A dentist examines a cracked, decayed, or broken tooth and recommends a crown, then mentions an extra step before that crown can go on. For many patients, this raises an obvious question about why the tooth needs work first when a crown is already the plan. Much of it comes down to how much healthy tooth structure a dentist needs to see and reach to build a restoration that stays sealed, comfortable, and stable for years. Skipping that step on a tooth that is too short or too deeply damaged can mean a crown that leaks, loosens, or irritates the surrounding gum tissue within months of being placed.

At Newport Beach Dental Center, this preparatory step is called crown lengthening, and it falls under the periodontal care we provide before certain restorations move forward. Dr. Jeremy Owyoung, our periodontist, performs the procedure to reshape gum tissue and, when needed, the bone beneath it, creating enough exposed tooth structure for a crown or bridge to seat with a secure, well-sealed margin. Rather than treating crown lengthening as an unrelated referral, we coordinate it directly with the restorative care a patient already needs, so treatment moves forward as one connected process.

How Crown Lengthening Changes the Tooth

Every tooth needs a certain amount of solid structure above the gum line for a crown to grip onto and seal against. When a tooth has broken at or below the gum, has decay that extends underneath the tissue, or was fitted with a crown that never had enough of a base, that structure may not be exposed enough to work with, and crown lengthening addresses this directly. Dr. Owyoung trims back a small amount of gum tissue and, in some cases, gently reduces the bone level around the tooth, moving the gum edge further down the root. This gives a future crown more clean tooth structure to hold onto.

The procedure itself typically takes less than an hour, and most patients return to normal activities within a day or two. What takes longer is the healing that follows, and that healing period is the main reason a restoration can’t go on right away.

Why the Timing Matters for a Lasting Restoration

Once the gum tissue and bone have had time to heal, Dr. Laura Sharbash completes the restorative side of treatment, placing the crown, bridge, or other permanent restoration a patient originally came in for. The interval between the two procedures is not selected at random. Every tooth is surrounded by a thin band of gum and connective tissue called the biologic width, which protects the bone and seals the gum against the tooth. Research published through the National Library of Medicine found that gum and bone tissue continue shifting for roughly three months after crown lengthening surgery before stabilizing.

Placing a crown margin too close to tissue that has not finished healing can trap plaque, invite inflammation, and loosen the restoration itself. This is why a dentist may ask a patient to wait before finalizing a crown or bridge after periodontal surgery. The wait gives the gum and bone time to settle into their new position, so the final restoration sits against healthy, stable tissue rather than tissue still healing.

Signs a Restoration May Need Crown Lengthening First

A patient does not always know in advance whether a tooth will need this extra step, but a few patterns tend to show up during an exam, including:

• A tooth broken or decayed at or below the gum line, leaving little visible structure to build on
• A crown or filling that keeps coming loose because the tooth underneath is too short
• An uneven gumline where one tooth sits noticeably shorter than its neighbors
• A fracture that extends below the gum after an injury or a large, failing filling

Any of these situations is worth bringing up during a consultation, as addressing them early can prevent a restoration from failing months after it was placed. Patients who want more detail on what recovery feels like can also read our guide on whether crown lengthening is painful.

Schedule Your Crown Lengthening Consultation at Newport Beach Dental Center

A tooth that needs both crown lengthening and a restoration should not feel like two disconnected experiences. Our team plans the periodontal and restorative sides of treatment together from the start, so you will always knows what happens next and why. Dr. Owyoung handles the surgical portion, and Dr. Sharbash, a Fellow of the Academy of General Dentistry, completes the crown or bridge once the tissue is ready.

If you have noticed a chipped tooth, a loose crown, or a gumline that looks uneven around one tooth, do not wait for the problem to get worse before asking about it. We can look at the tooth in person, explain whether crown lengthening applies to your situation, and map out a timeline that leads to a finished restoration without any guesswork. Reach out through our contact form to schedule a visit and get a clear picture of what your tooth needs.

Bleeding gums, recession, or deep pockets? Here are the key signs it’s time for a periodontal evaluation at Newport Beach Dental Center.

Medically Reviewed by Dr. Laura Sharbash, DDS, FAGD, D.ABDSM on August 3, 2026

Your gums are not supposed to disappear on you, but for millions of adults, that is exactly what happens, slowly and quietly, until sensitivity shows up uninvited and teeth start looking a little taller than they used to. Gum recession tends to sneak up on people because it does not always hurt at first. By the time you notice something is off, the tissue has already pulled back from where it belongs.

The good news is that gum recession is manageable when it is caught and treated with the right approach. At Newport Beach Dental Center, Dr. Laura Sharbash, DDS, FAGD, D.ABDSM, brings a conservative, biomimetic perspective to every evaluation, which means we look at the full picture before making any recommendations. Our periodontics services are designed to address gum concerns at every stage, whether you are dealing with early-stage recession or a more advanced condition.

What Causes Gum Recession?

There is no single culprit behind receding gums, and that is actually what makes it so easy to miss until it has already progressed. Some of the most common contributing factors include the following.

These factors often pile up, and data from the National Institute of Dental and Craniofacial Research show that 42.2% of U.S. adults aged 30 and older have some form of periodontal disease, a condition closely linked to gum recession. Tobacco use is also connected to a higher risk of gum disease generally, which compounds the problem further.

