Crown lengthening is a surgical procedure performed to increase crown length by removing gum and bone for the purpose of restoring the tooth. It is performed when the remaining tooth structure cannot give enough retention for prosthesis (crown or bridge).
It is also performed in gummy smile patient to increase crown length for esthetic.
Crown lengthening can be necessary if there isn’t enough of the tooth in place to hold the crown on its own. Teeth that are broken or affected by tooth decay may prohibit a crown from firmly attaching.
Gingivectomy & Gingivoplasty
Gingivectomy is a surgical removal of the gum margin to reduce pocket depth. The purpose is to ease cleaning for the patients.
Gingivoplasty is a surgical reshaping of the gum to correct deformities and for esthetic purpose.
Gingival graft is a surgical procedure to cover exposed root surfaces for aesthetic reasons. However, the success rates vary.
The recovery process
The recovery time for this procedure is approximately three months. However, you’ll be able to resume normal functions as your gums heal. You only need to avoid strenuous activity for the first two to three days. A physically demanding job, heavy lifting, and heavy exertion could inhibit your healing and cause more bleeding.
Talk to your surgeon about the specifics of your recovery. In general, follow these guidelines:
Use an ice pack: Using a pack on your face for the first few hours after the procedure can reduce swelling. Alternate use of the ice pack, following 20 minutes on and 20 minutes off. You may switch to moist heat a couple days after surgery.
Avoid hot foods for the first 24 hours: Also, don’t rinse your mouth. Both can make the bleeding last longer. If bleeding continues, use a moistened tea bag or moistened gauze to apply slight pressure to the area for 20 to 30 minutes.
Leave dressings in for 7 to 14 days: The doctor may replace the dressing once or twice during this period.
Brush carefully: Gently brush only your biting surfaces where the dressing has been applied. Brush and floss normally in other areas. Chew on the opposite side of your mouth from the dressing.
Wear your stent or denture: If wearing a clear stent or upper denture was included in your instructions, don’t remove it for 24 hours. If your mouth pools with blood, rinse with lukewarm saltwater or Chlorhexidine rinse, without removing the stent or denture. After 24 hours, you may wear it as desired.
Eat a soft food diet: Avoid the surgical area when you eat. Also, don’t eat anything hard, brittle, acidic, spicy, sticky, or highly seasoned. Avoid nuts and small seeds. Drink plenty of fluids.
Avoid alcohol: Refrain from drinking until after your post-op appointment.
Avoid smoking: Refrain from smoking for the first 7 to 10 days or longer.
Avoid prodding the area: Avoid using straws and playing with the surgical site with your tongue or finger. Don’t pull down your lip to check the site, as the pressure can cause damage.