When do you need a crown vs filling?

Depending on the extent of tooth decay, your dentist may recommend either a cavity filling or dental crown. Dental crowns are typically used to treat severely damaged teeth, while filings generally treat minor tooth decay and damages.
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How do I know if I need a crown or a filling?

Factors that determine the choice of fillings or crowns

When tooth decay goes untreated for long, it gets bigger and deeper. If the cavity is detected on time, a filling is good enough. However, if the decay has affected a significant portion of the tooth, the dentist will suggest a dental crown.
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Is a crown worse than a filling?

When properly placed by an experienced dentist, crowns are much stronger than fillings and less likely to come loose and require repairs. More natural function. With a crown, normal chewing function is restored. Fillings can alter the shape of the tooth and negatively impact chewing.
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What type of cavity requires a crown?

Crowns are needed in the case of severe dental decay, but dental fillings are used to restore individual teeth that show small amounts of decay.
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Can you fill a tooth instead of getting a crown?

You might opt for a filling instead. Keep in mind, however, that a filling does not prevent you from needing a crown later on. Also, if a substantial portion of your tooth needs filling, a better solution is usually the crown because fillings do not give you the same kind of protection as crowns do.
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How do I know if a tooth needs a filling or a crown?



What are the disadvantages of dental crowns?

The Cons
  • Cost. One disadvantage of crowns can be the cost. ...
  • Risk for Nerve Damage. There is a possibility of nerve damage if a tooth is filed too thin. ...
  • Sensitivity. Dental crowns can also be destructive to other teeth if the crown is too abrasive. ...
  • Potential Need for Further Repairs.
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When is tooth filling not possible?

When decay damages a tooth, the destruction to the enamel is irreversible. If the cavity is left untreated, the decay can spread and worsen, destroying healthy parts of the tooth. And if enough time goes by, your dentist won't be able to repair the tooth with a conventional filling at all . . .
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How big does a cavity have to be to get a crown?

Since dental crowns are recommended in cases where about ¾ of the tooth is affected by damage or decay, they are designed to fit on minimal remaining tooth structure. Therefore, there needs to be something to cement the crown to and enough tooth to provide internal support.
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How big does a cavity have to be for a crown?

If you have an old filling that is more than 2/3 the width of your tooth, or a filling that is damaged or failing, it may be a good idea to replace it with a dental crown. Crowns provide better protection than fillings and can prevent cracking and other similar complications.
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Can you get a crown without a root canal?

Is Root Canal Necessary Before a Crown? Not necessarily. A dental crown can solve numerous dental issues without the need for a root canal. On the other hand, a dental crown may be necessary after a root canal treatment.
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When is a crown indicated?

If the endodontically treated tooth has been restored previously with large restorations and/or if hori- zontal cracks are present, a crown or onlay is indicated.
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How long can you delay getting a crown?

Typically, you may be able to delay getting the crowns for 1-2 months but beyond that point, they risk breaking. That is how long a temporary crown can last, 1-2 months at most so please do not wait too long for the permanent crown!
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Why do dentists drill before filling?

When dentists drill into teeth, they are shaping an opening. This is to ensure all of the rot in the dentin is removed entirely. Another reason for drilling is to create a shape for the filling to bond and fill the cavity completely. Fillings can be either a silver/mercury amalgam or they can be plastic.
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Do crowns stop tooth decay?

Ceramic crowns are excellent at protecting teeth from further damage or decay. But they can harbor bacteria if not properly cared for. If a cavity forms underneath the crown, the cap will need to be removed and the tooth decay eradicated before replacing it.
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Why is my tooth black under my crown?

Finally, a black line around a crown may indicate that the tooth underneath has begun to decay. Although a crown does protect natural tooth structure, decay is still possible—especially at the margin.
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Can I wait 6 months to fill a cavity?

Every Cavity Is Different

Some people have softer tooth enamel than others, making it easier for bacteria or acid to penetrate the tooth. On average, as a broad timeline, it can take anywhere from six months to four or five years before a cavity needs treatment.
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Does toothache mean I need a filling?

A simple toothache is the most common sign you need a filling, but there are other signs to look out for as well. This includes sensitivity to hot and cold temperatures, pain when biting down or chewing, and a visible hole you can see or feel in your teeth.
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What are the signs you need a root canal?

Root canal symptoms
  • Persistent pain. Persistent tooth pain is one of the signs that you may need a root canal. ...
  • Sensitivity to heat and cold. ...
  • Tooth discoloration. ...
  • Swollen gums. ...
  • Pain when you eat or touch the tooth. ...
  • A chipped or cracked tooth. ...
  • Tooth mobility.
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What is the difference between a cap and a crown on your teeth?

Here it is: Nothing! That's right: a dental crown and a dental cap are exactly the same! According to WebMD, a dental crown is a tooth-shaped cap that is placed over a tooth to restore its shape and size, strength, and improve its appearance. A crown can also be placed on top of dental implants.
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Do crowns cause gum recession?

A dental crown can potentially irritate the neighboring gum tissue, leading to inflammation and also gum recession which can cause pain and sensitivity. You can avoid irritation and prevent gum recession by carefully following the aftercare instructions provided by our dentist.
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Do crowns on front teeth look natural?

Dentists create the crown so that it looks as natural as real teeth. In most cases, dental crowns look natural due to the talent of the particular dentist. Once a dental crown is placed upon an original tooth, it is usually difficult to distinguish between the crown and the rest of the natural teeth.
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How do I know if my dentist is unnecessary?

Nine Dental Red Flags
  • Red Flag #1 – Your Old Dental Records Are Not Requested. ...
  • Red Flag #2 – The Office Is Using Old Technology. ...
  • Red Flag #3 – Sterile Protocol Is Broken. ...
  • Red Flag #4 – You Have To Ask For Oral Cancer Screenings. ...
  • Red Flag #5 – Overzealous About Extensive Work. ...
  • Red Flag #6 – Their Reputation Is Negative.
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Do fillings make teeth weaker?

Composite fillings fill the cavity and bond directly to the patients teeth. Because of this, the tooth and filling work together. This means that composite fillings do not make your teeth weaker, but they may make your teeth stronger.
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Why do I keep getting cavities even though I brush and floss?

The advice you got as a kid — brush your teeth, floss, eat less candy — is still important. But it's becoming more clear that the types of bacteria inhabiting your mouth matter, too. Some people do all the oral hygiene stuff right and still get cavities because of the bacteria living in their mouths.
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How many adults have crowns?

About 15 million people in the U.S. have crown or bridge replacements.
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