★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Gum & Periodontal Services

Crown Lengthening – Functional

Crown Lengthening – Functional
Board-Certified Periodontal Care Narberth, PA

Functional Crown Lengthening in Narberth, PA

Exposing Sound Tooth Structure to Save Severely Broken or Decayed Teeth from Extraction

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

When a tooth breaks off near or below the gumline, or when deep dental decay extends beneath the bone margin, a general dentist cannot securely place a dental crown, bridge, or filling without violating the tooth's "biological width" (the natural seal of gum and bone attached to the tooth).

Attempting to cap a tooth without adequate clearance causes chronic bleeding, persistent gum inflammation, and premature restoration failure. Functional Crown Lengthening is a surgical procedure performed by our periodontists to carefully recontour the surrounding gum tissue and bone margin, exposing at least 2 to 3 millimeters of healthy, sound tooth structure.

This essential procedure saves teeth that would otherwise be deemed "hopeless" and marked for extraction, enabling your family dentist to anchor a strong, long-lasting crown.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

A tooth that has fractured off beneath or flush with the gumline
Deep decay or cavities extending under the existing gum margin or beneath the bone
A crown that keeps falling off because the remaining tooth stump is too short to provide retention
Perforation or root canal damage requiring surgical access for restorative repair

What to Expect: Step-by-Step

1

1. Radiographic & Biological Width Assessment

We evaluate 3D X-rays and measure the depth of the fracture or decay relative to the alveolar crest to determine exact bone recontouring requirements.

2

2. Flap Access & Root Decontamination

Under local anesthesia, a minor flap is elevated, and any deep decay or fractured enamel fragments are meticulously cleaned and visualized.

3

3. Micro-Bone Recontouring & Biological Width Restoration

A millimeter or two of crestal bone is sculpted away from the margin of the tooth, re-establishing the necessary 3mm biological width clearance.

4

4. Tissue Repositioning & Restorative Healing

The gum is sutured at its new, healthier position. After a 6 to 8 week healing period, your restorative dentist can prep and seat a permanent, secure crown.

Key Clinical Advantages

Saves Teeth from Extraction

Allows you to retain your natural tooth root instead of having the tooth pulled.

Prevents Chronic Gum Inflammation

Restores the biological width, preventing deep bleeding and recurring infection around crowns.

Crowns That Stay On Permanently

Provides your general dentist with adequate vertical tooth height so the crown grips securely.

Comfortable Single-Visit Procedure

Completed in approximately 45 to 60 minutes under local anesthesia with minimal recovery time.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Diagnostic Probing

Comprehensive 6-point periodontal charting per tooth to assess pocket depths and bone loss stages.

Phase 2
Active Therapy

Deep ultrasonic debridement, scaling, root planing, and therapeutic antimicrobial decontamination.

Phase 3
Tissue Re-Evaluation

Follow-up check 4 to 6 weeks later to measure pocket depth reduction and gum reattachment.

Phase 4
Periodontal Recall

Personalized 3-month periodontal maintenance cleanings to keep infection in permanent remission.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

If a tooth is broken too close to the bone, your dentist cannot seat a crown without pressing into the gum and bone attachment. Functional crown lengthening moves the bone down slightly so the crown can grip solid enamel without irritating living tissue.

No. The area is completely numbed with local anesthesia. Postoperative recovery is straightforward and typically involves mild tenderness for a few days, managed with standard pain medication.

Your dentist will usually place a temporary crown shortly after surgery and wait about 6 to 8 weeks for the gumline to stabilize before taking final impressions for your permanent crown.

Only the specific tooth and its immediate adjacent bone margins are treated. Adjacent natural teeth remain completely sound and unaffected.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.