Pre/Post Op
Ice on for 15 mins and off for 15 mins for the first day reduces this post-surgery
Swelling and Inflammation
What kind of surgeries can be done to lengthen the crown?
Gingivectomy, apically repositioned flap, or surgical extrusion
What materials/solutions are helpful for wound healing?
Irrigation solution, Antiseptic solution, Suturing material
This procedure can only be completed by oral surgeons, True or False?
False. It can be completed by any dentist
Are cleanings and restorations done before or after crown lenthening?
Before
What are some possible complications?
sensitivity to hot and cold, longer appearance than tooth beside, looseness/mobility
What are the 2 types of temporary restorations you can do for crown lengthenings?
Temp crowns, Temp cements
What aesthetic reason might someone want crown lengthening?
Gummy smile or short teeth
How do you manage slight bleeding post op?
Pressure with gauze or cold steeped tea bag
When is a surgical extrusion used?
When the crown has broken below the gumline
For gingivectomies, when a _____ is used, sutures will not need to be used
Laser
What are some contraindications?
inadequate crown to root ratio, non-restorability, high furcation involvement, and low predictability
Foods to eat post crown lengthening tx
soft, nutritious foods, avoid hot for 24 hrs
Why is crown lengthening surgery done?
For esthetic reasons, Crown to root ratio, Proximity of root, Presence of bone loss, Position of affected teeth, the need for a filling or cap
What armamentarium is used to cut for a gingivectomy?
Scalpel or laser
Used when tooth is broken below gum line, a ______ is used to anchor the tooth to surrounding teeth to be moved to its desired position
a wire or splint
Anesthetics, antibiotics, and rinses are used post op to….
Reduce pain, prevent infection, and plaque control.
When are sutures needed?
When a scalpel is used for a gingivectomy and when an apically repositioned flap is used
Which is NOT included in crown lengthening armamentarium?
a) Perio probe
b) Retractors
c) Retraction cord
d) Sutures
Retraction cord
Crown lengthening can be done to access which type of caries?
subgingival