Crown lengthening is a common dental procedure used to expose more of a tooth’s surface by adjusting the gumline. It’s often needed to help a dental crown fit properly, especially when there isn’t enough of the natural tooth exposed to support it. Whether you're preparing for a crown or considering the procedure for cosmetic reasons, it’s normal to have questions, especially around what kind of pain, recovery time, and risks to expect. Read on to learn more about crown lengthening and the pain, healing, and risks associated with it.
What Is Crown Lengthening?
Crown lengthening involves reshaping the gum tissue, and in some cases, removing small amounts of bone around the tooth. This gives your dentist more room to work with when placing a crown or performing a restoration. The procedure is done under local anesthesia, and sometimes with sedation if needed. The gums are carefully cut and lifted away from the teeth to expose more of the tooth or root. The dentist then reshapes the area and stitches the gums back into place. It’s typically performed on an outpatient basis and takes about 30 minutes per tooth, depending on how many teeth are involved and how much reshaping is required.
Is Crown Lengthening Painful?
You won’t feel pain during the procedure due to the anesthesia, but as it wears off, some discomfort is expected. Your dentist will likely prescribe or recommend pain relievers to manage this. Most people report that the pain is manageable and temporary, usually improving within a few days after surgery.
How Long Does It Take to Heal?
While initial recovery takes just a few days, it takes about three months for the gums to fully heal. Most patients are able to return to work and daily routines within a couple of days however. Here’s what to keep in mind during the healing period:
- Avoid hot foods and rinsing your mouth for the first 24 hours, because this can disturb the surgical site.
- Leave the surgical dressing in place for 1 to 2 weeks, or as directed by your dentist.
- Eat soft foods for the first few days to avoid irritating the area.
- Avoid smoking, alcohol, and touching the area, as these can slow down healing and increase the risk of complications.
Your dentist will schedule a follow-up appointment to check how the site is healing and provide personalized instructions based on your case.
What Are the Risks?
As with any surgery, there are some risks associated with crown lengthening. These may include:
- Infection at the surgical site
- Temporary bleeding or swelling
- Tooth sensitivity, especially to hot or cold temperatures
- A possible change in the appearance of your smile, depending on how much gum tissue is removed
Following your dentist’s aftercare instructions can significantly reduce the risk of complications.
What’s Are My Next Steps?
If you’ve been told you’re a candidate for crown lengthening, talk with your dentist about what to expect based on your unique situation. They’ll help you understand the pain, healing process, and any risks involved, so you can move forward with confidence and a healthy smile.