Differences Between the Types of Crowns. Which One Should You Choose?

Not all crowns are created equal. And making the decision as to which crown is the best for you is something that you and your dentist should discuss together.

“A crown is a fabricated covering that, once a tooth is reduced, is placed over the tooth to protect it from further breakdown,” says Dr. Judith Ko from her Hemet Valley Dental Practice. As mentioned in a previous article: The Crown: A Great Restorative Procedure, crowns are placed when a tooth is severely decayed, broken or endodontically treated (has a root canal). 

But which crown will be right for your tooth is something that you should carefully consider. “There are many options available to patients today and so it is important for you to be involved in the process of choosing your new crown,” adds Dr. Ko.

Base metal crowns – silver in color – are generally the least expensive option available. Sometimes these crowns are then covered with porcelain for a more cosmetic appearance. If you have had any challenges with metal allergies, these types of crowns may not be in your best interest. “Metal allergies from jewelry and watches can create problems that will also be seen in the mouth if the same type of material is against the gum tissue.

Noble metal crowns contain gold. These can be solid gold or, again, porcelain can be placed over the gold to provide a more cosmetic appearance. These gold crowns tend to be better for gum tissue.

Another choice is the new all porcelain options. Many of these provide the patient with a cosmetic look that mirrors their own natural teeth and can also be quite strong at the same time.

When discussing options with your dentist, make sure to ask any questions about the material and why it is being recommended. At the same time, talk about what is important to you – cosmetics or gum health.  “Collaboration with your dentist is the best way to attain an excellent result!” Dr. Ko says.