Dental Crown vs. Filling: Which is Right for Me?

If you’ve chipped a tooth, developed a cavity, or been told you might need a root canal, you might be wondering what happens to your teeth once they’ve been treated. Two of the most common options are a filling and a dental crown. These treatments are both designed to restore your tooth’s structure and protect it from further damage, but they’re used in different situations. Knowing the difference between the two can help give you more confidence when consulting with your dentist before your next procedure.  

What is a dental filling? 

A dental filling is typically used when a tooth has a smaller cavity or chip. The dentist removes the decayed or damaged part of the tooth and “fills” it with a durable synthetic material. This seals off the sensitive areas inside the tooth where bacteria can enter and cause infections and further damage. 

Getting a filling is usually a quick and relatively painless procedure. It can often be done in just one visit. Your dentist will numb the area with a local anesthetic, remove the damaged area and clean the tooth, and fill the area with the synthetic material. Once the filling is hardened, most patients can resume eating and drinking normally after the numbness wears off.1 If your dentist can remove the decay and leave enough healthy enamel behind, a filling is often the simplest, fastest, and least expensive option for restoring your teeth. 

What is a dental crown? 

Also known as a cap, a dental crown is a custom-made covering that fits over the entire tooth. A crown might be used after a root canal, to protect a cracked tooth, or to cover a dental implant. 

A crown is specially designed to match your existing teeth and may be made from ceramic, porcelain, metal, or resin. Because crowns cover the entire tooth, they can often be stronger than a filling alone. 

Crowns may take more than one appointment to create and install. Your dentist will take a digital scan of your mouth and teeth to ensure the crown fits properly before it is made. It may feel a little uncomfortable when it’s installed, but it should feel just like any other tooth once it’s settled. 

Do I need a crown or a filling? 

If your tooth pain is caused by a smaller cavity or crack, a filling will probably suffice. However, if a larger issue results in a major loss of the tooth’s internal or external structure, a crown may be more appropriate. Other options may also be available, such as veneers or immediate dentures.  

Consult with your dentist to determine the best option for you. Make sure to follow all instructions to maintain the crown or filling and prevent unnecessary repairs. Getting a filling or crown is a perfectly normal procedure, and one that can have a huge impact on your future oral health. With proper care and regular checkups, your restoration can help keep your smile strong and healthy for years to come. 

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