How to Recognize the Symptoms of Gum Recession

Gum recession gives off some fairly clear signals once you know what to look for.

What makes recession a little tricky is that it does not always come with pain, so it is easy to put off until a routine visit catches it. Identifying it early keeps treatment simpler and more conservative.

When to See a Dentist About Gum Recession

A single symptom on its own is not necessarily urgent, but a combination of sensitivity, a changing gumline, or any looseness is worth having evaluated sooner rather than later. Recession does not reverse on its own, and the longer it continues, the more of the root and supporting bone can become involved. If any of the signs above sound familiar, or it has simply been a while since your last periodontal check, reach out to our office to get a clear picture of what is happening.

Treatment Options for Receding Gums

The right approach to treating recession depends on what caused it and how far it has progressed. In many cases, treatment starts conservatively and only moves toward surgery when it is genuinely warranted.

	Treating the Source First	Surgical & Regenerative Options
What it involves	Scaling and root planing, plus brushing technique correction	Soft-tissue grafting or guided tissue regeneration
Best for	Early-stage recession or active gum disease	Recession that has progressed or exposed the root
Recovery	Minimal; results build over subsequent cleanings	One to two weeks of soreness and dietary adjustment

Both approaches reflect Dr. Sharbash’s commitment to biomimetic dentistry, which prioritizes preserving natural structure whenever possible. Our dedicated page on gum recession treatment walks through what each option may involve in more detail.

How We Determine the Right Treatment

Every recommendation starts with a full periodontal evaluation, including measuring gum tissue around each tooth and reviewing what may have caused the recession in the first place. If grafting is being considered, our page on gum grafting and whether you need it breaks down what the procedure involves, what the different graft types are used for, and how recovery typically goes. We only recommend surgery once more conservative options have been ruled out or attempted first.

Keeping Your Gums Healthy Long-Term

Protecting your gum tissue over time does not require a complicated routine. A few consistent habits go a long way:

• Soft-bristled toothbrush: A gentler brush and lighter pressure reduce ongoing wear on the gum tissue.
• Daily flossing: Removing plaque between teeth helps prevent the bacterial buildup that leads to periodontal disease.
• Regular dental visits: Routine cleanings and periodontal checks catch early changes before they progress.
• Custom nightguards: If grinding is part of the picture, a nightguard takes the pressure off your gums and bone while you sleep.

Handling early signs of inflammation before they develop further is, without question, the most effective long-term strategy for keeping your natural gum tissue in place.

Healthier Gums Start at Newport Beach Dental Center

Receding gums are common, but that does not make them inevitable or irreversible. Dr. Sharbash holds a Fellowship from the Academy of General Dentistry, a credential held by fewer than 6% of general dentists in the U.S., and she brings that depth of clinical training to every periodontal evaluation. Our conservative approach means we look for the most effective and least invasive path forward for your specific situation.

We accept Delta Dental as an in-network provider, and financing options through CareCredit and Cherry are available to help make care accessible. If sensitivity, a shifting gumline, or a general curiosity about your gum health has been on your mind, we would love to help you get some answers. Request an appointment online and let us take a look.

Frequently Asked Questions About Receding Gums

Receding gums are more common than most people realize, and they are not just a cosmetic concern. When gum tissue pulls back and exposes more of the tooth or its root, it can lead to sensitivity, decay, and even tooth loss if left unaddressed. Gum grafting is a procedure designed to restore lost tissue, protect the tooth structure, and help stabilize your long-term oral health.

At Newport Beach Dental Center, we take a conservative, biomimetic approach to every treatment we recommend. Dr. Laura Sharbash, DDS, FAGD, D.ABDSM, brings a thorough, patient-first perspective to periodontic care, which means gum grafting is only discussed when it genuinely serves your health. Our team is here to walk through what the procedure involves and how to tell whether it may be right for you, so you can make an informed decision about your care.

What Is Gum Grafting?

Gum grafting, also called a gingival graft, is a surgical procedure in which soft tissue is placed over areas where the gums have receded. The goal is to cover exposed root surfaces, reinforce thin gum tissue, and reduce the risk of further recession. The right approach depends on how much coverage is needed and where the donor tissue comes from.

Each approach has its place, and the right choice depends on your specific anatomy and what you and our team decide together during a consultation.

What Causes Gum Recession?

Gum recession does not happen overnight. It tends to develop gradually, often as the result of habits or conditions that go unnoticed for years. According to the National Institute of Dental and Craniofacial Research, about 42% of adults 30 and older in the United States have some form of periodontitis, making gum health one of the most prevalent oral health concerns in the country.

Beyond gum disease, recession may also be tied to aggressive brushing, clenching or grinding, naturally thin gum tissue, certain medications, or misalignment that concentrates pressure on specific teeth. Gum disease treatment is often a necessary first step before grafting is considered, since grafting onto inflamed or actively infected tissue does not yield predictable, lasting results. Catching recession before it reaches the root or affects supporting bone keeps treatment simpler and more conservative. If you want to compare every option side by side, from deep cleanings and night guards to surgery, our guide on how to fix gum recession lays out the full treatment path.

Signs You Might Need a Gum Graft

Not every patient with gum recession needs a graft. However, certain signs suggest the situation warrants a closer look and a conversation with your dentist. You may be a candidate for gum grafting if you notice any of the following:

If these signs sound familiar, a thorough evaluation will help determine whether grafting, monitoring, or a different treatment is the right path forward for you.

