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Smiles Family DentalFort Worth · Hulen St.
Gum and bone reshaping

Crown Lengthening in Fort Worth

Crown lengthening exposes more of a tooth by gently reshaping the gum and, when needed, the bone beneath it. It can make room for a strong crown or balance a gummy smile.

Crown Lengthening at Smiles Family Dental in Fort Worth
Purpose
Restorative or cosmetic
Typical visit
About 30 to 90 minutes
Healing before crown
Often 6 to 12 weeks
Anesthesia
Local, sedation available

Two main reasons for crown lengthening

The first reason is functional. When a tooth breaks or decays near or below the gumline, there may not be enough healthy tooth above the gum for a crown to grip. Without that space, a crown can loosen, leak, or irritate the gums. Crown lengthening uncovers more sound tooth so the new crown fits securely.

The second reason is cosmetic. Some people have teeth that look short because extra gum covers part of the enamel. Reshaping the gumline can reveal the full height of the teeth and create a more even smile.

Sometimes both reasons apply at once. A front tooth may need a new crown, and the gumline around it may sit lower than the teeth next to it. In that case, crown lengthening can solve the fit problem and the cosmetic one in a single step.

Why the gums need room around a crown

Healthy gums attach to the tooth at a natural distance above the bone. If a crown edge sits too deep and crowds that zone, the gum may stay red, swollen, and sore for as long as the crown is there. Over time, bone can be lost.

Crown lengthening resets that space. By moving the gum and bone to a healthier position, the crown can sit where it should without crowding the tissue. Your restorative dentist gets a better foundation to work with.

Reshaping the gumline can reveal more of each tooth.
Reshaping the gumline can reveal more of each tooth.

Crown lengthening in Fort Worth for a gummy smile

For cosmetic cases, crown lengthening in Fort Worth is often planned alongside other smile work. Smiles Family Dental uses Digital Smile Design to preview how a new gumline could look before any treatment begins. Seeing the plan first helps you decide with confidence.

Gum reshaping pairs well with porcelain veneers, crowns, or whitening. Sometimes a gummy smile comes from how the upper lip moves or how the jaw developed. In those cases, gum reshaping alone may not be enough, and we will tell you honestly what is behind your smile and what is likely to help.

What happens during the procedure

After numbing the area, we gently reshape the gum tissue. If bone needs adjusting, a small flap of gum is lifted, a thin amount of bone is smoothed back, and the gum is stitched into its new position. For gum-only cases, a soft tissue laser may be used, which can mean less bleeding.

One tooth or several can be treated in the same visit. A single tooth often takes under an hour, while a full smile takes longer.

Recovery and next steps

Most people return to work the next day. Expect some tenderness and mild swelling for a few days. You will brush the area gently, avoid chewing on it, and keep it clean with a rinse if we prescribe one. Stitches, if used, usually dissolve or are removed within one to two weeks.

For restorative cases, the gums need time to settle before your final crown is made. That is often about six weeks for back teeth and longer for front teeth, where the gumline needs to be stable for the best look. A temporary crown protects the tooth while you wait. Follow-up visits are quick, which helps if you are coming from Ridglea or Westover Hills on a lunch break.

Coordinating with your restorative dentist

Crown lengthening is rarely a stand-alone treatment. It is usually one step in a plan that ends with a crown, a filling, or veneers. That makes teamwork important. Before surgery, we talk with whoever will be placing your final restoration so the new gumline lands exactly where it needs to be.

If your crown will be done at our office, that coordination happens down the hall. Smiles Family Dental offers crowns, veneers, and digital scanning with iTero, which means fewer messy impressions. If you have a dentist elsewhere, we send our notes and images so they have what they need. Either way, you will know the full sequence and timing before anything begins, and nothing about the next step will catch you off guard. We also check the bite after healing so the finished tooth feels natural when you chew.

Crown lengthening may help with

  • A tooth broken off near or below the gumline
  • Decay that reaches under the gum edge
  • A crown that keeps coming loose
  • Gums that stay sore around an existing crown
  • Front teeth that look short or square
  • An uneven gumline across your smile
At our Hulen St. office

What to expect, step by step

  1. Plan with your dentist

    We review x-rays and coordinate with whoever will place your crown or veneers.

  2. Preview the result

    For cosmetic cases, digital planning shows the new gumline before work starts.

  3. Reshape gum and bone

    Under local anesthetic, we expose the needed tooth structure and secure the gum.

  4. Heal, then restore

    After the tissue settles, your final crown, veneer, or filling is placed.

Patient questions

Crown Lengthening: common questions

Straight answers from our Fort Worth team. If your question is not here, call and ask. We are happy to talk it through.

Is crown lengthening surgery?

Crown lengthening is a minor surgical procedure done in the dental office with local anesthetic. Gum-only cases may involve simple reshaping, sometimes with a laser, while cases that involve bone require lifting the gum and placing a few small stitches. Most patients go home the same day and return to normal activities within a day or two.

How painful is recovery from crown lengthening?

Recovery from crown lengthening is usually mild. Most patients feel tenderness and slight swelling for a few days, which over-the-counter pain relievers and cold packs typically control. Brushing gently, eating soft foods, and favoring the other side all help. If bone was reshaped, discomfort may last a little longer than with gum-only treatment.

Does insurance cover crown lengthening?

Insurance often covers part of crown lengthening when it is needed to restore a damaged tooth, but it usually does not cover purely cosmetic gum reshaping. Total cost depends on how many teeth are treated and whether bone work is involved. We check your benefits first, and you can also use financing, our savings plan, or FSA and HSA dollars.

Will crown lengthening make my teeth sensitive?

Some temporary sensitivity is common after crown lengthening, because a small amount of root surface near the gumline may be newly exposed. It usually fades over several weeks as the area heals, and a sensitivity toothpaste can help in the meantime. Once the final crown or restoration is placed, many teeth feel back to normal.

How long after crown lengthening can I get a crown?

Most patients wait about six to twelve weeks after crown lengthening before the final crown is made, so the gums can heal and settle into their new position. Front teeth may need extra time for the best cosmetic result. A temporary crown can protect the tooth and keep your smile looking natural during the wait.

Can crown lengthening fix a gummy smile?

Crown lengthening can fix a gummy smile when extra gum tissue covers part of the teeth. Reshaping the gumline reveals more tooth and makes teeth look better proportioned. If a gummy smile is caused by lip movement or upper jaw growth, other treatments may work better. An exam at our Fort Worth office will show which cause applies to you.

Paying for crown lengthening

We file insurance for you, accept FSA and HSA cards, offer monthly financing and have an in-house savings plan for patients without dental insurance.

See payment options
Fort Worth · Hulen St.

Ready when you are.

Call our Hulen Street office or request a time online. We will review your insurance, explain every option in plain language and give you a written plan before anything starts.