Dental Crown Choices

Compared with Gold and Metal Crowns

With old technology, dental crowns always needed to be made with a metal foundation.

Today, we can make them out of pure porcelain, ceramic or aesthetic reinforced resins. There are still occasions on the back teeth when the durability of a metal crown makes it the restoration of choice. But for crowns that show, wouldn’t you rather have one that looks as natural as possible?

A dental crown is needed when a tooth is badly broken down – either a cusp has broken off, or there are large old fillings or a large portion of tooth decay. A filling is used to fill a small portion of the tooth – a crown when the tooth has extensive damage. And when you have one made, there are three basic categories: metal (usually gold); all porcelain crown ; or porcelain fused to metal. This is some information to help you decide which type of these three basic choices you want.

Porcelain Fused to Metal

General Recommendations

In situations where there is a high amount of concern about appearance, a bonded all porcelain crown (metal-free) is the nicest restoration. For the front teeth, the advantage is its natural, lifelike translucency and not having to deal with the possibility of the potentially unsightly dark line at the gum line of the tooth. For back teeth, the advantage of a porcelain onlay is the conservation of healthy tooth structure and kindness to the gums.

Where appearance is no concern to you, gold is a logical choice, because it has the best fit and the best chance of lasting the longest. It will never crack or chip.

For teeth that are toward the back but that still show when you smile, a porcelain fused to metal crown is a good choice. Because it isn’t in such a prominent position, it usually looks very natural, and although it’s not indestructible, it’s strong enough to resist the heaviest biting stresses.

Dr. Bittner DDS is dedicated to the area of Cosmetic and Implants Dentistry, providing preventative maintenance and restorative dental health care for our patients. Take advantage of our modern dental facility and excellent dental care.