As lab providers and dentists, we know that setting patient expectations around restorative dental work can be challenging. The long-term success of restorative work often hinges on how well a patient manages their healing process, but once patients leave your chair, their compliance is out of your hands. Here’s how you can guide your patients through the healing journey after crown and bridge, and how the process differs from implant healing.
Crown and Bridge Healing Phases
After receiving a crown or bridge, patients typically experience four healing stages. As they go through these phases, they'll experience different levels of discomfort, functionality, and appearance. As their dentist and trusted advisor, it’s your responsibility to set expectations for each stage so that patients know what to expect and can care properly for their new restoration.
Immediate Aftercare (0–2 Days)
The first two days after a dental implant procedure are part of the immediate aftercare stage. During this time, patients should closely follow their dentist's instructions to promote proper healing and minimize the risk of complications.
- What the Patient Can Expect:
- It's normal for patients to experience some sensitivity or mild discomfort. This is a standard part of the healing process.
- Advise patients to avoid chewing on the treated side until the anesthetic has fully worn off to prevent accidental damage.
- Recommendations:
- Encourage a diet of soft foods and advise against very hot or cold items that might increase sensitivity.
- Suggest over-the-counter pain relievers for managing discomfort and remind patients to report any severe or prolonged pain.
Short-Term Healing (2 Days – 2 Weeks)
After the immediate aftercare phase comes the short-term healing stage, which lasts around two weeks following the procedure. During this phase, a client's discomfort should gradually ease. They should shift their focus from minimizing pain and swelling to promoting healing in the treated area.
- What the Patient Can Expect:
- Patients might feel some soreness as their gums adjust to the new crown and bridge, but this should gradually diminish.
- Temporary sensitivity to temperature changes is common and usually fades over time.
- Recommendations:
- Stress the importance of gentle brushing and flossing around the restoration to maintain oral hygiene without causing damage.
- Advise against eating hard or sticky foods that could potentially dislodge or damage the new restoration.
Long-Term Stabilization (2 Weeks – 1 Month)
During the long-term stabilization stage, patients should start feeling more comfortable with their new restoration. This phase typically lasts for one month. Patients should assess the fit and feel of their restoration during this stage and report any issues to their dentist. They should also continue to maintain good oral hygiene and avoid any habits that could damage their restoration.
- What the Patient Can Expect:
- By this stage, most patients should notice a significant reduction in sensitivity and discomfort. The gums will begin healing and settling around the restoration.
- This is the time to address any issues with fit or function. Some patients may need minor adjustments to ensure optimal comfort.
- Recommendations:
- Encourage regular check-ups to monitor the fit of the crown and bridge and ensure proper gum healing.
- Remind patients to maintain their regular oral hygiene routine to support the health of surrounding teeth and gums.
Ongoing Maintenance (1 Month and Beyond)
At this stage of the healing process, the restoration should be fully integrated, and the patient's mouth should feel comfortable and back to normal. However, they should still take precautions to maintain the longevity of their restoration and talk to their dentist if they experience any issues, such as discomfort or damage.
- What the Patient Can Expect:
- Ideally, the crown or bridge should feel comfortable and function normally. Patients should continue to report any unusual symptoms.
- Long-term care involves regular dental visits and maintaining good oral hygiene.
- Recommendations:
- Stress the importance of regular cleanings and exams to ensure the longevity and function of the crown or bridge.
- Advise patients to contact your office if they have any issues or concerns with their restoration.
Implant Healing Phases
Implants share some similarities with crown and bridge; they're both restorative dental procedures that involve placing a new tooth structure in the patient's mouth. But implant healing has its own unique stages for patients to navigate. Here's what they can expect during the various phases.
Initial Healing (First Few Days)
As with a crown or bridge procedure, the first few days after an implant can bring some discomfort and swelling. Patients should follow similar care instructions to promote healing during this period.
- What the Patient Can Expect:
- Inflammation and initial clot formation are normal. Swelling and discomfort may occur.
- Advise patients to avoid hard foods and maintain oral hygiene carefully.
- Recommendations:
- Suggest a diet of soft foods and caution against activities that could disturb the healing site.
- Recommend pain management as needed and remind patients to follow post-operative care instructions closely.
Early Healing (First Few Weeks)
The early healing stage is the point at which swelling and discomfort should begin to subside. The implant still hasn't fully integrated, but patients can start to resume some normal activities. They should still take care to follow any restrictions or recommendations given by their dentist.
- What the Patient Can Expect:
- Patients will experience tissue repair and the formation of granulation tissue. Pain should decrease, but tenderness may persist.
- Recommendations:
- Emphasize the importance of adhering to medication schedules and gentle brushing.
- Monitor progress and schedule follow-up visits to check on healing.
Mid-Term Healing (1–3 Months)
The implant starts to integrate with the jawbone during this phase. Patients can resume more normal activities but should still be cautious to avoid disturbing the implant site.
- What the Patient Can Expect:
- The implant or restoration should begin integrating with the bone during this phase. Function and comfort should improve.
- Recommendations:
- Regular check-ups are essential to ensure proper bone integration and address any issues.
- Be prepared to make potential adjustments to the restoration as needed.
Long-Term Healing (3–6 Months and Beyond)
The patient should feel fully comfortable and functional with the implant at this stage. They should still maintain good oral hygiene and continue with regular check-ups to ensure the longevity of their implant.
- What the Patient Can Expect:
- The implant or restoration should be fully integrated, with stable and mature tissues.
- Recommendations:
- Continue to emphasize the importance of ongoing care and regular dental visits.
- Ensure patients understand the need for long-term maintenance to preserve their restoration.
Understanding the phases of dental healing—immediate, early, mid-term, and long-term—is crucial for ensuring a successful recovery and optimal outcome following any dental procedure.
By guiding patients through various healing stages, from the uncomfortable post-operative stage to the integration phase and final restoration, you can help them achieve the best results. Adhering to a dentist’s guidelines, maintaining diligent oral hygiene, and attending regular follow-up appointments will ensure their dental work remains stable, functional, and aesthetically pleasing for years to come.
While providing comprehensive aftercare instructions for your clients is important, you can also help promote recovery by using high-quality dental products. At DDS Labs, we can design custom dental implants for every patient. We also do crown and bridge.
With our cutting-edge technology and commitment to quality, we can help ensure the success of your patients' restorations. Contact us today to learn more about our services and how we can support you in providing the best care for your patients.