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Doctor insights on: Crown Lengthening Vs Implant

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Is implant or crown lengthening better?

Is implant or crown lengthening better?

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

Dr. Louis Gallia
6 Doctors shared insights

Crown (Definition)

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


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I have a choice between a crown lengthening or dental implant? Which one is better?

I have a choice between a crown lengthening or dental implant? Which one is better?

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

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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?

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

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What happens during crown lengthening?

What happens during crown lengthening?

Bone removal: 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

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What is the best technolog for crown lengthening?

What is the best technolog for crown lengthening?

Laser: The latest technology for crown lengthening is the use of the laser such as the biolase md. You are able to remove soft and hard tissue with little post-op pain and immediately you are able to do the crown prep that same visit. ...Read more

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I was wondering what are the risks for a crown lengthening?

I was wondering what are the risks for a crown lengthening?

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

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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..

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

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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.

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

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What's crown lengthening?

What's crown lengthening?

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

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What is crown lengthening?

What is crown lengthening?

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

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What are the effects of crown lengthening?

What are the effects of crown lengthening?

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

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What is involved in a post crown lengthening?

What is involved in a post crown lengthening?

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

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Is crown lengthening without crown or veneer possible?

Is crown lengthening without crown or veneer possible?

Yes: Crown lengthening without crown or veneer is done by either removing some gum tissue or removing some bone and repositioning the gum tissue to establish a new gumline making the teeth look longer. ...Read more

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Can the dentist do a crown lengthening procedure on me?

Can the dentist do a crown lengthening procedure on me?

Absolutely: Your dentist and/or periodontist can perform the procedure. ...Read more

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Do I have to see a specialist to get a crown lengthening?

Do I have to see a specialist to get a crown lengthening?

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

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Do I have to be put to sleep for a crown lengthening procedure?

Do I have to be put to sleep for a crown lengthening procedure?

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

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Could the dentist do a crown lengthening procedure on me after a cleaning?

Could the dentist do a crown lengthening procedure on me after a cleaning?

Definitely, yes: 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

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After a crown lengthening procedure how long until my gums are well healed?

After a crown lengthening procedure how long until my gums are well healed?

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

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Wondering if it's necessary to go to a specialist to get a crown lengthening?

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

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Would like to know if it's necessary to go to a specialist to get a crown lengthening?

Would like to know if it's necessary to go to a specialist to get a crown lengthening?

No specialist: If it's indicated procedure any dentist can perform the crown lengthening. It is generally performed in order to improve the health of the gum tissue, or to prepare the mouth for restorative or cosmetic procedures. Good luck. ...Read more

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How long after a crown-lengthening does a dentist wait before an impression for final crown?

How long after a crown-lengthening does a dentist wait before an impression for final crown?

4 to 6 weeks: Four to six weeks of healing is the norm. Once the periodontium is healed, the restorative dentist will complete his preparation of the tooth in question and make the final impression for a crown. ...Read more

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Could a dds (general dentist) do crown lengthening, or should I seek a specialist?

Could a dds (general dentist) do crown lengthening, or should I seek a specialist?

Yes: Now with the advancement of laser, crown lengthening surgery is becoming more and more controlled and easy to perform. A general dentist has a license to perform any procedure that he felts competent to perform, as long as it follows the standard of practice. ...Read more

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Should I get a root canal with crown lengthening and a crown, or just extract the molar? Which one is faster?

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

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So I saw a dentist today and they said i'd need two root canals with possible crown lengthening. Is this expensive?

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

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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.

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

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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.

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.

Depends: 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

Dr. Sheila Smith
5 Doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more