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What’s The Difference Between Dental Fillings and Dental Crowns?

added on: May 19, 2025

When it comes to restoring damaged teeth, dental fillings and crowns are two common solutions. While both aim to protect and strengthen your teeth, they differ significantly in their purpose, procedure, and materials. If you’re in Georgetown, TX, and unsure which option is right for you, Dr. Winegar at Trade Winds Dental is here to help you make an informed decision.

smiling Dental Patient Giving Thumbs Up After Dental Cleaning in Georgetown, TX - Trade Winds Dental

What is a Dental Filling?

A dental filling is a restorative material used to repair minor damage to a tooth, typically caused by decay (cavities). The procedure involves:

  1. Removing the Decay: Your dentist will first remove the decayed portion of the tooth.
  2. Cleaning the Area: The area is thoroughly cleaned to remove any bacteria or debris.
  3. Filling the Cavity: The filling material is then placed into the prepared cavity and shaped to match the natural tooth structure.
  4. Polishing: Finally, the filling is polished to ensure a smooth surface.

Fillings are typically used for small to medium-sized cavities and minor fractures. They are a relatively quick and straightforward procedure, often completed in a single dental visit.

What is a Dental Crown?

A dental crown, also known as a cap, is a tooth-shaped covering that is placed over an entire damaged tooth. The procedure generally involves:

  1. Preparing the Tooth: Your dentist will reshape the tooth by removing a portion of the enamel to create space for the crown.
  2. Taking Impressions: Impressions of your tooth are taken to create a custom-fitted crown.
  3. Temporary Crown: A temporary crown is placed to protect the prepared tooth while the permanent crown is being made.
  4. Permanent Crown Placement: During a subsequent visit, the temporary crown is removed, and the permanent crown is cemented into place.

Crowns are used for more extensive damage, such as:

  • Large cavities that cannot be filled.
  • Cracked or weakened teeth.
  • Teeth that have undergone root canal treatment.
  • Severely worn-down teeth.
  • Cosmetic reasons, such as covering a discolored or misshapen tooth.

Materials Used in Fillings and Crowns

CrownsFillings
Porcelain: Natural-looking and suitable for front teeth.

Porcelain Fused to Metal (PFM): Strong and aesthetically pleasing.

Gold: Extremely durable and resistant to wear, ideal for back teeth.

Resin: Less expensive, but also less durable.
Amalgam (Silver Fillings): Durable and cost-effective, but less aesthetically pleasing.

Composite (Tooth-Colored Fillings): Blend well with natural teeth and bond directly to the tooth structure.

Gold: Very durable, but expensive and not tooth-colored.

Glass Ionomer: Releases fluoride, which can help prevent further decay, but less durable than other options.

Pros and Cons

CrownsFillings
Pros: Highly durable and long-lasting.Suitable for extensive damage.Can improve the appearance of a tooth.

Cons: More invasive procedure.More expensive than fillings.Requires multiple dental visits.
Pros: Less invasive.More affordable.Faster procedure (usually one visit).

Cons: Less durable than crowns.Not suitable for extensive damage.May not be as aesthetically pleasing as crowns (depending on the material).

Which Option Is Right for You?

The right treatment for you will depend on the extent of the damage, your budget, and your personal preferences. While both dental fillings and crowns are effective for restoring damaged teeth, they serve different purposes. The materials, procedure, and longevity of each option vary, so it’s essential to consult with your dentist to evaluate your specific needs and determine the most appropriate treatment plan.

Schedule Your Consultation in Georgetown, TX

If you’re unsure which option is right for you, schedule a consultation with Dr. Winegar at Trade Winds Dental in Georgetown, TX. We’ll walk you through your options and help you make the best decision for your long-term oral health.