Periodontal
Crown Lengthening in Washington,DC & Bethesda, MD
Functional crown lengthening is a periodontal procedure that exposes more of a tooth so it can be properly restored and function comfortably long term. Unlike cosmetic crown lengthening, which focuses on appearance, functional crown lengthening is performed to allow your general dentist to place a crown, filling, or bridge correctly and safely.
This procedure is often necessary when a tooth is broken, decayed, or fractured below the gumline, leaving too little visible tooth structure to restore.
Learn how crown lengthening can enhance both function and aesthetics—and why patients throughout Washington, DC, Bethesda, MD, and the surrounding areas trust us with their periodontal care.
What is Functional Crown Lengthening?
Crown lengthening involves removing or reshaping the gum tissue and the underlying bone to expose more of the tooth structure. This creates a strong foundation for long-lasting restorative work.
Patients are often referred for functional crown lengthening when:
- There isn’t enough tooth structure above the gums to support a crown or filling
- A tooth has broken near the gum line
- Decay or damage extends below the gumline
- Your dentist needs clearer access to complete treatment safely
- A restoration keeps falling off because it can’t “grip” the tooth
Functional Crown Lengthening Procedure & Recovery:
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STEP 1: Evaluation & Temporary Crown (General Dentist)
Your general dentist diagnoses the issue and determines if more of the tooth needs to be exposed. They prepare the tooth, place a temporary crown, and refer you to us, the periodontist, for the crown lengthening procedure.
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STEP 2: Crown Lengthening Procedure (Our Office)
The procedure is performed at our office. You’ll be comfortably numbed with local anesthesia, so you won’t feel pain during the procedure. For added comfort, we also offer laughing gas (nitrous oxide) and Xanax if you’re feeling anxious or prefer a more relaxed experience. We will carefully reshape or remove excess gum tissue and adjust the bone to expose more of the tooth. The gums are then sutured in place for proper healing and your temporary crown is placed back on.
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STEP 3: Recovery & Healing Phase
It’s normal to experience mild swelling and soreness after the procedure. Over-the-counter pain relievers and a soft-food diet for a few days helps you stay comfortable. We will provide you with detailed post-op instructions. The gums need a few weeks to heal and settle into their new position. This helps ensure your final crown fits beautifully and lasts long-term.
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STEP 4: Final Crown Placement (General Dentist)
Once the gums have healed, we’ll give you the all-clear, and you’ll return to your general dentist. They’ll take the final impressions or digital scan and place your permanent crown, completing the restoration.
What Can I Eat After the Procedure?
Eating the right foods post-operatively is just as important as the procedure itself. To help you heal properly and keep you comfortable, stick to soft, gentle foods that don’t require much chewing, especially in the first few days.
Day 1
Day 1: Keep It Cold and Soft. Right after surgery, your mouth will be tender, and cold foods can help soothe the area and reduce swelling. Stick to things like:
- Smoothies (no straws)
- Yogurt
- Ice cream
- Milkshakes
- Drink plenty of ice water!
Days 2-14
Days 2–14: Soft, Room Temperature Foods.
As healing progresses, you can slowly add in more soft foods that don’t require much chewing. Think:
- Mashed potatoes
- Scrambled eggs
- Oatmeal
- Cooked pasta
- Cooked, soft vegetables (squash, zucchini, potatoes)
- Soft fruits (bananas, canned fruits, avocado)
- Tender cooked meats (shredded chicken, ground turkey, ground beef)
- Soft fish (white fish or salmon)
- Pancakes
- Cottage cheese or soft cheeses
Rule of thumb: If you can smash it with a fork, you can eat it. Steamed carrot? Yes. Raw carrot? Not yet.
Foods to Avoid
Foods to Avoid
To prevent irritation or damage to the graft site, avoid:
- Crunchy foods (chips, nuts, raw veggies)
- Seeds or small grains (chia, quinoa, sesame seeds, poppy seeds)
- Hard bread or crusty rolls
- Spicy or acidic foods
- Hot foods and drinks for the first couple of days
- Sticky foods (caramels, gummy candy, chewing gum)
- Anything that requires a lot of chewing
NO:
- Straws
- Alcohol
- Smoking
- Chewing on the surgical side
Benefits of Functional Crown Lengthening:
- Saves a tooth that would otherwise need to be extracted
- Creates the ideal conditions for strong, long-lasting crowns or fillings
- Improves access for cleaning and reduces the risk of future decay
- Helps prevent restorations from loosening or failing
Is Functional Crown Lengthening Right for You?
If your dentist has told you there isn’t enough tooth structure to place a crown, or if you’ve been referred to a periodontist before restorative treatment, functional crown lengthening may be the solution.
Our team is happy to evaluate your case, explain your options, and coordinate closely with your general dentist to achieve the best possible outcome.
