Crown lengthening surgery can be provided for different reasons around teeth. Sometimes teeth fracture and your dentist has insufficient tooth structure above the gum to restore your tooth with a crown. Some patients have excessive gingival display above their teeth when speaking or smiling, or they may have gingival asymmetry, such as a tooth that looks shorter than the others. In these situations, aesthetic crown lengthening is required. Crown lengthening surgery involves removing some gingival tissue and bone around the circumference of the tooth to create sufficient dentine above the gum so your dentist can crown your tooth. Aesthetic crown lengthening involves the removal of gingival tissue and bone on the facial aspect of your tooth or teeth.