How the Procedure Works

Gum grafting involves a brief surgical procedure, typically completed in a single visit under local anesthesia. The exact steps depend on the type of graft your case calls for. Gum grafting is periodontal surgery, which is the core training of a periodontist, and our team includes Dr. Jeremy Owyoung, who earned his specialty certificate in Periodontics and Implant Dentistry at the University of California, San Francisco and is a Diplomate of the American Board of Periodontology.

The benefits, including reduced sensitivity, protected root surfaces, and a more balanced gum line, often make the short recovery period well worth it. For patients with more advanced concerns, gum grafting may be one component of a larger full-mouth reconstruction plan. After healing, complementary restorative work, such as dental crowns, may also be considered to address any damage to the exposed root structure that occurred during the period of recession.

What Recovery After a Gum Graft Looks Like

Recovery is usually the part patients ask about most. Healing happens in stages, and knowing what to expect makes the first couple of weeks much easier to plan around.

Every recovery is a little different, and your post-operative instructions will be tailored to the type of graft you receive. If anything feels unusual while you heal, such as bleeding that does not settle or swelling that worsens after the first few days, contact our office so we can take a look.

Is Gum Grafting Right for You?

Having your gums evaluated does not mean committing to surgery. Dr. Sharbash’s conservative philosophy means every case is weighed individually, and grafting is recommended only when it serves a clear purpose for your long-term oral health. In milder cases, adjusting your brushing technique or completing gum disease treatment first may be enough to stabilize the tissue without surgical intervention. Our companion page on receding gums causes, symptoms, and treatment options covers the full range of approaches we consider before recommending a graft.

Preventing Further Gum Recession After Treatment

Protecting a graft, or preventing future recession altogether, comes down to a few consistent habits. Switching to a soft-bristled toothbrush and a gentler technique reduces ongoing mechanical wear on the gum line. If clenching or grinding is a factor, a custom nightguard can take pressure off your gums and teeth while you sleep. Regular periodontal maintenance visits also allow us to catch any new irritation early, before it progresses. For patients without dental insurance, our in-house membership plan is worth asking about to help keep follow-up care accessible.

Talk to Newport Beach Dental Center About Your Gum Health

Gum recession is worth taking seriously, but having it evaluated does not mean committing to a procedure. Dr. Sharbash’s conservative philosophy means treatment is always weighed against your individual circumstances, and grafting is recommended only when it serves a clear clinical purpose. As a Fellow of the Academy of General Dentistry (FAGD), she holds advanced credentials earned by fewer than 6% of general dentists nationwide, and her approach reflects that depth of training.

Whether you have noticed increased sensitivity, visible recession, or simply want a baseline assessment of your gum health, our team is here to help. We welcome CareCredit and Cherry financing to keep care accessible, and we are in-network with Delta Dental. Reach out to us today to schedule a consultation and get the answers you need.

Frequently Asked Questions About Gum Grafting

Your gums do a lot more than most people give them credit for. They frame your smile, protect your teeth, and play a major role in whether certain dental treatments are even possible. When there is not enough visible tooth structure above the gumline, whether due to a “gummy smile,” decay extending below the gums, or a broken tooth, crown lengthening can be a solution that opens the door to a healthier, more functional, and more confident smile.

At Newport Beach Dental Center, we understand how important it is to address both the aesthetics and the function of your smile with precision. Dr. Laura Sharbash, DDS, FAGD, D.ABDSM, takes a conservative, biomimetic approach to every procedure, and crown lengthening is no exception. Whether it is preparing a tooth for a dental crown or improving the proportions of your smile, we approach every case with your long-term oral health in mind. Crown lengthening falls under the broader umbrella of gum disease treatment and periodontal care, and understanding what it involves is the first step toward deciding if it is right for you.

What Is Crown Lengthening?

Crown lengthening is a periodontal procedure in which a dentist carefully removes a small amount of gum tissue, bone, or both in order to expose more of a tooth’s surface. The name can be a little misleading, since the tooth itself is not actually getting longer. Instead, more of the existing tooth structure is being revealed, giving us more to work with for restorative or cosmetic purposes. The procedure is performed under local anesthesia and is generally well-tolerated.

When decay, a fracture, or a failed restoration extends below the gumline, there is not enough tooth structure exposed for a crown or filling to bond to properly. Crown lengthening addresses this directly by adjusting the gum and bone levels to create adequate room to work. Without this step, attempting to place a restoration in those conditions can lead to fit issues, gum irritation, or restoration failure over time. Creating a clean, stable foundation first can improve the longevity and success of whatever restorative treatment follows. For a closer look at what happens during the appointment itself, see our guide to crown lengthening procedures.

Can Crown Lengthening Improve a Gummy Smile?

Yes, and this is one of the most rewarding applications of the procedure. A gummy smile occurs when an excess of gum tissue covers a larger portion of the teeth than is typical, making teeth appear short or uneven. Crown lengthening removes this excess tissue to reveal more of the natural tooth crown, creating a more balanced and proportional smile. For patients considering a complete smile makeover, crown lengthening can serve as a meaningful starting point that supports the results of everything else.