Aesthetic Crown Lengthening For Gummy Smile
Do you feel like your smile shows too much gum or that your teeth look small?If so, aesthetic crown lengthening might be the perfect solution for you. It’s a periodontal procedure that reshapes excess gum tissue and the underlying bone to expose more of your natural tooth structure. It’s used to treat a “gummy smile” and create a more balanced tooth-to-gum ratio. Aesthetic crown lengthening is a simple and effective way to balance your smile and boost your confidence.
FAQs About Crown Lengthening
You’ll see results immediately! The final gum contour will settle in over several weeks as the tissue heals.
Not at all, your comfort is our priority. It’s performed under local anesthesia, which means the treatment area will be completely numb. You won’t feel pain during the procedure, and most patients report little to no discomfort throughout. For added comfort, we also offer laughing gas (nitrous oxide) and Xanax if you’re feeling anxious or prefer a more relaxed experience.
After the procedure, you can expect some mild swelling or tenderness in the treated area for a few days. This is completely normal and can usually be managed with over-the-counter pain relievers or any medications we prescribe. We also recommend eating cold foods (ice cream, smoothies) for the first 1-2 days, as it will soothe the area and reduce swelling. We’ll provide you with detailed post-op instructions to help you heal comfortably.
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Testimonials
What Patients Are Saying
Dr. Yousefi was fantastic. She was calm, funny, and capable. She immediately put me at ease (I was pretty anxious). I have never been numbed up so quickly and near painlessly – and the rest of the procedure was then painless, too. She and her team gave clear directions as to what to do for the next 24 hours and beyond, what to eat, how to care for the flipper temporary tooth, and answered all my questions. The staff called me the next business day to follow up and answered more questions that I had come up with by then. Highly recommend.
Phyllis R.
Dr Lucy Johnson was the best! I really am grateful for her help with my dental issue, and so impressed how fast she got me in and that she was so understanding of my dental anxiety! She made sure my anxiety was controlled before my appointment and was extra careful to ensure no pain during the procedure at all. Highly highly recommend!
Halima B.
My family and I have been patients for maybe 10-15 years! After trying a bunch of different dentists, we found Dr. Yousefi and have been happy with her team and their services ever since. She has helped us with minor issues as well as major long-term care, including a broken tooth and a few implants. The service has always been amazing, and we are very happy with the quality and expertise here. The new, amazing facilities with super convenient parking are just the cherry on top!
Dmitry K.
I had a front tooth extraction with a bone grafting procedure done by Dr. Lucy Johnson, and the experience was excellent from start to finish. She explained everything clearly, made me feel completely at ease, and everything went so well during the surgery.
The recovery has gone better than expected. I was thinking that my temporary would look rugged, but it looks better than my natural tooth! The procedure was painless and recovery has been a breeze- very minimal discomfort. Her team was professional, kind, and responsive throughout. I truly appreciate the level of expertise and compassion Dr. Johnson brings to her work. Highly recommend her to anyone!
Sandra G.
I had gum recession on my molars from brushing too hard. I saw Dr Lucy Johnson and she was amazing. She was kind, patient, and thoroughly explained everything they were doing, including my treatment plan, and answered any questions I had. I couldn’t be happier with my outcome! I would highly recommend.
Dylan P.
Two weeks post-surgery and I couldn’t recommend this office more. Both doctors are wonderful and clearly very experienced with a patient-first mindset. The office followed up frequently after my surgery to ensure I was recovering well and to answer any questions. After two weeks, I have no pain from the surgery and the gums have already healed up. If you are in need of any dental surgery work, I would 100% recommend this office!
Michael A.
Sara is an excellent dental hygienist and really cares about her patients. She is very good at providing a regimen to help my gums. Dr. Eskow did my gum revision surgery years ago and he’s the best. I recently needed some more work done around the come on 12 and Dr. Eskow handled it beautifully, and his assistant Emily was great.. And the staff at the front desk always makes it a pleasant visit.
Mimi B.
Sholto S.
I’ve been a patient of Dr. Raha Yousefi for over two years, and she is truly one of the best. From day one, her professionalism and genuine care for her patients were evident. Dr. Yousefi’s expertise in dentistry is outstanding, and she takes the time to explain every step of the treatment, ensuring I feel comfortable and informed. Her warm and compassionate personality makes every visit a pleasant experience, and it’s clear she deeply values her patients. The staff at her practice is equally amazing—always friendly, professional, and welcoming. I highly recommend Dr. Yousefi to anyone seeking a dentist who combines professional excellence with heartfelt care.
Cezanne B.
District Dental Surgery Locations
Washington, DC
(Formerly Known as District Perio)
1828 L St NW Suite 860 Washington, DC 20036