Crown Lengthening Post-Op Instructions
Crown Lengthening is a procedure completed when there is inadequate biologic width (area where the gum tissue attaches to tooth structure) or short tooth length. In these situations, it is necessary to complete before crown placement to ensure a proper fit for esthetics. This procedure is required due to the following: tooth fracture below the gum line, excessive decay, root decay or excessive gum tissue.
Crown lengthening is a periodontal surgical procedure performed on teeth prior to crown or veneer placement or for esthetics. Local anesthesia will be used in the area of the procedure. Your dentist will create space around the tooth/teeth by removing small amounts of gum tissue, bone or a combination of both. Sutures will be placed in the area and a periodontal dressing may be used.
The purpose of this procedure is to create space around the gum line of the tooth/teeth to allow placement of a crown(s) or bridge with an adequate fit, to provide adequate biologic width and/or improve the esthetics of a gummy smile. There will be approximately 6-8 weeks of healing time after this procedure before your restorative work begins.
Side-Effects: As with any surgical procedure, there are some risks of post-operative complications. They include, but are not limited to:
1. Swelling, bruising or discomfort in the surgery area.
2. Bleeding- significant bleeding is not common, but persistent oozing can be expected for several hours or days.
3. Post-operative infection or graft rejection requiring additional treatment or medication.
4. Tooth sensitivity, tooth mobility (looseness) or teeth pain.
5. Gum recession/shrinkage creating open spaces between the teeth and making teeth appear longer.
6. An-Esthetic exposure of crown (cap) margins.
7. Food lodging between the teeth after meals, requiring cleaning devices such as floss for removal.
8. Numbness or altered sensations in the teeth, gums, lip, tongue and chin, around the surgical, area following the procedure. Almost always the sensation returns to normal, but in rare cases, the loss may be permanent.
9. Limited jaw opening due to inflammation or swelling. Sometimes it is a result of jaw joint discomfort (TMJ), especially when TMJ disease already exists.
10. Stretching of the corners of the mouth resulting in cracking or bruising.
11. Damage to adjacent teeth, especially those with large fillings, crown or bridges.
Alternative Treatment Options:
Tooth Extraction (removal)