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Doctor insights on: Is Crown Lengthening Painful

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Do crowns always need crown lengthening? I'm going to need two crowns, the first i've ever had, and was told that i'm going to need crown lengthening, which sounds really painful. Is this a common thing with crowns? .

Do crowns always need crown lengthening? I'm going to need two crowns, the first i've ever had, and was told that i'm going to need crown lengthening, which sounds really painful. Is this a common thing with crowns?


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Dr. : Dr. Scharf has already given you an answer i can agree with. I would like to address the 2 last parts of your question. Today, intraoral treatments are almost always done with some form of local anesthetic so the procedure itself should not only be pain free but feeling free. Postoperatively, as the area heals sensation gradually returns and the area becomes normal feeling again. Rarely does a patient need more than over-the-counter pain meds for the usual minimal discomfort experienced after these procedures. A quality practitioner should be aware of your concerns and address them accordingly. Personally speaking, i had a crown lengthening done on myself by a colleague and don't remember it to be a painful experience. Your question about commonality of this procedure is interesting. As I am a periodontist who also does crowns (not-limited to periodontics) i can only speak from personal experience. In my office, probably less than 5% of the crowns that I do get crown lengthenings. Other practitioners may fine that figure low or some may find it high. As this is your first experience needing what some may call "advanced" dentistry, i can understand your concern about these procedures. They certainly may be necessary in your case but it wouldn't hurt to ask your practitioner about possible alternative procedures. ...Read more

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Dr. Andrew Berry
6 doctors shared insights

Crown (Definition)

The crown of a tooth is that part of the tooth on top of the root. The crown of the tooth is the part that is visible in the mouth. A crown restoration is a procedure that restores the crown of a tooth that is damaged by fracture or extensive decay by cementing a replica of the crown over a prepared tooth, and is one of the most common ...Read more


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What is the expected recovery time for a crown lengthening? I have some teeth that are really worn down, and crown lengthening has been recommended as an option. It seems like a painful procedure though, and i'm wondering how long it might take for me to

What is the expected recovery time for a crown lengthening? I have some teeth that are really worn down, and crown lengthening has been recommended as an option. It seems like a painful procedure though, and i'm wondering how long it might take for me to

The : The recovery time of crown lengthening procedures are directly related to: the general blood condition of the patient such as prothrombin time. General oral health of the patient if periodontitis is present. If the patient is a smoker. And how much tooth structure was expose, meaning the amount of bone reduction exerted. This are the main factors influencing the healing time, and the waiting time is generally 2 to 3 weeks under good conditions. ...Read more

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What's crown lengthening?

What's crown lengthening?

It is: A method of gaining enough length of tooth so that the final restoration finishes in solid tooth high enough above bone not to cause another problem. The tissue is reflected, the appropriate amount of bone is removed and the tissue is re-positioned and let to heal for a minimum of 6 weeks. ...Read more

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What is crown lengthening?

What is crown lengthening?

Longer tooth: If a tooth is too short above the gum line a crown won't stay on it predictably. Crown lengthening makes it longer by surgically moving the gums and bone holding the tooth toward the root to expose more tooth above the gums. A crown can then be made that will predictably stay on the tooth. ...Read more

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What happens during crown lengthening?

What happens during crown lengthening?

Bone removal: When there is not enough solid tooth structure above the bone level to have a crown, the dentist will remove several millimeters of bone so that the crown will fit correctly. This is considered a periodontal surgical procedure. An incision is made, gums pushed back, bone removed, and gums apically repositioned. It works well! ...Read more

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What are the effects of crown lengthening?

What are the effects of crown lengthening?

Bone loss & 2 others: Main effects are : 1 . increased amount of available tooth to support and retain the crown as well as allowing sufficient reduction for best bite level location and 2. Possible sensitivity due to exposed root -- often need Root Canal treatment to eliminate feeling in the tooth. Ask your Dentist about these. It can be a most worthwhile treatment. Also ask about option of extraction and implant. ...Read more

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What is a post crown lengthening procedure?

Post procedure: This is a procedure whereby a dentist will surgically remove some tissue from around a tooth that has a compromised or too short remaining tooth structure. Thi procedure provides more structure for a crown/cap to fit on. ...Read more

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What is involved in a post crown lengthening?

What is involved in a  post crown lengthening?

Crown Lengthening: Crown lengthening is a surgical procedure in which a greater amount of tooth structure is exposed by lowering the bone and tissue level for the purpose of subsequently restoring the tooth with a crown. A surgical flap is made around the tooth and the bone and tissue are lowered with a laser, scalpel or handpiece under anesthetic. ...Read more

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How long does pain last after crown lengthening?

How long does pain last after crown lengthening?

Varies: 1 to 14 days for normal discomfort from the surgery. Root sensitivity from exposed root can last indefinitely. ...Read more

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What is the best technolog for crown lengthening?

Laser : The latest technology for crown lengthening is the use of the laser such as the biolase md. You are able to remove soft and hard tissue with little post-op pain and immediately you are able to do the crown prep that same visit. ...Read more

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