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Dental Crown vs Filling: What’s the Difference?

When you have dental problems like cavities or a damaged tooth, your dentist might suggest a crown or a filling to fix it. Both treatments help protect your smile, but they do very different jobs.

In this blog, we’ll break down the key differences between dental crowns and fillings to help you understand when and why they might be recommended by your dentist.

What is a Dental Crown?

A dental crown is a custom-made cap that completely covers a damaged or weakened tooth. It acts as a protective shield, restoring the tooth’s shape, strength, and function.

Crowns can be crafted from various materials, such as porcelain, metal, or ceramic, with each option offering distinct advantages in terms of durability and aesthetics. When a tooth has suffered extensive decay, undergone root canal treatment, or sustained a fracture, a crown is often the recommended solution.

Illustration of a dental crown being placed over a tooth

The Process of Getting A Dental Crown

Here is an overview of what the crown procedure typically involves:

  1. Examination and Assessment: We begin with a thorough clinical examination and may take X-rays to assess the extent of the damage.
  2. Preparation: The affected tooth is numbed to ensure your comfort. Any decayed or damaged portions are removed to create a stable foundation for the crown.
  3. Impression or Digital Scan: An impression or digital scan of the prepared tooth is taken. This step ensures that your custom crown will fit precisely.
  4. Crown Fabrication: Your impression is sent to a dental laboratory, or, in many cases, we use advanced CEREC technology to design and manufacture the crown in-house.
  5. Placement: Once the crown is ready, we cement it onto your tooth, restoring both function and appearance.

Usually, you’d get a temporary crown to protect your tooth while you wait for the permanent one. But at our Adelaide practice, we make it all happen in one go. We offer Same-Day Crowns using advanced CEREC technology.

With our CEREC Same-Day Crowns, the entire process from digital imaging to crown design and creation, is completed in a single visit. You won’t have to wait for weeks!

You also won’t have to deal with a temporary crown altogether, which can sometimes be less comfortable or prone to coming loose.

Depending on your specific situation, you may even be able to return to work or your daily routine while waiting for your crown to be created. This minimises the disruption to your schedule and lets you enjoy the benefits of a fully restored smile without the wait.

When Is a Crown Recommended?

You might need a dental crown if:

  • Your tooth is significantly weakened by decay or has a large filling.
  • You have undergone a root canal and need additional support for the treated tooth.
  • Your tooth is cracked or broken and requires full coverage.
  • You wish to improve the appearance of a discoloured or misshapen tooth.
  • A crown is needed as an anchor for a dental bridge when replacing missing teeth.
Medically accurate 3D illustration of metal dental fillings in Adelaide

What is Dental Filling?

A dental filling is used to repair a tooth that has been affected by minor to moderate decay or damage. The process involves removing the decayed portion of the tooth and filling the cavity with a restorative material such as composite resin or amalgam. Fillings are a conservative treatment option, aimed at preserving as much of your natural tooth structure as possible while preventing further decay.

The Filling Procedure

The process of getting a filling is relatively quick and straightforward with a few steps involved. 

  1. We start with an examination to determine the extent of decay or damage.
  2. The affected area is numbed to ensure you remain comfortable throughout the procedure.
  3. The decayed portion of the tooth is carefully removed.
  4. The cavity is then filled with your chosen material, which is shaped and polished to blend naturally with your tooth.

When Do I Need a Dental Filling?

Fillings are excellent for preserving as much of your natural tooth as possible. They’re a more conservative approach to dental restoration. That’s why they are important in helping solve the following dental issues:

  • Cavities: Fillings are most commonly used to treat cavities caused by tooth decay, preventing the decay from spreading further.
  • Chipped Teeth: Teeth that have been chipped or fractured due to accidents or trauma can be repaired using fillings.
  • Tooth Wear: If teeth are worn down due to grinding or clenching, fillings can help restore their original shape and function.
  • Cosmetic Corrections: Fillings can also be used for minor cosmetic enhancements, like fixing small gaps or irregularities.

Key Differences Between a Crown and Filling

Now that we’ve explored the ins and outs of dental crowns and fillings, let’s pinpoint the key differences that set these two treatments apart:

Purpose

A dental crown provides structural support and protects weakened or damaged teeth, while fillings repair a small portion of a tooth from cavities or tooth damage from decay or injury. Crowns cover the entire tooth, while fillings target specific damage.

Tooth Preservation

Fillings are the go-to choice when it comes to preserving as much of your natural tooth structure as possible, requiring minimal removal of damaged areas. Crowns, on the other hand, involve more extensive reshaping, potentially causing significant tooth reduction.

Close-up of a dentist treating a female patient with dental equipment for tooth fillings in Adelaide

Extent of Damage

A crown is for substantial damage that compromises the tooth’s core structure, while a filling works best for minor to moderate damage, keeping the tooth’s core intact.

Durability 

Dental crowns are stronger and last longer, making them ideal for heavily damaged or weakened teeth. Fillings are best for minor repairs but may not withstand heavy pressure over time.

Procedure & Cost 

Fillings are quicker and less expensive, while crowns require more preparation, multiple visits, and a higher cost.

Top Quality Dental Crowns and Fillings in Adelaide

Both treatments are essential for restoring the function and appearance of your teeth. The choice between a crown and a filling depends on the condition of your tooth and your overall oral health. We encourage you to discuss your options with your dentist to determine the best course of action for your smile.

If you have any questions or would like to schedule a consultation, please don’t hesitate to book an appointment with our team here at Perfect Smile. We’re happy to address any inquiries, ease any worries, and guide you on your journey to a healthy, confident smile.

Dr Flora David

Dentist

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Flora graduated from The University of Adelaide in 1988. She is dedicated to delivering high-quality, patient-centred care, drawing on her extensive experience in general, preventive, restorative, and cosmetic dentistry. Her commitment to ensuring the best patient outcomes is complemented by her focus on creating calming experiences for her patients.

Throughout her career, Flora remains at the forefront of scientific and technological advancements in dental care by continuing professional education courses. She is a member of the Dental Board of Australia and the Australian Dental Association, including various local and global study groups. She currently serves as the President of the Dental Advancement Society Inc. (DASI), a group affiliated with the Australian Dental Association of South Australia.

Her personal interests in dentistry include promoting holistic dental health, well-being and creating healthy, beautiful smiles for all. Flora is also involved in the admissions process for future dental undergraduates at The University of Adelaide.

Outside of her professional life, Flora is married with two teenage daughters, and their beloved spoodle, Natalie. She advocates for health and well-being, engaging in mindful practices and seasonal activities. She enjoys multicultural events, travel and culinary experiences. Fluent in Greek, Flora embodies a commitment to preserving her cultural heritage and community engagement.

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