Doctor insights on:
Is Crown Lengthening Painful
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? .
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
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
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 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
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
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
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
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
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
Crown lengthening: Is a relatively routine procedure performed when you have decay beneath the gum or if your tooth is broken at or below the gum line. It requires trimming of the gum tissue and removal of some of the bone so as to expose more tooth structure. It is typically minimally painful post-op. ...Read more
If the doctor moved your gums away from the teeth and bone (layed a gingival flap) and put in sutures in: the gingiva takes a while to reattach to the underlying bone. So wait 1-2 weeks unless your doctor tells you otherwise.
I do most of my crown lengthening with a water lase dental laser. There is no flap retracted and my patients can eat what the want in 1-2 days. ...Read more
Crown lengthening: Is done when the dentist does not have enough space to safely place a margin (where crown meets tooth). The tissue is moved out of the say and the bone is recontoured to allow room for the margin. The area is sutured and allowed to heal with a temporary for 6 wks before the final restoration is placed. Costs vary between spec and gps. Recommend spec for this as they do it all the time. ...Read more
Minimal risks: Possible risks include root sensitivity of the adjacent teeth or possible increase in food retention in area. There can also be some post operative pain in the bone. ...Read more
Usually no: Crown lengthening is usually done with local anesthetic. But there are many factors that will indicate a need to sedate you. If the doctor can't get in there to get the work done, then they might need to sedate you in order to, for example, push your tongue out of the way or to increase your cooperation. ...Read more
See. Periodontist: It is important that you call the periodontist that did the procedure for you. You need to, have this area checked. You should not have bleeding. ...Read more
There are some very well trained general dentists or prosthodontists who can do both the crown lengthening procedure as well as the restorative dentistry.
Some do the surgery conventionally and others using laser treatment.
But if your dentist does only the restorative treatment, they will refer you to a periodontist whom they work with to provide the periodontal surgical procedures. ...Read more
Yes: We often prefr to do this because we can help keep the tissue from regrowing over the edga. After adequate healing, possibly 8 weeks, the tooth is reprepared and the final impression is made. ...Read more
What's the best way to fix a gummy smile? I've heard that both a crown lengthening or gingivoplasty can be performed, but which is better? .
They are both surgical proceedures that cut away the gums and will only look good if your gums are overgrown over your teeth. If your gums are receded or if your teeth are already look long the surgery will not be your best option.
Look in the mirror and check if your upper front teeth (and gums) have grown down lower than your side teeth. If that is the case your best option would be orthodontics to intrude those teeth.
Invisalign treatment works well for intrusion. ...Read more
Expectations?: Crown lengthening is a procedure performed to increase the clinical crown of a tooth so that a proper fitting crown can fit over top. This procedure involves removing bone around the tooth. The long term prognosis is fair at best. If the tooth has had prior root canal treatment, and unless you have a desire to keep this tooth as long as possible, I believe the implant would serve you the best. ...Read more
Absolutely: Your dentist and/or periodontist can perform the procedure. ...Read more
No: A crown lengthening could be done easily by any dentist, as long as 2-3 mm bone reduction is done from the crown margin is removed to satisfy the biological width requirement. Moreover, there should be at least 2-3 mm of tooth structure below the buildup from the crown margin to satisfy the ferrule effect. ...Read more
No: Crown lengthening is a surgical change of the gum and bone around a tooth. If you are anxious, you can request sedation but most of the time, general sedation (or going to sleep) is not required for doing the procedure. Discuss with your dentist your comfort zone and decide together what is best for your situations. ...Read more
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