Dental Crowns vs. Dental Fillings: Which is Right for You?

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Dental health is an integral component of our overall well-being, and understanding the treatments available is essential for making informed decisions about our oral care. Two prevalent dental procedures that often come into the spotlight are dental fillings and dental crowns. While both aim to restore the integrity and function of a tooth, they cater to different needs and are used in distinct scenarios. In this blog, we’ll delve deep into the nuances of these treatments, comparing their applications, benefits, and drawbacks, and guide you in determining which option is best suited for your unique dental situation.

Understanding Dental Fillings

Dental fillings are a cornerstone of restorative dentistry, offering a solution to combat the pervasive issue of tooth decay. If you’ve ever wondered about the ins and outs of this common dental procedure, here’s a comprehensive overview:

What Are Dental Fillings?

Dental fillings are materials used to fill cavities in the teeth, restoring the tooth’s structure and function. They prevent further decay by sealing off spaces where bacteria can enter.

Why Are They Needed?

When tooth decay causes a cavity to form in a tooth, it’s essential to remove the decayed part and fill the void. If left untreated, the decay can progress, leading to pain, infection, and potential tooth loss.

Types of Filling Materials:

  • Amalgam Fillings: A mixture of metals, including silver, tin, and mercury. They are durable and have been used for over a century. However, their silver color can be more noticeable than other filling types.
  • Composite Resin Fillings: Made of a plastic and glass mixture, these fillings are tooth-colored, blending seamlessly with the natural tooth. They bond directly to the tooth, providing support.
  • Gold Fillings: Made of gold, these fillings are durable and can last over a decade. They are, however, more expensive than other types and require multiple visits.
  • Porcelain Fillings: Also called inlays or onlays, these are custom-made in a lab and then bonded to the tooth. They can be matched to the tooth color and resist staining.

The Procedure:

The process of getting a dental filling typically involves numbing the area, removing the decayed material, cleaning the affected area, and then filling the cavity with the chosen material. The dentist will then shape and polish the filling to ensure it fits comfortably and doesn’t affect your bite.


It’s common to experience some sensitivity after getting a filling, but this usually subsides after a few days. It’s essential to maintain good oral hygiene practices, including regular brushing and flossing, to ensure the longevity of the filling and prevent further decay. The durability of a filling depends on the material used and individual factors like oral hygiene and chewing habits. While amalgam fillings can last up to 10-15 years, composite fillings might need replacement after 5-7 years.

The Role of Dental Crowns

Dental crowns, often dubbed the “royalty” of dental restorations, play a pivotal role in preserving and enhancing the aesthetics and functionality of compromised teeth. If you’re considering or have been recommended a dental crown, here’s everything you need to know:

What Are Dental Crowns?

Dental crowns are custom-made caps that cover the entirety of a tooth, from the gum line upwards. They restore the shape, size, strength, and appearance of the tooth, ensuring it can function normally.

Why Are They Needed?

Crowns are versatile and can address a myriad of dental issues, including:

  • Restoring a tooth that’s severely worn down or broken.
  • Protecting a weak tooth from breaking, especially one that’s been significantly hollowed out by decay or has a large filling.
  • Covering and supporting a tooth with a large filling when there’s not much of the original tooth left.
  • Holding a dental bridge in place.
  • Covering misshapen or severely discolored teeth.
  • Capping a dental implant.
  • Enhancing cosmetic appearance.

Types of Crown Materials:

  • Porcelain/Ceramic: Matches the natural tooth color and is often used for front teeth.
  • Porcelain Fused to Metal (PFM): Offers strength and a natural appearance. The metal provides strength, while the porcelain gives the crown a natural look.
  • Gold Alloys: Comprise gold, copper, and other metals, ensuring a strong bond to the tooth, making it highly resistant to fractures and wear.
  • Base Metal Alloys: Non-noble metals that are highly resistant to corrosion and wear, requiring the least amount of healthy tooth removal.

The Procedure:

Getting a dental crown usually necessitates two visits. The first involves examining and preparing the tooth, taking an impression, and placing a temporary crown. The second visit is for fitting and cementing the custom-made crown onto the tooth.


While crowns are durable, they aren’t impervious to decay or gum disease. Regular dental check-ups, brushing, flossing, and avoiding hard foods or ice can ensure the longevity of your crown. With proper care, dental crowns can last between 5 to 15 years, depending on the material used, oral hygiene practices, and other factors like chewing habits.

Dental Crowns vs. Dental Fillings: The Comparison

AspectDental FillingsDental Crowns
PurposeTreat cavities or minor tooth decay.Cover or “cap” a damaged tooth entirely. Suitable for severely damaged, decayed, cracked, or weakened teeth.
Extent of DamageBest for small to medium-sized cavities with enough healthy tooth structure.Ideal for extensive damage or decay with limited tooth structure left.
MaterialAmalgam, composite resin, gold, porcelain.Porcelain, porcelain fused to metal, resin, ceramic, gold, other metals.
ProcedureRemove decayed material, clean area, fill cavity.Reshape tooth, take impression, create custom crown, cement in place.
LifespanVaries (few years to over a decade) depending on material and care.Typically 5 to 15 years or more, depending on care and material.
CostGenerally less expensive.Tend to be more costly due to materials, customization, and multiple visits.
Aesthetic ConsiderationsComposite resin can be matched to tooth color.Designed to match color, shape, and size of natural tooth.

Making the Right Choice

The decision between a dental filling and a crown largely hinges on the extent of tooth damage, location, aesthetic considerations, and budget. If you’re grappling with a minor cavity, a filling might suffice. However, for a severely damaged or decayed tooth, a crown could be the best bet. It’s essential to consult with your dentist, who can evaluate your specific situation and guide you towards the most appropriate treatment.

In Conclusion

Whether you opt for a dental filling or a crown, the primary goal is to restore and maintain the health and aesthetics of your teeth. By understanding the differences and consulting with a dental professional, you can ensure that you’re making the best choice for your smile. Remember, every tooth tells a story, and with the right care, it can be a story of health and confidence.

Dr. Sisko

Dr. Gerald Sisko graduated from Ohio State University College of Dentistry in 1987. He is an active member of the American Dental Association, the Ohio Dental Association, and the Akron Dental Society where he is currently holding a council position. He has had the honor and distinction of being awarded “TOP DENTIST” in Akron and Cleveland as well as Northeast Ohio for the last several consecutive years.


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