Why Dentists Recommend Crowns Over Regular Fillings

As a dentist in Kitsilano, Vancouver, we are committed to providing the best possible care for our patients. When it comes to restoring damaged teeth, patients are faced with a common dilemma: should they get a dental crown or a regular filling? Let’s explore the factors that influence this decision and why crowns often emerge as the preferred choice.

1. Understanding Dental Fillings

Dental fillings are commonly used to repair teeth damaged by decay or fractures. Here’s how the process works:

  1. Cavity Preparation: The dentist removes the decayed or damaged portion of the tooth.

  2. Filling Material: Various filling materials are available, including:

    • Composite Resins: These match the colour of natural teeth and provide a more natural appearance.

    • Amalgam (Silver Alloys): Durable and affordable, but noticeable due to their dark colour.

    • Gold: Long-lasting and considered one of the best filling materials.

    • Porcelain: Custom-made in a lab, they match tooth colour and resist staining.

2. When to Choose a Crown

Dentists often recommend dental crowns (also known as caps) for several reasons:

  1. Extensive Damage: If a tooth has significant decay, a large filling may weaken it further. A crown provides better structural support.

  2. Fractured Teeth: Crowns protect and strengthen teeth with cracks or fractures.

  3. Root Canal Treatment: After a root canal, a crown restores the tooth’s strength and prevents further infection

  4. Cosmetic Considerations: Crowns can improve the appearance of misshapen or discoloured teeth.

3. Advantages of Crowns

  • Durability: Crowns last longer than most fillings, especially gold crowns that can endure over 20 years.

  • Protection: Crowns cover the entire tooth, providing comprehensive protection.

  • Customization: Porcelain crowns can be colour-matched to blend seamlessly with natural teeth.

  • Restoration: Crowns restore both function and aesthetics.

4. Limitations of Fillings

  • Size: Large fillings may weaken the tooth over time.

  • Lifespan: Composite resin fillings typically last 3-10 years.

  • Staining: Composite fillings can stain from coffee, tobacco, and other substances.

5. The Decision-Making Process

When being recommended a crown vs. a filling, consider:

  • Tooth Condition: We assess the extent of damage and the tooth’s overall health.

  • Patient Preferences: Discuss options with the patient, considering aesthetics and longevity.

  • Long-Term Outlook: Crowns offer better longevity for extensive restorations.

Conclusion

As a dentist in Kitsilano, Vancouver, it is our expertise that helps guide patients toward optimal oral health. By understanding the nuances of crowns and fillings, you can make informed decisions that enhance both function and aesthetics. As each patient is unique, we tailor our advice accordingly.

For more information or to schedule a consultation, patients can contact our office (604)731-3800.

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