Periodontal Therapy & Surgery

Crown Lengthening

When decay occurs below the gumline, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth.

Crown Lengthening procedures are done for both restorative dentistry and/or to improve the esthetics of your gum line. General practitioners often refer for crown lengthening procedures prior to restoration of broken or severely decayed teeth. This procedure adjusts the gum and bone level to expose more of the tooth so it can be restored.

Sometimes crown lengthening is done to improve a “gummy” smile because the teeth appear short. The teeth may actually be the proper length but excess gum tissue may be covering these teeth. During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth.

Gingival Flaps (including deep scaling)


Arestin (localized antibiotic)


  1. Don’t Touch. Avoid touching areas of your gums that your dental professional has treated.
  2. Wait to brush. Wait 5 hours before brushing your teeth in areas that have been treated with ARESTIN.
  3. Wait to floss. Wait 3 days before flossing or using toothpicks or other devices that clean between your teeth in areas that have been treated with ARESTIN.
  4. Avoid eating hard, crunchy, or sticky foods for 1 week after treatment.
  5. Always follow up. Because the bacteria that cause periodontal disease are persistent, the infection can return. Please be sure to make follow-up appointments with your dental professional to maintain healthy gums and teeth.
  6. Keep your schedule appointments. It is important to keep all of your dental appointments so that your dental professional can re-examine your gums, make sure the infection is under control, and measure the success of your treatment.



Chlorhexidine Gluconate

What is the most important information I should know about chlorhexidine gluonate?

Do not swallow the chlorhexidine gluconate rinse. Swish it around your mouth and spit it our. Use chlorhexidine gluconate after brushing and flossing your teeth. Do not dilute the solution with water or any other liquid. Avoid eating, drinking, and rinsing your mouth for at least 1 hour after chlorhexidine gluconate.

What is chlorhexidine gluconate?

Chlorhexidine gluconate is a germicidal mouthwash. It reduces bacteria in the mouth. Chlorhexidine gluconate is used to treat gingivitis (swelling, redness, and bleeding of the gums). Chlorhexidine gluconate is usually prescribed by a dentist. Chlorhexidine gluconate may also be used for purpose other that those listed in these medication guide.

How should I use chlorhexidine gluconate?

Use chlorhexidine gluconate exactly as directed by your dentist or doctor. If you do not understand these instruction, ask your pharmacist, dentist, doctor, or nurse to explain them to you. Use chlorhexidine gluconate after-not before-regular brushing and flossing. If you use it before, it will be washed away by brushing. Measure out the appropriate amount of medication. Swish it around in your mouth for about 30 seconds, then spit it out. Do not swallow the mouthwash. Do not rinse your mouth after using this medication, even if it leaves an unpleasant taste. Also avoid eating or drinking for at least 1 hour to allow the chlorhexidine to continue to work. Use all of the chlorhexidine gluconate that has been prescribed for you, even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. Store chlorhexidine gluconate at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and use only your next regularly scheduled dose.