Crown lengthening offers a range of meaningful benefits that extend beyond aesthetics. Here is a look at what patients can expect from this procedure:

• Improved smile symmetry: More of the natural tooth surface is revealed, creating a balanced, even appearance across the smile.
• Better conditions for dental restorations: Crowns and fillings have more tooth structure to bond to, which supports fit and durability.
• Reduced risk of recurring issues: Fully exposing decay or damage below the gumline allows us to address problems completely rather than partially.
• Healthier gum tissue long-term: Properly contoured gums are easier to clean and less prone to harboring bacteria in hard-to-reach pockets.

Each of these benefits works together to support a healthier mouth overall, and patients who address gum-related concerns early often avoid more complex treatments down the road.

Is Crown Lengthening Right for You?

Crown lengthening is not a one-size-fits-all recommendation, and candidacy depends on your specific dental situation. Patients dealing with gum recession or significant gum coverage over healthy teeth may be good candidates, while others may benefit more from alternative approaches. A thorough evaluation, including x-rays and a full assessment of your gum health, is always the starting point before any treatment decisions are made.

Recovery from crown lengthening is typically manageable, with most patients returning to normal routines within a few days. Swelling and mild discomfort are common in the first 24 to 48 hours, and our team provides detailed aftercare instructions to make the process as smooth as possible. Full gum tissue healing generally takes a few weeks, after which any needed restorative work can proceed on a stable foundation. If you have questions about discomfort during recovery, our page on whether crown lengthening is painful covers what most patients experience in more detail.

How Crown Lengthening Fits Into Your Broader Treatment Plan

Crown lengthening is rarely the final step on its own. In most cases, it is one part of a larger plan that may include a restoration, a cosmetic procedure, or ongoing periodontal maintenance. Because gum and bone levels need time to heal and stabilize before a crown or filling is placed, your dentist maps out the full sequence of treatment in advance so you know what to expect at each stage, from the initial procedure through the placement of your final restoration.

This is also a good time to ask about long-term maintenance. Once your gum tissue has healed and any restorative work is complete, keeping up with routine cleanings and periodontal checkups helps protect the results and reduces the likelihood of needing additional gum-related treatment in the future.

Frequently Asked Questions About Crown Lengthening

Schedule a Consultation at Newport Beach Dental Center

If you have been told you need crown lengthening, or you are simply curious whether the procedure could help you achieve the smile you have been working toward, we would love to walk you through your options. Dr. Laura Sharbash brings advanced training, including her Fellowship with the Academy of General Dentistry and her Diplomate status with the American Board of Dental Sleep Medicine, to every patient interaction. Learn more about Dr. Sharbash and our practice to see what sets our approach apart.

We are here to help you make confident, informed decisions about your dental health with care that is conservative, precise, and focused on your long-term wellbeing. Contact our office today to schedule your consultation and take the first step toward a healthier, more complete smile.

Does the phrase “root canal” make you anxious? You’re not alone. This common dental procedure has an undeserved reputation for being painful and unpleasant. However, modern root canal therapy is actually quite similar to receiving a routine filling and is designed to relieve pain, not cause it. Understanding the signs that indicate you might need a root canal and what the procedure actually entails can help ease your concerns.

At Newport Beach Dental Center, Dr. Laura Sharbash, DDS, FAGD, D.ABDSM takes a gentle, patient-centered approach to root canal therapy, ensuring your comfort while saving your natural tooth from extraction. Let’s explore the warning signs that might indicate you need this tooth-saving procedure and why there’s truly nothing to fear.

Common Signs You Might Need a Root Canal

Your teeth contain a soft inner tissue called pulp, which houses nerves and blood vessels. When this pulp becomes infected or inflamed due to deep decay, cracks, or trauma, a root canal may become necessary. Here are the most common indicators that you might need this procedure:

Persistent Tooth Pain

One of the most obvious signs is pain that doesn’t go away. This pain might:

• Occur when you’re chewing or applying pressure to the tooth
• Throb continuously or come and go throughout the day
• Wake you up from sleep
• Radiate to your jaw, face, or other teeth

Unlike occasional sensitivity, pain that indicates a need for root canal therapy tends to be more persistent and often more intense.

Sensitivity to Temperature

If you experience a lingering sensitivity to hot or cold foods and beverages, this could signal pulp inflammation or infection. While brief sensitivity is common and usually harmless, pain that continues for several minutes (or even hours) after exposure to temperature extremes often indicates a problem requiring root canal therapy.

Many Newport Beach patients report that cold sensitivity is particularly telling—that sharp, shooting pain when enjoying an iced beverage that doesn’t quickly subside.

Tooth Discoloration

A tooth that’s becoming darker or grayish in color compared to surrounding teeth might indicate pulp damage or death. This discoloration occurs when the internal tissue breaks down and affects the mineral structure of the tooth.

While teeth naturally darken somewhat with age or can stain from foods and beverages, a single discolored tooth often signals an internal issue that may require root canal treatment.

Swollen Gums Around a Tooth

Swelling near a problematic tooth can indicate an infection that needs addressing. This swelling might:

• Be painful to touch
• Appear as a small pimple-like bump on the gum (called a fistula)
• Come and go or remain constant
• Release a bad taste if it drains

Sometimes, this swelling leads to what’s called a dental abscess, which is a pocket of infection that can be quite serious if left untreated.

