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Dental Crown vs. Filling: Which One Should You Pick?

July 2, 2025

Filed under: Uncategorized — esplanadedental @ 10:21 pm
Dental crown held by finger.

When it comes to repairing damaged teeth, dental crowns and fillings are two of the most common restorative options. Both treatments aim to restore the tooth’s function and appearance, but they serve different purposes and are suited for different levels of damage. Understanding when to choose 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 small to moderately sized cavities or minor tooth damage. During the procedure, your dentist removes the decayed portion of the tooth and fills the space with a material such as composite resin, amalgam, gold, or porcelain. Fillings are quick, minimally invasive, and can usually be completed in a single visit.

Fillings are ideal for:

  • Small to moderate cavities.
  • Minor tooth fractures or chips.
  • Teeth with enough healthy structure remaining to support the filling.

Fillings are generally more affordable than crowns and are a conservative approach when the damage is not extensive.

What is a Dental Crown?

A dental crown, often called a “cap,” covers the entire visible portion of a tooth. It is used when a tooth is significantly damaged, weakened, or at risk of breaking. The crown restores the tooth’s shape, size, strength, and appearance. It may be made from porcelain, ceramic, metal, or a combination of materials.

Crowns are typically recommended for:

  • Large cavities that compromise a tooth’s structure.
  • Teeth that have had root canal treatment.
  • Cracked, broken, or severely worn-down teeth.
  • Teeth with large, failing fillings.
  • Cosmetic improvements for misshapen or discolored teeth.

The process of getting a crown usually involves two visits: one to prepare the tooth and take impressions, and another to place the permanent crown.

When Should You Choose a Filling?

You should opt for a filling when the tooth damage is limited and doesn’t affect the structural integrity of the tooth. If your cavity is small and your tooth still has enough healthy enamel to support a restoration, a filling is usually the best choice. It preserves more of your natural tooth and is less invasive.

When Should You Choose a Crown?

A crown is a better option when the damage is too severe for a filling to hold. For example, if more than half the tooth is decayed, or a large filling has weakened the tooth, a crown offers the strength and coverage needed to prevent fractures or further damage. Crowns are also essential following root canal therapy, as the tooth becomes more brittle and prone to breaking.

Choosing between a dental crown and a filling depends on the extent of the damage, the location of the tooth, and your overall oral health. A filling is sufficient for minor issues, while a crown is necessary when a tooth needs full coverage and support. Your dentist will evaluate your condition and recommend the best treatment for long-term success.

About the Practice

Esplanade Dental Care has the solution for you if you have a damaged tooth you want to save! Let our warm and gentle dental team provide you with a crown. We have metal-free restorations available, and to make costs more affordable to you, we accept a wide range of insurance plans. If you’re experiencing pain from a problem tooth, don’t wait any longer! Schedule your appointment now online or call our Downer’s Grove office at (630) 493-0914.

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