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Crowns vs. Fillings: What’s the Difference?

Cecilia by Cecilia
05/05/2025
in teeth
Crowns vs. Fillings: What’s the Difference?

When it comes to fixing a damaged tooth, dentists often suggest a crown or a filling. Both treatments help protect your teeth and keep your mouth healthy. But how do you know which one is right for you? In this article, we will explain the difference between crowns and fillings in a simple way. We will also talk about when you might need each one and what to expect during the treatment.

What Is a Filling?

A filling is a material that a dentist uses to repair a small hole in your tooth. This hole is usually caused by tooth decay. Fillings stop the decay from spreading and restore the tooth’s shape and function.

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Types of Fillings

There are different types of fillings. Some common materials are:

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  • Composite resin (tooth-colored)
  • Amalgam (silver-colored)
  • Gold
  • Ceramic

Composite fillings are very popular because they look like your natural teeth. They are a good choice if you want your teeth to look their best.

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When Do You Need a Filling?

You may need a filling if you have:

  • A small cavity
  • A chipped tooth
  • A worn-down tooth from grinding
  • A broken filling that needs repair

What Is a Crown?

A crown is a cap that covers the whole tooth. Dentists use crowns to protect weak or damaged teeth. Crowns are stronger than fillings and can last many years.

Types of Crowns

Crowns come in different materials too:

  • Porcelain
  • Metal
  • Porcelain fused to metal
  • Resin

Porcelain crowns are often chosen because they look very natural. They can match the color of your human teeth. Learn more about human teeth here.

When Do You Need a Crown?

You may need a crown if you have:

  • A large cavity that is too big for a filling
  • A cracked or broken tooth
  • A tooth that has had a root canal
  • A severely worn-down tooth
  • A dental implant that needs covering

Main Differences Between Crowns and Fillings

Both crowns and fillings help repair teeth, but they are used for different reasons. Here are some main differences:

Size of the Damage

Fillings are for small damage. Crowns are for larger damage or when the tooth is weak and needs full coverage.

Strength

Crowns are stronger than fillings. They can handle more pressure from chewing and biting.

Durability

Crowns usually last longer than fillings. A good crown can last 10 to 15 years or even longer with proper care.

Cost

Fillings are usually cheaper than crowns. However, if the filling is large, it may not last as long as a crown, and you might end up paying more over time.

Procedure Time

Fillings can usually be done in one visit. Crowns often take two visits because the dentist must prepare the tooth and fit the crown carefully.

How the Dentist Decides

Your dentist will check the size and location of the damage. If the cavity is small, a filling will be enough. If the tooth is cracked or has a very big hole, a crown will be better.

Factors the Dentist Considers

  • How much of the tooth is left
  • How strong the tooth is
  • The location of the tooth (front teeth vs. back teeth)
  • Your bite and chewing habits

Procedure for Getting a Filling

Getting a filling is simple and usually fast.

Steps:

  • The dentist numbs the area with a local anesthetic.
  • The dentist removes the decayed part of the tooth.
  • The dentist cleans the area.
  • The dentist places the filling material inside the hole.
  • The dentist shapes the filling and checks your bite.

In most cases, you can eat and drink normally a few hours after getting a filling.

Procedure for Getting a Crown

Getting a crown usually takes two visits to the dentist.

First Visit:

  • The dentist numbs the tooth.
  • The dentist shapes the tooth to make space for the crown.
  • The dentist takes an impression of your tooth.
  • You get a temporary crown to protect the tooth while the real one is made.

Second Visit:

  • The dentist removes the temporary crown.
  • The dentist fits the permanent crown on your tooth.
  • The dentist checks your bite and makes final adjustments.

Aftercare Tips

For Fillings

  • Avoid eating hard or sticky foods right after getting a filling.
  • Brush and floss your teeth daily.
  • Visit your dentist for regular checkups.

For Crowns

  • Be careful with sticky foods that might pull at the crown.
  • Brush around the crown carefully to avoid gum problems.
  • Use a night guard if you grind your teeth at night.

Common Problems and How to Solve Them

Problems With Fillings

  • Filling falls out: Visit your dentist quickly.
  • Tooth sensitivity: This usually goes away in a few weeks.
  • Pain when biting: The filling may need adjustment.

Problems With Crowns

  • Crown comes loose: Avoid chewing on that side and see your dentist.
  • Chipped crown: Small chips can often be repaired. Big chips might need a new crown.
  • Sensitivity: This should improve over time. If not, consult your dentist.

How to Choose Between a Crown and a Filling

The best choice depends on your tooth’s condition. If the tooth is still strong and the damage is small, a filling may be enough. If a lot of the tooth is gone, or if it is cracked, a crown will give better protection.

Always listen to your dentist’s advice. They will recommend the best option for your long-term dental health.

Importance of Early Treatment

If you notice a problem with your tooth, do not wait. Early treatment can save your tooth and save you money. Small cavities are easier and cheaper to fix with fillings. Waiting too long might mean you need a crown or even teeth surgery.

How to Prevent Tooth Damage

Taking care of your teeth can help you avoid needing fillings and crowns. Here are some tips:

  • Brush your teeth twice a day with fluoride toothpaste.
  • Floss daily to remove food between teeth.
  • Visit your dentist regularly for cleanings and exams.
  • Avoid sugary foods and drinks.
  • Wear a mouthguard if you play sports.

Conclusion

Both crowns and fillings are important tools in dentistry. They help repair damage and protect your teeth. Fillings are good for small repairs. Crowns are better for bigger damage or weak teeth. Talk to your dentist about the best option for your smile.

Keeping your teeth healthy is the best way to avoid needing crowns or fillings. Good dental habits and regular checkups are key.

Related topic:

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  • Can Dental Insurance Deny A Claim?
  • Does Aetna Dental Insurance Cover Veneers?
Tags: dental implantDental Insuranceteethtoothtooth decay
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