Dental Crown or Filling: Which One is Right for Me?

When dealing with a cavity or a damaged tooth, your dentist may recommend either a filling or a dental crown. While both treatments restore function and prevent further decay, they serve different purposes depending on the condition of your tooth. Understanding when you need a dental crown versus a filling can help you make informed decisions about your oral health.

What is a Dental Filling?

A dental filling is used to treat minor tooth decay or damage. After your dentist removes the decayed portion of the tooth, the space is filled with a material such as composite resin, amalgam, gold, or porcelain. Fillings are ideal for small to moderate cavities where the structure of the tooth is mostly intact.

When a Filling Is the Right Choice

A filling may be the best solution in these situations:

• Small to medium cavities: If the decay hasn’t spread too deeply or widely, a filling is often sufficient.
• Minimal tooth damage: Chips or slight cracks in the tooth can be repaired with a filling.
• Preserved tooth strength: If most of the natural tooth is still strong, a filling will provide a conservative and effective solution.

What is a Dental Crown?

A dental crown, also known as a cap, covers the entire tooth. It’s used when a tooth is significantly damaged, weakened, or has undergone a large restoration. Crowns are made from materials like porcelain, ceramic, or metal, and are designed to restore both function and appearance.

When a Crown Is the Right Choice

In these cases, a crown may be the better fit:

• Large cavities or fillings: If the cavity is too big for a filling to hold up, a crown may be necessary to protect the tooth.
• Cracked or broken teeth: A crown can reinforce a tooth that’s fractured or weakened, preventing further breakage.
• After a root canal: Teeth that have had root canal treatment are often brittle and prone to breaking, so they usually need crowns to protect them.
• Severely worn teeth: Teeth worn down from grinding (bruxism) or erosion may benefit from crowns to restore their shape and strength.
• Cosmetic enhancement: Crowns can also improve the appearance of misshapen, discolored, or uneven teeth.

How Do Dentists Decide?

Your dentist will consider several factors when deciding between a filling and a crown:

• The extent of the decay or damage.
• The amount of healthy tooth structure remaining.
• Your bite and chewing forces.
• The location of the tooth (molars tend to need crowns more often due to pressure).
• Your dental history.

Sometimes, a large filling may seem sufficient initially, but if the tooth starts to weaken or crack, a crown may be required later.

In general, fillings are best for small repairs, while crowns are necessary for more extensive damage. Ignoring a tooth that needs a crown or overfilling a damaged tooth can lead to fractures, infection, or tooth loss. If you’re unsure which option is best for you, consult your dentist for a thorough evaluation.

About the Practice

Are you considering dental crowns to restore your smile and functionality? At North Jacksonville Complete Dentistry, we can wrap up the process in just one visit with CEREC technology! If you need a crown because of a dental emergency, we offer same-day appointments. Our two dentists have decades of combined experience, so you can rest assured that you’re getting the best care. Schedule your appointment today online or call us at (904) 751-4958.