Background. Crown lengthening is a procedure that is done to increase the supra gingival tooth structure which permits esthetic restoration of the tooth without violating the biological width. Several techniques are available for this purpose including post core with crown, surgical crown lengthening, and orthodontic extrusion. Each technique has its indications, advantages, and disadvantages. This article will review each method precisely. Methods. Surgical crown lengthening is a traditional method which is mostly done by apically repositioned flap after bone recontouring to establish new biological width. However, this bone reduction may damage the bony support of the adjacent teeth resulting in compromised function, loss of interdental papilla, as well as open embrasures. Orthodontic root extrusion is a technique based on principles of osteophysiology and continuous orthodontic forces. The objectives of forced eruption are preservation of biological width, exposure of sound tooth structure, and provision of high esthetics particularly in anterior region. Therefore, it is the preferred mode of crown lengthening avoiding the negative consequences of surgical CL. Results. Orthodontic forced eruption is a minimally invasive treatment option for reestablishing biological width and it does not affect esthetic, nor does it interfere with the periodontal support of the adjacent teeth. This approach also would balance the crown root ratio which leads to a more stable hard and soft tissue results. More than this, in the anterior section orthodontic root extrusion provides gingival alignment with no interference with the periodontium of the neighboring teeth. Conclusions. Forced eruption is mostly indicated in the anterior region of the dentition where esthetics is of major concern. Posteriorly in the dental arch, surgery crown lengthening may be more appropriate because flared molar roots may present proximity problems if extruded, and esthetic is of less important.