Crown vs Filling: What’s the Right Choice for Your Tooth?

You walk out of what you thought was a routine dental check-up and suddenly, your dentist says:

“You might need a crown instead of a filling.”

You smile politely, nod… but inside you’re thinking:

“Wait… aren’t they both just ways to fix a bad tooth? Why the upgrade?”

If this feels familiar, you’re not alone. Many patients come to Dev’s Oral Care with the same confusion: crown vs. filling. Let’s break it down in simple terms, so you can make a confident and informed decision about your dental health.

Quick Snapshot: Dental Crown vs Filling

Feature

Dental Filling

Dental Crown

Purpose

Fixes small cavities

Restores large damage or cracks

Tooth Coverage

Fills a portion

Covers the entire tooth

Time Required

~30 mins (single sitting)

1–2 hours or 2 sittings

Durability

5–15 years

10–25 years

Cost

Less expensive

More expensive

Appearance

Natural (if composite used)

Highly natural if ceramic/zirconia

Common Use Case

Small to medium decay

Post-root canal, cracked or weak tooth

What’s the Difference Between a Dental Crown and a Filling?

A dental filling is like a patch — it fills a hole or cavity caused by decay.
A dental crown is like a helmet — it covers and protects the entire tooth when it’s too damaged for just a patch.

dental filling-crown

At our clinic in Pune, we explain it this way:

If enough healthy tooth remains, a filling is sufficient. But if the tooth is weak, cracked, or has undergone root canal treatment, a crown offers better long-term protection.

When Do You Need a Crown Instead of a Filling?

We recommend a crown when:

  • More than 50% of the tooth is decayed or broken

  • You’ve had a root canal, and the tooth is fragile.

  •  There are visible cracks or fractures.

  • You’ve had multiple large fillings that are wearing out.

  • There’s a cosmetic concern (e.g., discolouration or misshapen tooth)

In many cases, we’ve seen patients opt for a filling initially, only to return months later when the tooth cracks, making a crown unavoidable. That’s why timing matters.

Crown vs Filling: What About Cost?

In most Indian cities, including Pune, here’s a general idea of cost:

  • Composite fillings: ₹800 to ₹2,500 per tooth

  • Crowns:

    • Metal: ₹3,000–₹5,000

    • Porcelain-fused-to-metal: ₹6,000–₹9,000

    • Zirconia (tooth-colored, premium): ₹10,000–₹13,000+

Tip: Some insurance plans cover part of the cost. If not, we help patients explore phased payments or treatment options within their budget.

Which One Hurts More?

Both procedures are performed under local anaesthesia, so you won’t feel any pain during the procedure.

  • Fillings are quicker (usually under 30 minutes)
  • Crowns may take two sittings: one for tooth preparation and another for final placement.

At Dev’s Oral Care, we utilise digital impressions and gentle preparation techniques to ensure your comfort at every step. At Dev’s Oral Care, we use digital impressions instead of traditional messy molds.

✅ No gag reflex
✅ No cold, gooey trays
✅ Faster turnaround time
✅ More accurate crown fit
✅ Fewer adjustments after placement

This means your crown fits better on the first try, feels more natural while chewing, and you spend less time in the chair,  especially helpful for working professionals or students managing a tight schedule.

Which Looks More Natural?

If appearance is a concern (especially for front teeth), here’s how they compare:

  • Composite fillings blend well, but may stain over time

  • Zirconia and ceramic crowns reflect light like natural enamel and retain their shine for years

For patients who prioritise aesthetics, we recommend all-ceramic or zirconia crowns, especially on visible teeth.

Top Questions Our Patients Ask About Fillings and Crowns

1. How long do dental crowns last compared to fillings?

Crowns can last 10–25 years with proper care and maintenance. Fillings usually last 5–10 years, depending on size, location, and bite pressure.

2. Can I use a filling as a temporary fix before a crown?

Sometimes yes, especially if you’re short on time or finances. However, remember that a large filling may not last long and could actually worsen the damage. If your dentist recommends a crown, it’s usually to prevent long-term complications.

3. Can I get tooth-colored options for both?

Yes! Most of our patients now prefer:

  • Composite fillings (white)

Zirconia or ceramic crowns (natural-looking and strong)

4. Are crowns more painful than fillings?

Not really. There may be mild sensitivity post-treatment, especially if you’ve had a deep cavity or root canal. But this usually subsides within a few days.

5. How do I know what’s right for me?

We evaluate based on:

  • The extent of decay

  • Location of the tooth

  • Chewing forces

  • Your long-term goals

We also show you digital X-rays and intraoral images, so you’re involved in the decision.

6. What type of filling is best for my tooth?

The choice of filling depends on the location of the cavity, your bite pressure, budget, and aesthetic preferences. For example, back teeth may require stronger materials, such as amalgam or composite, while front teeth often benefit from tooth-coloured options.

Aftercare Tips for Crowns and Fillings

dental crown-fillings-aftercare instructions
  • Brush your teeth twice a day with a soft-bristle brush.

     

  • Use fluoride toothpaste

     

  • Floss gently (especially around crowns)

     

  • Avoid chewing on ice, pens, or hard candy.

     

  • Wear a nightguard if you grind your teeth.

     

Whether you’re getting a filling or a crown, 6-month dental check-ups are essential for catching early signs of wear or leakage.

Final Word: Let the Tooth Decide

It’s not about which one is better; it’s about what your tooth needs.
A filling may be enough for minor decay, but a crown provides strength, protection, and longevity when your tooth is compromised.

At Dev’s Oral Care, we take the time to walk you through your options,  using visuals, digital scans, and real patient cases, so you’re never confused or rushed into a decision.

Ready to Find Out What Your Tooth Needs?

Visit our clinic for a clear, honest evaluation from Dr. Kamal Kiswani and take the first step toward a healthier, pain-free smile.

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