Crown Lengthening Pain, Healing, & Risks

Crown lengthening is a dental procedure used to uncover more of a tooth by changing the shape of the gum tissue around it. The procedure is often recommended when a crown cannot fit securely onto a tooth because too little of it is visible above the gumline. It may also be done when someone wants less gum showing in their smile. If crown lengthening is part of your treatment plan, it is normal to wonder what it will feel like and how recovery works. Read on to learn more about the pain, healing, and risks involved.

What happens during a crown lengthening procedure?

Crown lengthening is usually performed in a dental office as an outpatient procedure. The dentist numbs the area with local anesthesia before beginning. Some patients can also receive sedation, depending on the case and their comfort level.

Once the area is numb, the dentist makes small incisions in the gums around the tooth. The tissue is then moved or reshaped to expose more of the tooth. If the tooth is broken or decayed below the gumline, a small amount of bone may need to be reshaped as well. After the needed amount of tooth is exposed, the area is cleaned, and the gums are stitched into place.

Does crown lengthening hurt?

You should not feel pain during the procedure because the area is numb. You may feel pressure or movement, but not sharp pain. After the numbness wears off, soreness is expected. The gums may feel tender, swollen, or irritated for a few days. Some bleeding can happen in the early stages of recovery, too. For most people, the discomfort is manageable with over-the-counter pain medicine. In some cases, the dentist may prescribe medication. The discomfort should start to improve after a few days.

How long does healing take?

The first stage of healing usually takes 1 to 2 weeks. During this time, swelling and soreness should gradually improve. Many people return to normal routines within a few days, depending on how involved the procedure was. Full healing takes longer, however. The gums may need up to 3 months to fully settle, especially if the bone was reshaped.

How can I help the healing process?

The best thing you can do is follow your dentist’s aftercare instructions closely. For the first 24 hours, you may be told to avoid hot foods, heavy rinsing, or anything that could disturb the surgical site. Soft foods are usually easier during the first few days. Avoid smoking, alcohol, and touching the area. These can irritate the gums and slow healing. If a dressing is placed over the area, leave it alone unless your dentist tells you otherwise.

What are the risks?

Crown lengthening is common, but it is still surgery. Possible risks include bleeding, swelling, infection, and temporary sensitivity. Sensitivity to hot or cold can develop because more of the tooth or root may be exposed. The procedure can also change how the gumline looks. This may be the goal in cosmetic cases, but it can be noticeable when the procedure is done on one tooth.

Related Article: How Much Does Crown Lengthening Cost?