Deep Decay or Visible Damage

If you have a tooth with:

• A deep cavity that has reached the inner layers
• A crack or fracture extending into the pulp
• Previous multiple dental procedures on the same tooth
• A loose filling or crown

These situations create pathways for bacteria to reach the pulp, leading to infection and inflammation that often necessitates root canal therapy.

Why Root Canals Are Nothing to Fear

Despite their reputation, modern root canal procedures are remarkably similar to getting a filling. Here’s why there’s no reason to fear this tooth-saving treatment:

They Relieve Pain, Not Cause It

The most important thing to understand is that root canals don’t cause pain—they alleviate it. The procedure removes the infected or inflamed pulp that’s causing your discomfort. Most patients report feeling much better after the procedure than they did before.

With modern anesthetics and techniques, you’ll be comfortably numb throughout the entire process. Many patients are surprised to discover that the procedure itself is no more uncomfortable than having a cavity filled.

Advanced Technology Makes a Difference

At Newport Beach Dental Center, Dr. Sharbash uses advanced technology that makes root canal therapy more precise, efficient, and comfortable than ever before. Digital imaging allows for detailed views of your tooth’s canals, while specialized instruments clean and shape these spaces with minimal disturbance to surrounding tissue.

Treatment Is Typically Completed in Just 1-2 Appointments

Most root canals can be completed in a single visit lasting about 60-90 minutes, though some cases may require a second appointment. This is particularly true if an infection is present and needs time to heal before the final restoration is placed.

You’ll Keep Your Natural Tooth

Perhaps the greatest benefit of root canal therapy is that it allows you to keep your natural tooth rather than having it extracted. Maintaining your natural teeth benefits your overall oral health by:

• Preserving your natural bite and chewing efficiency
• Preventing adjacent teeth from shifting
• Maintaining your natural smile aesthetics
• Avoiding the need for more extensive tooth replacement options

Comfort Measures Make the Experience Pleasant

Dr. Sharbash and the team at Newport Beach Dental Center prioritize your comfort throughout the procedure by:

• Offering calming amenities like noise-canceling headphones
• Taking breaks when needed
• Explaining each step so you know what to expect
• Providing appropriate aftercare instructions

For patients with dental anxiety, additional comfort options are available to ensure a positive experience.

What Happens During a Root Canal Procedure?

Understanding the steps involved can help demystify the root canal process:

1. Examination and X-ray: Dr. Sharbash will take an X-ray to see the shape of the root canals and determine if there are signs of infection in the surrounding bone.
2. Anesthesia: Local anesthesia is administered to numb the area completely. You’ll remain awake but comfortable and pain-free.
3. Dental dam placement: A small protective sheet is placed over the area to isolate the tooth and keep it clean and free of saliva during the procedure.
4. Access creation: A small opening is made in the crown of the tooth to access the pulp chamber.
5. Pulp removal: The infected or inflamed pulp tissue is carefully removed, and the inside of the tooth is cleaned and shaped.
6. Canal filling: The cleaned space is filled with a biocompatible material called gutta-percha, which is sealed in place with adhesive cement.
7. Temporary or permanent filling: Depending on your specific case, a temporary filling may be placed until a permanent crown can be created, or in some cases, the permanent restoration can be placed immediately.

Aftercare Is Straightforward

Following a root canal, you may experience some mild discomfort for a few days, which is typically manageable with over-the-counter pain medication. Most patients can return to their normal activities the very next day.

Dr. Sharbash will provide specific aftercare instructions, but generally:

• Avoid chewing on the treated tooth until it’s fully restored
• Continue your normal oral hygiene routine
• Take any prescribed medications as directed
• Return for your follow-up appointment if needed

With proper care, a tooth treated with root canal therapy can last a lifetime.

If you’re experiencing any of the warning signs mentioned above, don’t let fear keep you from seeking treatment. Modern root canal therapy is nothing to fear—in fact, it’s often the best way to relieve pain and save your natural tooth. Contact Newport Beach Dental Center at (949) 760-9212 or through our online appointment form to schedule an evaluation with Dr. Sharbash and take the first step toward a pain-free smile.

Medically Reviewed by Dr. Laura Sharbash, DDS, FAGD, D.ABDSM on September 24, 2026

When your dentist mentions crown lengthening, you might wonder what this procedure involves and whether it’s right for your situation. Crown lengthening addresses various dental concerns, from preparing teeth for restorative work to improving the appearance of your smile when gums cover too much of your teeth.

Dr. Laura Sharbash at Newport Beach Dental Center provides comprehensive crown lengthening procedures to help patients achieve optimal oral health and aesthetics. Whether you need this treatment for functional or cosmetic reasons, understanding the process helps you feel confident about your upcoming procedure and recovery.

What Is Crown Lengthening?

Crown lengthening is a periodontal procedure that removes excess gum tissue and sometimes bone to expose more of your tooth’s surface. This treatment creates the proper foundation for dental crowns when insufficient tooth structure remains above the gumline or improves smile aesthetics when gums appear disproportionate to teeth.

The procedure serves both functional and cosmetic purposes in modern dentistry. Functional crown lengthening prepares teeth for restorative work by ensuring adequate tooth structure for proper crown retention. Cosmetic crown lengthening addresses “gummy smiles” where excessive gum tissue makes teeth appear short or uneven.

