Crown lengthening is a dental procedure often performed to adjust the gum tissue and/or bone around a tooth. The procedure serves both functional purposes, such as preparing a tooth for a crown or filling, and aesthetic ones, like addressing a “gummy smile”. Understanding the pain levels and management strategies involved is a common concern for individuals considering this treatment. This article explores what patients can anticipate regarding discomfort throughout the crown lengthening process and during recovery.
Understanding Pain During the Procedure
During a crown lengthening procedure, local anesthesia is administered to numb the treatment area completely. Individuals may perceive sensations of pressure or vibration during the process, but these are generally not painful. For patients who experience anxiety, some dental offices offer conscious sedation options to promote relaxation.
Post-Procedure Discomfort and Recovery
Following a crown lengthening procedure, it is common to experience some discomfort once the local anesthesia begins to wear off. This discomfort may manifest as soreness, throbbing, or mild swelling in the treated area. Initial discomfort is often most noticeable within the first 24 to 48 hours after the procedure.
Swelling typically peaks within 30 to 36 hours post-surgery and gradually subsides over the next few days. Patients can expect a gradual improvement in comfort over the first week or two. Temporary side effects may include increased tooth sensitivity to hot or cold temperatures. Gum recession can also occur, though sensitivity often diminishes as healing progresses. Full tissue healing can take approximately one to three months.
Effective Pain Management Strategies
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, are often recommended to alleviate mild to moderate pain. A dental professional may also prescribe stronger pain medication for a short duration if the discomfort is more pronounced. Applying a cold compress or ice pack to the outside of the face over the surgical area during the first 24 hours can help reduce swelling. This should be done intermittently, such as 20 minutes on and 20 minutes off.
Adopting a soft diet is advisable for the first few days, avoiding foods that are hot, spicy, acidic, or difficult to chew. Refraining from strenuous physical activity for at least 24 to 72 hours helps prevent increased bleeding and discomfort at the surgical site. Maintaining good oral hygiene is important; however, gentle brushing with a soft-bristled toothbrush around the surgical site is necessary, and aggressive rinsing should be avoided initially.
When to Contact Your Dentist
Severe pain that is not relieved by prescribed or over-the-counter medication warrants immediate attention. Persistent or worsening swelling after the initial 24 to 48 hours, especially if accompanied by increased pain, should be reported. Uncontrolled bleeding from the surgical site, beyond a minor pinkish tinge in saliva, also requires prompt communication with your dentist. Additionally, signs of infection, such as pus, fever, or unusual warmth around the treated area, indicate a need for professional evaluation. Any unexpected reactions to medications should also be discussed with your dental care provider.