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Is it normal for gums to grow back as they were before a crown lengthening? (photo)

Ravens714Jul 7, 2014
I had a crown lengthening procedure done to reduce my gummy smile. Right after the procedure, I loved the results. Then things became puffy. I thought it would shrink down, but it has been 12 days and I feel most of the gum has grown back to look like my smile before the procedure. I have stitches still so I was told I can gently brush right up to the gum but be careful. Other than that, I'm not sure if I'm taking care of it correctly. However, I'm unhappy with the results.

Answers (1)

From board-certified doctors and trusted medical professionals
Ira Shapira, DDS profile photo
Dr. Ira Shapira, DDS
Dentist
5.0 | 3 Reviews
Answered on Jul 16, 2014
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Leonard Tau, DMD

It sounds like you have a Porcelian Fused to Metal crown on the tooth and the gum receded leaving the gray area.  The best solution would be to have the crown replaced with an all porcelain crown to precent the dark gray area from being visible.  Talk to a local dentist about your options

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New advances in porcelain crowns can allow for thin but strong material on the lingual (zirconia) and esthetic ceramic on the facial (labial). Lithium dislocate crowns may also work well here. Newer cements also have an inherent bond to tooth structure. Make sure you see a dentist who is...

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The three porcelain systems you mentioned differ in chemical composition. Procera, the oldest is, is aluminum oxide with conventional feldspathic porcelain fired over the alu-oxide core. It is indicated in single tooth applications only and has largely been replaced by Emax which is lithium...

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