According to the American Dental Association, crowns can strengthen teeth with large cavities when there isn’t enough healthy tooth structure to hold a filling. Crown lengthening often becomes necessary before crown placement to ensure the long-term success of these restorations.

When Is Crown Lengthening Necessary?

Several situations may require crown lengthening to achieve optimal dental health and function. Understanding these scenarios helps patients recognize when this procedure becomes beneficial for their treatment plan.

Crown lengthening becomes essential when teeth require dental crowns but lack sufficient tooth structure above the gumline. Decay extending below the gumline or fractured teeth often need crown lengthening before restoration can proceed successfully. The procedure ensures adequate space between the crown margin and supporting bone structure, preventing complications and promoting healthy gum tissue around the restoration.

Cosmetic crown lengthening addresses aesthetic concerns when gums cover excessive amounts of tooth surfaces, creating an unbalanced smile appearance. The procedure creates better tooth-to-gum proportions, revealing more of the natural tooth structure and improving overall smile harmony.

The Crown Lengthening Process

Understanding each step of crown lengthening helps patients prepare for their procedure and know what to expect throughout their treatment journey. The process involves careful planning, precise execution, and dedicated follow-up care.

Your consultation includes a comprehensive examination of your teeth, gums, and bone structure to determine the best approach for your situation. Dr. Sharbash discusses your treatment goals, timeline, and any concerns you may have about the procedure.

Crown lengthening typically involves local anesthesia to ensure your comfort throughout the treatment. The procedure carefully removes excess gum tissue and, when necessary, small amounts of bone to achieve the desired tooth exposure and contours. Modern techniques minimize discomfort and promote faster healing while achieving precise results.

Initial healing typically occurs within one to two weeks, during which you may experience mild swelling and discomfort that is manageable with prescribed medications. Complete tissue maturation takes several months, after which any planned restorative work can proceed.

Benefits and Recovery Expectations

Recovery from crown lengthening involves managing any discomfort and protecting the surgical site from irritation during the first few days. Most patients return to normal activities within a few days, though strenuous exercise should be avoided initially.

Professional crown lengthening provides numerous advantages for both oral health and aesthetic outcomes. Functional benefits include improved success rates for dental crowns and other restorations by ensuring adequate tooth structure. Aesthetic improvements often exceed patients’ expectations, creating more balanced and attractive smile proportions.

Long-term oral health benefits include easier maintenance of restored teeth and reduced risk of future complications. Properly contoured gums promote better oral hygiene and help prevent recurring dental problems in treated areas.

Crown Lengthening at Newport Beach Dental Center

Crown lengthening can significantly improve both the function and appearance of your teeth when performed by an experienced dental team. Whether you need this procedure for restorative preparation or cosmetic enhancement, professional treatment ensures optimal results and comfortable recovery. Dr. Laura Sharbash’s extensive training as a Fellow of the Academy of General Dentistry and her commitment to advanced periodontal techniques provide patients with comprehensive crown lengthening solutions. Her recognition as one of 10 “Dentists to Watch” by AGD Impact reflects her dedication to excellence in all aspects of dental care, including sophisticated periodontal procedures. Contact our Newport Beach office today to schedule your crown lengthening consultation and discover how this treatment can enhance your oral health and smile confidence, or call (949) 760-9212.

Frequently Asked Questions About Crown Lengthening

Medically Reviewed by Dr. Laura Sharbash, DDS, FAGD, D.ABDSM on September 25, 2026

TMJ symptoms can disrupt your daily life with jaw pain, clicking sounds, and difficulty eating, leaving you wondering what treatment options might provide relief. The short answer is yes: a dentist can help, and the options include custom night guards, a careful bite evaluation, repair of teeth worn down by grinding, and, for muscle-related pain, Botox. Many people start with simple self-care and conservative, reversible treatments and add more involved options only if symptoms persist.

Dr. Laura Sharbash at Newport Beach Dental Center offers TMJ treatment that starts with a careful exam of your jaw joints, chewing muscles, and bite. From conservative approaches to more involved therapies, knowing your options helps you make informed decisions about managing TMJ symptoms and improving your quality of life.

How TMJ Disorders Connect to Your Teeth and Bite

Temporomandibular disorders, often shortened to TMD or simply called TMJ, affect the joints that connect your lower jaw to your skull and the muscles that move them. According to the National Institute of Dental and Craniofacial Research, TMD affects about 5 percent of adults in the United States and is roughly twice as common in women as in men. The joint works continuously throughout the day, making it susceptible to strain from teeth grinding, clenching, and jaw muscle tension.

Many TMJ symptoms have direct connections to dental health and bite function. Teeth grinding, also known as bruxism, places excessive stress on the jaw joint and surrounding muscles, and it often happens during sleep when you are not aware of it. A dental exam can reveal wear patterns, muscle tenderness, and joint sounds that point toward the source of the problem, which is why a dental office is often the first place people find relief.

Common Signs of a TMJ Problem

Symptoms vary from person to person, but these are the ones patients mention most often:

• Jaw pain or tenderness: Aching in the jaw, face, or around the ear, often worse after chewing or first thing in the morning.
• Clicking or popping: Sounds when opening or closing the mouth, sometimes with a grating sensation.
• Limited opening or locking: Trouble opening wide, or a jaw that briefly catches in one position.
• Headaches and ear discomfort: Tension headaches near the temples or a feeling of fullness in the ears.
• Worn or cracked teeth: Flattened biting surfaces that suggest nighttime grinding or clenching.

