How Long Does the Crown Lengthening Procedure Take?

Crown lengthening typically takes 30 to 90 minutes per tooth, depending on how many teeth are involved and whether bone reshaping is needed. Simple single-tooth crown lengthening for a restoration can be done in about 30 minutes. Multi-tooth cosmetic crown lengthening for a gummy smile may take 90 minutes or more. Recovery is 1 to 2 weeks for soft tissue, with final tissue maturation over 3 to 6 months.

The Procedure Time Depends On

• Number of teeth: single tooth is fastest, multi-tooth aesthetic cases take longer
• Type: gingivectomy (gum only) is faster than osseous crown lengthening (which involves bone reshaping)
• Access: back teeth take slightly longer than front teeth due to visibility
• Sedation: local anesthesia only is faster; oral or IV sedation adds preparation time

Types of Crown Lengthening

• Restorative crown lengthening: exposes more tooth structure so a crown or filling can be placed properly. Typically 30 to 60 minutes.
• Cosmetic crown lengthening: reshapes multiple front teeth for a gummy smile correction. Typically 60 to 120 minutes for 6 to 10 teeth.
• Functional crown lengthening: makes brushing and flossing easier around a specific tooth. Similar time to restorative.

What Happens During the Visit

1. Local anesthesia is administered (5 to 10 minutes)
2. Gum tissue is contoured and, if needed, a small amount of bone is reshaped
3. Sutures are placed to secure the tissue in its new position
4. Post-op instructions are reviewed before you leave

Recovery Timeline

• Days 1 to 3: mild swelling and tenderness, well managed with OTC pain relievers
• Week 1: sutures come out (or dissolve) at the follow-up visit
• Weeks 2 to 3: soft-tissue healing is largely complete
• Months 3 to 6: full tissue maturation and color blending; final restoration can be placed at this point

Cost of Crown Lengthening

Single-tooth restorative crown lengthening typically runs $600 to $1,500. Multi-tooth cosmetic cases run $2,000 to $5,000 depending on how many teeth are involved. Restorative cases are often covered in part by dental insurance; cosmetic cases are typically not.

Frequently Asked Questions

How much does crown lengthening cost?

Restorative crown lengthening: $600 to $1,500 per tooth. Cosmetic multi-tooth cases: $2,000 to $5,000 total depending on scope. See crown lengthening for more.

When can I get my crown after crown lengthening?

For restorative cases we typically wait 6 to 12 weeks for soft-tissue stability, though a temporary can be placed sooner. For cosmetic cases with more aggressive reshaping, 3 to 6 months is preferred before final restorations.

Is crown lengthening painful?

The procedure itself is painless under local anesthesia. Post-op soreness is mild to moderate for 2 to 3 days, well managed with OTC pain relievers.

Consult in DC, Alexandria, or Reston

Request a consult at our Washington DC, Alexandria, or Reston office. We will assess your specific case and give you a time estimate and written quote before scheduling.