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Medical Forum / General / Dentistry / November 2005

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Crown Lengthening - Healing

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sarapt@gmail.com - 19 Nov 2005 16:50 GMT
Five days ago I had crown lengthening on the very back lower molar
(#32, I think). The dentist who performed the procedure said some
things that according to what I've read, seem iffy:

1) That the dressing would come off like a band-aid, not to worry. She
didn't say when. Shouldn't it be on for two weeks?

2) That after two weeks it would be healed and I could have a temporary
crown put on. Doesn't it take much longer than that?

Also I was wondering what the signs of healing vs. not healing properly
are. What should I look for, and what indicates the healing isn't going
well?

The area is no longer sore.

Sara
Mark & Steven Bornfeld - 19 Nov 2005 19:01 GMT
> Five days ago I had crown lengthening on the very back lower molar
> (#32, I think). The dentist who performed the procedure said some
> things that according to what I've read, seem iffy:
>
> 1) That the dressing would come off like a band-aid, not to worry. She
> didn't say when. Shouldn't it be on for two weeks?

    No.  The dressing is for comfort only.  Retaining it too long will trap
food and you'll get an awful smell.

> 2) That after two weeks it would be healed and I could have a temporary
> crown put on. Doesn't it take much longer than that?

    There is healed, and then there is healed.  The tooth should be
prepared and a temporary placed fairly promptly to inhibit the
attachment from migrating up the tooth surface again.  In other words,
the crown lengthening was to expose some more tooth structure; the
temporary should be placed to ensure that the exposed tooth structure
remains available for placement of the crown.  Once the temporary crown
is placed it may be desireable to wait a couple of weeks for for healing
before the impression for the permanent crown is taken.  Waiting time
depends on how well the healing procedes, which your dentist will be
able to assess.

> Also I was wondering what the signs of healing vs. not healing properly
> are. What should I look for, and what indicates the healing isn't going
> well?
>
> The area is no longer sore.

    I'm not going too far out on a limb by saying you are healing well for
5 days if it isn't sore.  If it were infected, it would hurt.

Steve

> Sara

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

sarapt@gmail.com - 20 Nov 2005 03:36 GMT
Oh thank you so much for replying. I really appreciate it. So does that
mean I should peel the dressing off now that its been a few days?

thanks again.

oh and also although the area isn't sore i have noticed a bit of an
ache in my jaw. Is that normal? Could it be an infection?

Sara

> > 2) That after two weeks it would be healed and I could have a temporary
> > crown put on. Doesn't it take much longer than that?
[quoted text clipped - 28 lines]
> Brooklyn, NY
> 718-258-5001
Steven Bornfeld - 20 Nov 2005 03:49 GMT
> Oh thank you so much for replying. I really appreciate it. So does that
> mean I should peel the dressing off now that its been a few days?
>
> thanks again.

    It's worth a quick call to the surgeon to make sure there are no
special circumstances here.  If there were any sutures, there is a
chance for instance that you could pull them out.

> oh and also although the area isn't sore i have noticed a bit of an
> ache in my jaw. Is that normal? Could it be an infection?

    If there is any doubt, again a call it in order.  But if the area isn't
sore it's very unlikely to be infected.  You may find the tooth more
temperature sensitive if there is any root exposure and this is a vital
tooth.

Steve

> Sara
>
[quoted text clipped - 30 lines]
>>Brooklyn, NY
>>718-258-5001
 
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