Clicking without pain is common and does not always need treatment, but pain, locking, or trouble eating are good reasons to schedule an evaluation.

How a Dentist Diagnoses TMJ Disorders

There is no widely accepted standard test for TMD, so diagnosis starts with a careful history and exam. Your dentist asks about your pain, when it happens, and what makes it better or worse, then checks your head, neck, face, and jaw for tenderness, clicking, or limited movement. Imaging such as an x-ray, MRI, or CT scan may be recommended in some cases.

Pain in the mouth, jaw, or face does not always come from the jaw joint, so your dentist may need to rule out other conditions before confirming TMD. Keeping a short note of when your symptoms flare, and what you were doing at the time, makes that conversation easier.

Conservative Dental Treatments for TMJ

Several conservative dental treatments may ease TMJ symptoms without invasive procedures. These approaches focus on reducing strain on the jaw joint and protecting teeth from damage caused by grinding or clenching, and they are reversible, which means they do not permanently change your teeth or bite.

Custom Night Guards

Night guards are one of the most common treatments dentists use for TMJ symptoms related to teeth grinding or clenching. Custom-fitted night guards help protect teeth from the damage grinding and clenching can cause.

Unlike over-the-counter options, custom night guards fit precisely to your teeth, which improves comfort and makes it easier to wear them every night. Night guards are sometimes called bite splints or stabilization splints, and the right type depends on your symptoms. The NIDCR lists these intraoral appliances as a second step after simpler self-care, and they do not change your teeth or bite. Results vary from person to person, so we check in after you have worn the guard for a while.

Bite Evaluation and Why It Matters

TMJ symptoms can occur alongside bite or other dental issues, although research has not shown that a misaligned bite causes TMD. During an evaluation, we look at how your upper and lower teeth come together and whether any teeth are taking on more force than they should.

Permanent changes to the bite, such as reshaping tooth surfaces or moving teeth, are not a treatment we use for jaw pain. According to the NIDCR’s summary of TMD treatments, occlusal treatments such as crowns, grinding down teeth, and orthodontic work do not help TMDs and can make the problem worse. A bite evaluation is still useful, because it can show whether worn teeth or a separate alignment concern needs its own care, such as clear aligner therapy for alignment goals that are unrelated to jaw pain.

Advanced TMJ Treatment Options

For patients with persistent TMJ symptoms that do not respond to conservative treatments, additional options may be considered. These are chosen based on what your evaluation shows.

Botox for TMJ Muscle Tension

Botox injections are sometimes used for muscle-related TMJ symptoms. Botox works by relaxing muscles, and the goal is to ease tension in overactive jaw muscles that may contribute to pain.

Injections are placed in chewing muscles, which commonly include the masseter and temporalis. The effects of Botox are temporary, and results vary from person to person, so follow-up is planned to check how you are feeling and decide whether any next steps make sense.

This option may be considered for people with ongoing muscle-related jaw pain who have already tried simpler steps. The NIDCR notes that researchers do not have conclusive evidence that Botox injections into the chewing muscles help with TMDs, and Botox is not FDA approved for TMD, so we discuss it as one option among several after a thorough evaluation rather than as a starting point.

Restorative Dental Solutions

Grinding and clenching can wear, chip, or crack teeth over time. Restorative treatments repair that damage and help protect teeth from further breakdown.

Dental crowns may be necessary to restore proper tooth shape and function when teeth have been damaged by grinding or decay. When several teeth are involved, a broader restorative dentistry plan can rebuild worn teeth while supporting overall oral health. Because these treatments are permanent, we recommend them to repair damaged teeth, not as a treatment for jaw pain itself.

Reversible vs. Irreversible TMJ Treatments at a Glance

Seeing the options side by side can make the treatment conversation easier. The table below summarizes each approach and when it is typically considered.

Starting at the top of this list and moving down only as needed keeps your treatment as conservative as possible.

Lifestyle and Supportive Therapies

Supportive therapies often go hand in hand with professional dental care. The NIDCR lists several simple steps as the place to start, and many of them can be done at home.

Self-Care at Home

Eating soft foods, applying heat or cold to the face, skipping gum and hard or chewy foods during flare-ups, and doing gentle jaw stretching and strengthening exercises are all simple steps the NIDCR lists as a place to start. Stress management techniques can also help ease jaw muscle tension and clenching habits.

Medications and Physical Therapy

Short-term over-the-counter pain relievers, taken as directed, can help during a flare. If simpler steps do not help, a doctor or dentist may suggest prescription medication or a referral for physical therapy, including manual therapy. Check with your physician before starting any medication.

Sleep and Nighttime Grinding

Nighttime grinding sometimes shows up alongside sleep-disordered breathing. If you also snore loudly or wake up unrefreshed, mention it during your visit, since Dr. Sharbash also offers sleep apnea screening and oral appliance therapy in coordination with your physician. Professional dental care and supportive steps often work together.

Choosing the Right TMJ Treatment

Selecting appropriate TMJ treatment depends on your specific symptoms, underlying causes, and lifestyle factors. A professional evaluation helps identify the approach most likely to help in your situation.

