Lengthening teeth

A beautiful smile is an essential attribute of high social status in modern society. A harmonious combination of shade, size, shape and position of the teeth in combination with the facial features – that’s what it depends on.

Many ever there is a need for restoration of decayed teeth. And someone and just want to make them larger. The procedure of lengthening your teeth allows us today to solve these problems.

A number of experts in the creation of smiles remains committed to a universal approach for the measurement of facial parameters. But it is not always possible to reflect the unique traits of the patient’s personality.

Cosmetic dentistry today involves the formation of a healthy, natural smile that emphasize the uniqueness of each.


Elongation of the tooth crown region of a tooth may, for various reasons: aesthetic, functional and regenerative.

  • The first group includes patients seeking to lengthen the teeth because of their cosmetic imperfections (in particular, unbalanced ratio of teeth and gums and the presence of the so-called gingival smile).
  • Bad habits and endless stress had increased among the inhabitants of modern society the percentage of people with increased dental abrasion. Such patients resort to surgical lengthening of crowns and prosthetic correction.
  • Patients with a completely destroyed part of the crown through surgical lengthening get the effect of the coverage of the hard tissues of the tooth. It enables you to distribute load on the jaw during chewing to prevent fracture of the tooth root and recementing of prosthetic.
  • Orthopedic or therapeutic restoration, for example, cleavage of a fragment of the crown a front tooth, too, is essentially a lengthening of the clinical crown of the tooth is due to the free space between the teeth-antagonists. Such is the last group of indications for lengthening of the tooth, when, for example, fillings or ceramic veneers to restore its height.

In the modern dental practice crown lengthening of the tooth is made through such methods as:

  • surgical,
  • orthodontic,
  • orthopedic,
  • therapeutic.

The essence of the procedure is to increase the size of the protruding above the gum area of the tooth. Surgical recovery is applied in case of significant damage of the crown, and in addition – if you want to change the contour and position of the gums of patients with gingival smile.

Some believe that the surgical technique is only part of the excision of gingival tissue, or gingivectomy. However, this technique is used only in the situation when the violation of passive eruption of the teeth, apical displacement of the gingiva does not occur and forms a surplus in the tooth.

Rash excision of the gingival margin and subsequent prosthetics of the volume of the crown is broken “biological width” is the area of attachment of the gum to the tooth. This, in turn, can cause severe periodontal inflammation, and even tooth loss.

The classic method of surgical lengthening involves the excision of the gingival grooves that perform hygienic, protective and immunological functions. After that, she may not be completely restored, will form a scar and the original function will be broken. To reduce the risk of such an outcome to a minimum, was developed the technique of surgical lengthening of the crown of a tooth without excision of the gingival margin. Today it is the most safe and effective way to a beautiful smile.


Orthodontic method of elongation of the crown is preferred when you want to maintain the gingival contour between adjacent teeth and to “pull” only a single tooth. The disadvantages of this approach include the mandatory installation of braces or

removable denture and also long term treatment. It can take at least three months, and after that, patients still have to wear a retainer to secure the results of the previous procedures. The braces can be fixed and some teeth and entire jaw, depending on the specific clinical case.

In addition, the concept of “lengthening the teeth” and includes a number of other procedures, such as:

  • veneering,
  • composite restoration of teeth,
  • veneering and prosthetic crowns.

Elongation of the teeth using composite material suitable for minor damage of the crown. Front teeth usually extend Hollywood veneers or Lumineers. If the tooth is severely damaged (more than 70%), then use the crown.

Patients with high attrition is often needed complex orthopaedic action, involving the elongation of all teeth, not just one. Upper and lower teeth lengthen through the crown, used to raise the bite and changes the shape of the dentition.


Surgical lengthening of the teeth is performed in just a day, regardless of the amount of work. Each tooth requires usually about ten minutes. After a couple of weeks, and even earlier, fixed provisional prostheses, and around them, a correct gingival contour.

After 3-5 months install permanent structures. In General, the orthodontic treatment coupled with the retention period is 8-12 months. Veneering and crowns without surgical interventions require only a few days.


Contraindications include: difficult or impossible access; anatomic limitations (for example, lengthening of the teeth with the oral side in the region of large indigenous almost impossible); the ideal form of the gingival contour – contraindication for surgical lengthening. Orthodontic tooth elongation is limited mainly by the need and possibility of securing additional designs. The ratio of crown and root of tooth shall not exceed 1:1. This is why teeth with a short root, for example, after resection of the root tip, is also not suitable for the procedure of elongation.

Alternative lengthening of teeth can now perform single-stage implantation. This means that the tooth is removed, and in its place installs the implant. But remember that your own tooth is preserved in any case better than even the highest quality implant.

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