Gingivectomy (Esthetic Crown Lengthening)
Careful reshaping of the gumline to balance a gummy smile or reveal the tooth structure a restoration needs.
Gingivectomy removes excess gum tissue to create a more balanced gumline. Esthetic crown lengthening goes further by also repositioning the bone to expose additional tooth structure, correcting a gummy smile or preparing a tooth for a crown.
Excess gum tissue is removed and, where necessary, the underlying bone is repositioned to expose more tooth structure. The procedure is performed under local anesthesia with sedation available for anxious patients.
Crown lengthening creates a more balanced, proportional smile for patients with excess gum tissue and provides the exposed tooth structure needed for an accurate, properly sealed crown or restoration.

Frequently Asked Questions
Common questions about gingivectomy (esthetic crown lengthening).
At Concierge Dental Design, a gingivectomy removes excess gum tissue to create a more balanced gumline, and esthetic crown lengthening goes further by reshaping the bone to expose more tooth. Together they can correct a gummy smile or prepare a tooth for a restoration. The procedure is done under local anesthesia. The result is a more proportional, attractive smile.
Good candidates include people with a gummy smile, an uneven gumline, or a tooth that needs more structure exposed before a crown. Healthy gums help ensure a clean result. We evaluate your smile and the underlying tooth and bone first. Then we recommend whether reshaping gum, bone, or both will achieve your goal.
The area is numbed during treatment, and sedation is available, so you should feel comfortable throughout. Some mild soreness afterward is normal and usually settles within a few days. You will receive instructions to keep the area clean as it heals. Most people find recovery easier than expected.
Healing of the reshaped gum tissue typically takes one to two weeks, with the final contour settling over the following weeks. You will eat softer foods and avoid disturbing the area early on. Discomfort is generally mild. We follow up to make sure the gumline heals evenly.
Yes, by evening out the gumline and reducing excess tissue, the procedure can make teeth look longer and more balanced. For a gummy smile, the change can be dramatic and natural looking. When it is done to prepare a tooth, it also improves the fit of your restoration. We design the result around your facial proportions.
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