Crown Lengthening

(To overcome problems with gummy smile)

• Factors must be considered
– Location of gingival margins in relation to the
CEJ and the bone crest
– Croon-root-alveolar bone relationships
– Size and shape of upper lip
– Location of lip during speech and during a
broad, relaxed smile
 Crown Lengthening
(To overcome problems with gummy smile)
 Crown Lengthening
(To overcome problems with gummy smile)
 Crown Lengthening
(To expose sound tooth structure)
• Subgingival location of caries lesions
• Subgingival location of fracture lines
• Inaccessibility of subgingival margins of
failing restorations
• Inaccessibility of subgingival prepared
tooth structure for proper impressions
 Crown Lengthening
(To expose sound tooth structure)
• Biological width:
– It is the sum of the supracrestal fibers, the
junctional epithelium, and the gingival sulcus
and has a proposed minimal dimension of 3 mm.
 Crown Lengthening
(To expose sound tooth structure)

• Techniques:
– Apically positioned flap (with or without
bone resection)
– Force eruption of teeth
 Crown Lengthening
(To expose sound tooth structure)
(Apical Positioned Flap)

• Indication:
– multiple teeth
• Contraindication:
– Single tooth
 Crown Lengthening
(To expose sound tooth structure)
(Apical Positioned Flap)
 Crown Lengthening
(To expose sound tooth structure)
(Apical Positioned Flap)
 Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)
• Indications:
– At sites where it is important to maintain the
location of the gingival margin at adjacent
teeth unchanged
– At sites where removal of attachment and
bone from adjacent teeth must e avoided
– At sites where with angular bony defects
• Contraindications:
– Few teeth remaining
 Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)
 Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)
 Crown Lengthening
(To expose sound tooth structure)
(Force Eruption)