When Getting a Crown is There Ever a Need for a Gingivectomy?

Some times when an old crown develops a space between it and the underlying tooth, gum tissue can become inflamed and grow into that spot.  In order to create good access for a new crown this tissue may be removed by performing a gingivectomy procedure, which is simply removing tissue.  I have found that the easiest and most effective way is by using a soft tissue laser.

A gingivectomy means nothing more than "to remove some of the gum tissue". It often is necessary during dental crown treatments. When a tooth needs a crown, it is because it either has a large filling in it, it has broken or has a new cavity in it. In my practice I find that there is almost always some part of the problem that extends to the edge or even under the edge of the gum. Often times there is some gingivitis or even periodontal disease associated with this area.

In my practice I routinely use a dental laser to do a gingivectomy or to do highly localized laser gum cleaning of the problem area.

Every office is different. I would say many office do not do this routinely. In my opinion, the ones that do it, and do it well usually leave the gum in better condition, than not doing it. 

In highly cosmetic or aesthetic areas, doing a gingivectomy also allows the cosmetic dentist to create as beautiful outline as possible. These are other elements that affect the beauty of the final result.