And In This Corner: Crowns vs. Tooth Fillings

When it comes to restoring damaged or decayed teeth, dental crowns and fillings are two of the most common treatment options. Both serve the purpose of repairing teeth and improving oral health, but they differ significantly in terms of their structure, durability, and the extent of dental damage they address. So how do you know when a filling is enough, and when you might need a crown instead? Here’s a breakdown to help you understand the differences and make informed decisions with your dentist.

What is a Dental Filling?

A dental filling is used to treat small to moderate areas of tooth decay or minor damage. The dentist removes the decayed portion of the tooth and fills the space with a material such as composite resin, amalgam, or ceramic. Fillings are typically completed in one visit and preserve most of the tooth’s natural structure. They are best for small to medium-sized cavities, minor chips or cracks, or teeth that are otherwise structurally strong.

What is a Dental Crown?

A crown is a tooth-shaped cap that completely covers a tooth to restore its shape, size, strength, and appearance. Crowns are often used when a tooth is significantly weakened or damaged and a filling would not provide enough protection. They are made from materials like porcelain, ceramic, metal, or a combination, and typically require two dental visits. Crowns provide a great solution for problems including:

• Large cavities that compromise the tooth’s structure.
• Cracked, worn, or broken teeth.
• Teeth that have had root canals.
• Severely decayed teeth.
• Cosmetic improvement.

When a Filling is Enough

Fillings are an excellent solution when the damage or decay is limited to a small area. If your tooth still has most of its natural structure and strength, a filling can restore it effectively without the need for a crown.

Your dentist may recommend a filling if:

• The cavity is small and hasn’t spread too deep.
• The tooth has no significant fractures.
• You’re not experiencing significant pain or sensitivity beyond the damaged area.
• The filling won’t compromise the long-term strength of the tooth.

When You Need a Crown

Sometimes a filling won’t be sufficient, especially if the damage is extensive. A large filling can weaken a tooth by removing too much structure, increasing the risk of cracking or breaking. A crown, by covering the entire tooth, provides full protection and restores function.

You may need a crown if:

• More than 50 percent of the tooth is damaged or decayed.
• The tooth has already been filled multiple times and is structurally weakened.
• There is a deep crack that compromises the tooth’s stability.
• You have undergone a root canal, which removes the pulp and can make the tooth brittle.
• You want to improve the appearance of a discolored or misshapen tooth.

The choice between a filling and a crown ultimately depends on the extent of the damage and the long-term prognosis of the tooth. While fillings are less invasive and more affordable, they aren’t suitable for every situation. Crowns, though more costly and time-consuming, offer a more durable solution for teeth that are severely compromised.

About the Practice

DeMartino Dental Group, P.C. has served the Phillipsburg community for more than 50 years. Your needs are covered – our comprehensive list of services ranges from routine checkups and cleanings to restorations like crowns or bridges if you have a troublesome tooth or several. Visit our website to schedule your appointment today or call our office at (908) 859-5260.