay on the tooth. ...Read more
Bone loss & 2 others: Main effects are : 1. increased amount of available tooth to support and retain the crown as well as allowing sufficient reduction for best bite level location and 2. Possible sensitivity due to exposed root -- often need Root Canal treatment to eliminate feeling in the tooth. Ask your Dentist about these. It can be a most worthwhile treatment. Also ask about option of extraction and implant. ...Read more
Crown Lengthening: Crown lengthening is a surgical procedure in which a greater amount of tooth structure is exposed by lowering the bone and tissue level for the purpose of subsequently restoring the tooth with a crown. A surgical flap is made around the tooth and the bone and tissue are lowered with a laser, scalpel or handpiece under anesthetic. ...Read more
Absolutely: Your dentist and/or periodontist can perform the procedure. ...Read more
No: A crown lengthening could be done easily by any dentist, as long as 2-3 mm bone reduction is done from the crown margin is removed to satisfy the biological width requirement. Moreover, there should be at least 2-3 mm of tooth structure below the buildup from the crown margin to satisfy the ferrule effect. ...Read more
No: Crown lengthening is a surgical change of the gum and bone around a tooth. If you are anxious, you can request sedation but most of the time, general sedation (or going to sleep) is not required for doing the procedure. Discuss with your dentist your comfort zone and decide together what is best for your situations. ...Read more
Crown lengthening is performed in order to improve the health of the gums, or to prepare the tooth for restorative or cosmetic procedures. Crown lengthening is a versatile and common procedure that has many effective uses and benefits for the oral health. It is no problem performing this procedure after dental cleaning.
Good luck. ...Read more
A few days: Gingival tissues heal very quickly and you should be feeling pretty good after just a few days. Doesn't mean you can eat hard foods in that area right away though. ...Read more
Depends: It all depends on the skill of your general dentist and his/her comfort in performing the procedure. Many general dentist will perform the lengthening, and the rest will refer to a periodontists. In the end, it's what's best for your health. ...Read more
How long after a crown lengthening do you have to wait to get an impression for a final crown? I had a root canal performed, followed by a crown lengthening last week, and am now waiting to get an impression done for the final crown. This whole process se
Should I get a root canal with crown lengthening and a crown, or just extract the molar? Which one is faster?
Crown or implant: I like to save a tooth if possible. An implant is the rolls royce of treatment if you can afford it, and doesn't require removal of bone. A crown lengthening usually requires bone removal. Cost is usually about the same for the root canal, crown lenth, post, and crown, as an implant after all is said and done. Crown length, requires at least 6 weeks healing, an implant can take 6 months to a yr. ...Read more
So I saw a dentist today and they said i'd need two root canals with possible crown lengthening. Is this expensive?
Relative: Expense is relative. Depends on a person's priorities. Fees differ so it is best to simply ask your provider about expense. Your other choice would be extraction and missing teeth can affect your overall health. Best to keep your natural teeth if possible. Next best solution is to replace missing teeth. ...Read more
Had a rct, now to gain an additional 2-3 ml for the crown, which is generally better, a crown lengthening or orthodontic forced eruption? Thanks.
That depends: Crown lengthening takes less time, but can make the tooth look longer. This is usually not a problem for back teeth, but can create an esthetic problem for an upper front tooth. Orthodontic forced eruption takes longer to achieve but can give a cosmetically better result in the end. Only you can answer how important is the potential cosmetic result to you. ...Read more
After a rct, to gain an additional 2-3 ml for the crown, which is generally better, a crown lengthening or orthodontic forced eruption? Thanks.
Extrusion (orthodontics) will pull up the bone and gingival tissue with the extruding tooth, whereas periodontal surgery will probably leave some soft tissue cosmetic defect as it is removing gum and bone.
But as the tooth is extruded, the portion at the gum level is narrower in diameter than normal, possibly leaving larger spaces between the teeth. I recommend getting a periodontal consult. ...Read more
- Talk to a doctor online
- Crown lengthening vs gingivectomy
- Root canal crown vs implant
- Is crown lengthening painful?
- Fillings vs crowns
- Ceramic vs porcelain crown
- How do they put dental crown on implant abutment?
- Crown vs filling root canal
- Root canal crown vs cap
- Crown lengthening vs root canal