Dr. Sharbash conducts thorough examinations, including assessment of jaw joint function, muscle tension, and bite relationships. This evaluation helps determine whether conservative treatments are likely to be enough or whether additional therapies should be considered. If your symptoms suggest a problem inside the joint itself, we can coordinate with your physician or refer you for further evaluation.

Treatment plans typically begin with conservative approaches and progress to more advanced options only if needed. This graduated approach means you receive the least invasive treatment that works, while additional therapies remain available if symptoms persist.

TMJ Treatment at Newport Beach Dental Center

Jaw pain does not have to take over your day. An evaluation is a helpful first step toward learning what is behind your symptoms and which options fit your situation.

Dr. Laura Sharbash is a Fellow of the Academy of General Dentistry, holds a facial injectables certification, and was named one of 10 “Dentists to Watch” by AGD Impact. She brings a conservative, gentle approach to TMJ care. Contact our Newport Beach office today to schedule your TMJ evaluation and talk through which options fit your symptoms.

Frequently Asked Questions About Dental Treatments for TMJ

Imagine trying to enjoy your morning toast only to find your mouth feels like you’ve been wandering through the desert for days, or attempting to give an important presentation while your tongue seems glued to the roof of your mouth. Dry mouth, medically known as xerostomia, transforms everyday activities into frustrating challenges when your salivary glands decide to take an unscheduled vacation from producing the moisture your mouth desperately needs.

At Newport Beach Dental Center, Dr. Laura Sharbash understands the frustration that dry mouth can cause for patients. Our general dentistry practice focuses on identifying the root cause of your dry mouth, rather than just treating your symptoms. We take a proactive approach by developing personalized treatment plans that restore your comfort and protect your oral health.

Understanding What Causes Dry Mouth

Several factors can play a role in reduced saliva production, and identifying the specific cause of your dry mouth is crucial for effective treatment.

Medications 

Medications rank as one of the most common culprits, with over 400 prescription and over-the-counter drugs listing dry mouth as a side effect. Blood pressure medications, antidepressants, antihistamines, and pain relievers frequently disrupt normal salivary gland function.

Age & Medical Conditions

Medical conditions also play a significant role in the development of dry mouth. Diabetes, autoimmune disorders like Sjögren’s syndrome, and cancer treatments, including chemotherapy and radiation, can severely impact saliva production. Age-related changes and hormonal fluctuations, particularly during menopause, may also contribute to decreased saliva flow.

Lifestyle

Lifestyle factors shouldn’t be overlooked when examining the causes of dry mouth. Smoking, excessive alcohol consumption, and mouth breathing can all reduce saliva production or increase moisture loss from your mouth. Even something as simple as breathing through your mouth while sleeping can leave you waking up with an uncomfortably dry sensation.

Recognizing the Signs and Symptoms

Dry mouth presents itself through several uncomfortable symptoms that extend beyond simple thirst. A sticky, dry sensation in your mouth and throat often accompanies difficulty swallowing, chewing, or speaking clearly. You might notice frequent bad breath, a rough or burning tongue sensation, and changes in your sense of taste that make your favorite foods seem bland or metallic.

More concerning symptoms include increased tooth decay, gum irritation, and mouth sores. Without enough saliva to counteract acids and wash away bacteria, your risk for complications increases significantly.

Effective Solutions for Dry Mouth Relief

Managing dry mouth typically involves a combination of professional treatment and lifestyle modifications. Staying well-hydrated by drinking water throughout the day helps maintain moisture levels in your mouth. Sugar-free gum and lozenges can naturally encourage saliva production, while avoiding alcohol-based mouthwashes helps prevent further drying.

Several practical strategies can provide immediate relief, including the following:

• Use a humidifier to add moisture to the air while sleeping
• Choose alcohol-free, moisturizing mouthwashes designed for dry mouth
• Minimize caffeine and alcohol consumption, as both can lead to dehydration
• Practice good oral hygiene with fluoride toothpaste to prevent complications
• Try sucking on ice chips or frozen fruit pieces for temporary moisture

These simple adjustments to your everyday routine can make a noticeable difference in your comfort levels. Professional treatments may include prescription medications that stimulate saliva production or artificial saliva substitutes for severe cases. Dr. Sharbash may also recommend specific oral care products specifically formulated for patients with dry mouth.

Newport Beach Dental Center Can Help With Your Dry Mouth

Don’t let dry mouth diminish your quality of life or compromise your oral health. Dr. Laura Sharbash brings extensive training and credentials, including her Fellowship in the Academy of General Dentistry (FAGD) and Diplomate status with the American Board of Dental Sleep Medicine (D.ABDSM), to provide comprehensive care for patients experiencing dry mouth symptoms. Our team takes a personalized approach to identify the specific causes of your discomfort and develop effective solutions tailored to your unique situation.

Located in beautiful Newport Beach, we combine advanced dental techniques with compassionate care to help you achieve optimal oral health and comfort. Whether your dry mouth stems from medications, medical conditions, or lifestyle factors, we’re here to guide you toward lasting relief and help you rediscover the joy of comfortable eating, speaking, and smiling. Call us at (949) 760-9212 or visit our contact form to schedule your consultation and take the first step toward a more comfortable, healthier smile.

Biomimetic dentistry is built on preserving natural tooth structure rather than removing it. Learn the philosophy, materials, and techniques behind this conservative approach to dental restorations at Newport Beach Dental Center.