If you’re suffering from damaged or decayed teeth, then you may have thought about getting a dental crown or filling. Although both treatments offer an effective solution, which route you take will depend on a number of factors.
If you are unsure which is the right dental treatment method for you, then continue reading our guide to find out the purpose, differences, benefits and drawbacks of each option.
Contents
Understanding Tooth Decay and Damage
Tooth decay is without a doubt one of the most common dental concerns, and this is prevalent in both children and adults. Tooth decay occurs when bacteria in the mouth produces an acid that eats away at your tooth enamel.
A diet rich in sugars, starch or acids and improper oral hygiene only heightens the risk of this occurring. Alternatively, tooth damage can happen for a number of reasons, including trauma from an accident or injury, excessive grinding or general wear and tear as your teeth get older.
Both of these concerns will require dentist intervention, as if left untreated, your oral health will be negatively impacted. Additionally, prolonged tooth decay or damage will also impact the appearance of your teeth, and this is associated with reduced self-confidence, especially in social settings.
What is a Dental Filling and When is it Used?
A dental filling is a type of treatment that fills in small areas of decay. The problem area of the tooth is removed, and filled in using a material such as resin or porcelain that is designed to look and function as your natural tooth.
As they are only designed to fix smaller areas of the tooth, dental fillings are relatively quick and easy to administer.
What is a Dental Crown and When is it Necessary?
Dental crowns are required when there is a much larger surface to cover, such as heavily damaged areas or occasions where the tooth’s appearance is compromised.
Instead, a crown is designed to cap the entire tooth, improving its strength, function and appearance. This is a more intrusive procedure, as a large amount of the tooth must be removed.
Key Differences in Purpose, Material, and Procedure
Although both options are widely used to treat tooth damage or decay, it would be useful to understand their differences so you can seek the treatment best suited to your needs:
Dental filling
Purpose: To repair smaller areas of tooth decay or damage. This includes only partial coverage.
Material: The most common materials for a filling include composite, porcelain or gold.
Procedure: If required, a local anaesthetic is applied to numb the area around the tooth. Then, the concerned area of the tooth is removed via a dental drill or laser. The area is then cleaned to prepare for the dental filling. A dentist will place the chosen material in layers over the problem area, and it is finally shaped and polished to match the surrounding teeth. This typically happens across one dental visit that lasts up to an hour.
Dental Crown
Purpose: To fully cover or protect more significant occasions of tooth damage.
Material: Dental crowns are mostly made using resin, porcelain, ceramic or metal.
Procedure: During your first visit, the damaged area of the tooth is removed and filed to make space for the crown. A 3D scan or impressions will be taken in order to design the custom-made crown, and whilst this is being prepared, you will be given a temporary crown. On the second visit, the temporary crown is removed, and the permanent one is checked for size, shape and colour. Once everyone is happy, the crown will be permanently cemented onto the tooth. This is a much timelier procedure and can take up to 90 minutes per session.
5 Factors to Consider When Choosing
Still not sure which option is right for you? Then we suggest contemplating the below variables:
1. Type of damage
How expensive is the decay or damage? If it’s a large proportion of your teeth, then a dental crown may be more appropriate.
2. Tooth location
Fillings may be fine for front teeth that withstand less pressure; however, molars may require the hardiness that crowns provide.
3. Cost
Fillings are a more affordable option due to the less time and resources required.
4. Durability
Crowns are more hard-wearing than fillings, and may be a wise choice if you are also looking to protect weaker teeth.
5. Appearance
Although you can select from a range of natural looking materials for both options, dental crowns offer a more even and polished look.
The Benefits & Drawbacks of Each Option
Dental filling benefits
- Quick procedure
- More affordable
- Natural looking
Dental filling drawbacks
- Only suitable for smaller areas of damage
- Less durable
- Likely to require a replacement much sooner
Dental crown benefits
- Long-lasting results
- More likely to withstand wear and tear
- Protects weak teeth
- Provides the most natural appearance
Dental crown drawbacks
- Multiple appointments required
- More costly
- Requires a temporary crown which is not as comfortable or durable
Making the Decision: Consulting Your Dentist
Understanding the differences between dental fillings and dental crowns is a great first step towards making informed decisions about your oral health and choosing the right treatment for your specific dental needs.
However, your dentist is the best person to help you come to a final decision. This is because they have the required knowledge and tools to examine your teeth properly, such as X-rays and physical exams, so they can then recommend the best course of action.
Although dental fillings and dental crowns are both effective treatment options, there are some differences in suitability, cost, durability and appearance, and it would be worthwhile to discuss this with your professional.
By doing this, you can ensure that you choose the best treatment option for your unique requirements, whilst protecting your smile for years to come.

