Do I Need a Crown or a Filling?

December 19, 2024

When it comes to tooth treatments, there are many options that allow you to repair damage, prevent further destruction, and restore its form and function. Typically, this is done with the help of either a filling or a crown. These are often used to repair cavities, but crowns can also be used for other purposes.

If you’re curious about when your dentist might use one restoration over another, here’s a quick guide to what types of damage can be fixed by each, and why you should trust your dentist’s recommendations.

Crowns vs. Fillings

One of the most common questions patients ask is “What’s the difference between a crown and a filling?”

A crown is a type of filling, but instead of filling in the tooth, it fits over the tooth like a cap. To apply it, your dentist will first take impressions of your whole tooth. Then, they will remove any damaged, decayed, or infected enamel, and carve it into a shape that the crown can easily attach to. Next, your impressions are sent to the lab for your new crown to be created. Once the crown is back from the lab, you will return to your dentist’s office to have it cemented into place.

Conversely, a filling can typically be done in one appointment. Your dentist will still need to remove any damaged areas of the tooth, but he or she can then fill it in with composite resin, use a special light to harden it, and you can go about your day and use it as usual.

How Long Do Crowns Last?

With proper care and usage, your crowns and fillings will last about five to ten years each. While it may seem like your crowns offer added protection, the truth is that you can still get cavities underneath them, and they offer just about the same amount of protection against cavities as an untreated tooth. Thus, be sure to brush and floss your teeth regularly, even if you have crowns or other restorations.

When to Use Different Restorations

To best determine which type of restoration will work best for your situation, your dentist will first evaluate the amount of damage to the natural tooth. If it’s only minor and the tooth is otherwise healthy and has no other fillings, you can likely get a regular filling. If there is significant decay or damage, or if you need a root canal, you will most likely need a crown.

How Do I Know Which Type of Restoration I Need?

Ultimately, your dentist is the best person to determine which type of restoration will work best for your tooth. Most dentists tend to lean on the conservative side and prefer to keep your natural tooth for as long as possible, so if they are recommending a crown, this is the best option to treat your damage and prevent you from losing the tooth.

Remember, crowns and fillings both restore teeth and protect against further damage, however the amount of decay will determine which option is best for your mouth. If you have any questions or concerns about which treatment your dentist has recommended, don’t hesitate to ask.

About Dr. Puneet Sandhu

Dr. Puneet Sandhu, DDS is the owner and lead dentist at Complete Dental Care Paradise Valley in Phoenix, AZ. A graduate of the University of Arizona where he completed his degree in physiology with a minor in chemistry in just three years, he went on to earn his dental degree from UCLA. Dr. Sandhu is a faculty member of Spear Education, the world’s largest dental education organization, and holds a Fellowship with the International Dental Implant Association as well as memberships with the American Dental Association, Arizona Dental Association, and Central Arizona Dental Society. Known for his warm, easy-going approach and his belief that patients are true partners in their own care, his clinical focus is full mouth reconstruction and comprehensive restorative dentistry. Outside the office, Dr. Sandhu enjoys Cardinals and Giants football and spending time with his family.

To schedule an appointment for a filling or crown with Complete Dental Care, please visit our website or call us today at 480-526-4317.