Dental Crowns vs. Dental Fillings

Dentists often face a Hamletian dilemma when restoring damaged teeth: to crown or not to crown? While dental crowns and fillings offer viable solutions, choosing between them can be challenging for patients unfamiliar with their differences. This article will delve into dental restorations, exploring the benefits, use cases, and considerations for dental crowns and dental fillings.

Understanding Dental Crowns:

What is a Dental Crown?

A dental crown is a cap-like restoration that encases the entire visible portion of a tooth, restoring its shape, size, strength, and appearance. Crowns are typically used when a tooth is heavily damaged, weakened, or aesthetically compromised.

When is a Dental Crown Recommended?

  1. Large cavities: When there’s more filling than a natural tooth, crowns provide better support.
  2. After a root canal: To protect the weakened tooth from fractures.
  3. Worn-down teeth: From grinding or acid erosion.
  4. Cracked or broken teeth: To hold the tooth together.
  5. Aesthetic enhancement: For discoloured or misshapen teeth.


  • Durability: Lasts longer than fillings.
  • Strength: Offers comprehensive support to compromised teeth.
  • Aesthetic: This can improve the appearance of the tooth.


  • More invasive: Requires removal of a significant amount of tooth structure.
  • Costlier: Generally more expensive than fillings.
  • Potential sensitivity: Temporary sensitivity after placement.

Delving into Dental Fillings:

What is a Dental Filling?

A dental filling is a material (often composite resin, amalgam, or porcelain) used to fill the cavity created after the decayed portion of the tooth is removed.

When is a Dental Filling Recommended?

  1. Small to medium cavities: Fills and restores the structure.
  2. Minor tooth fractures: To restore and prevent further breakage.
  3. Wear from grinding: For mild cases.
  4. When replacing old fillings.


  • Less invasive: Preserves more of the natural tooth.
  • Cost-effective: Generally less expensive than crowns.
  • Quick procedure: Often completed in a single visit.


  • Durability: May not last as long as crowns, especially in areas of heavy bite pressure.
  • Limited support: Not suitable for severely damaged teeth.

Making the Decision: Crown or Filling?

The decision between a dental crown and a filling depends on the extent of the damage and the patient’s individual needs:

  1. Extent of Damage: A minor cavity or chip might be addressed effectively with a filling, while a more extensively damaged tooth might benefit from the all-encompassing protection of a crown.
  2. Location of the Tooth: Back teeth (molars) that bear the brunt of chewing might require a crown’s strength. Meanwhile, a minor cavity in a front tooth might be ideally addressed with a filling.
  3. Aesthetic Concerns: If you’re concerned about the appearance of the tooth, a crown might offer a more aesthetically pleasing result.
  4. Cost and Duration: Fillings might be more budget-friendly and require less time in the dentist’s chair, but crowns often last longer.
  5. Patient Preference: Some patients might prefer a less invasive option or prioritise longevity over short-term convenience.

In Conclusion

“To crown or not to crown?” isn’t a question with a one-size-fits-all answer. It requires a conversation with your dentist, considering the pros and cons of each option, and aligning the choice with your dental health goals. Always prioritize your oral health and seek expert guidance to ensure your smile remains strong and beautiful for years to come.