Crown or Filling? How We Decide — Cracks, Large Cavities & After‑Care

When a tooth has been damaged by decay or injury, one of the most common questions patients ask us at Salem Creek Family Dental is: “Will a filling be enough — or will I need a crown?”

It’s a good question — and an important one. Because while both treatments restore a tooth, they do so in different ways. Choosing the right option makes a big difference in how long your tooth stays healthy and functional.

Dr. Ashley Costello and Dr. Alaina Skidmore approach this decision with careful consideration. It’s not a one-size-fits-all situation. Instead, we look at your tooth’s condition, the way your bite works, and how much natural structure we can still count on.

Let’s walk through how we make the call — and what you can expect next.

When a Filling Is the Right Fit

We often think of fillings as the first line of defense. If the issue is caught early, and the surrounding tooth structure is still solid, a filling can fully restore both the function and strength of the tooth — and do it beautifully.

We usually recommend a filling when:

• The cavity isn’t too deep or wide
• The remaining enamel is stable and healthy
• The tooth hasn’t had multiple past fillings
• There aren’t any cracks compromising the integrity of the tooth

In these cases, we remove the damaged or decayed area, clean things thoroughly, and place a tooth-colored composite material that bonds right into the space. The result is strong, smooth, and nearly invisible.

When a Crown Offers More Stability

Sometimes, though, a tooth has taken more of a beating. If decay has spread too far or a large chunk of the tooth has broken off, a filling alone may not be enough to hold things together safely. That’s when we consider a crown — a full-coverage restoration that acts like a protective cap.

We may recommend a crown if:

• A large portion of the tooth is missing or decayed
• There’s a significant crack that could spread without protection
• A root canal has been performed, leaving the tooth more brittle
• The tooth already has several older fillings and minimal healthy enamel

Crowns are custom-made to blend with your smile and designed to withstand daily chewing forces. They don’t just repair — they reinforce and protect the tooth long-term.

How We Decide: It’s More Than Just a Quick Look

When you’re in the chair, we’re not just glancing at your tooth and making a snap decision. We’re evaluating the full picture — from digital X-rays to bite alignment to how much strong enamel remains.

We ask:

• Will this tooth hold up under pressure with just a filling?
• Is there enough structure left to support bonded material?
• Would a crown offer longer protection and prevent future complications?

Our goal is simple: help you avoid further problems down the line. Sometimes that means going with a filling. Other times, a crown is the smarter long-term investment. Either way, we’re focused on conservative, lasting solutions — not overtreatment.

What Happens After Treatment?

After a filling: The appointment is typically quick and comfortable. You may notice minor sensitivity to cold or pressure for a few days, but most people return to normal by that evening.

After a crown: The process typically involves two visits — one to prepare the tooth and place a temporary crown, and another to fit the permanent crown. It takes a little longer, but it’s worth the added stability when a tooth needs more protection.

In both cases, we’ll ensure you’re comfortable, informed, and supported throughout the process.

Dental Fillings and Crowns in Murfreesboro, TN

At Salem Creek Family Dental, we know the best dental decisions are made when you’re informed and empowered. That’s why we explain every option, show you exactly what we’re seeing, and walk through the risks and benefits of each solution.

If you’ve been told you might need a crown — or if you’re wondering whether a filling is enough — we’re happy to take a look and talk it through with you.

Call our Murfreesboro office today to schedule a visit with Dr. Costello or Dr. Skidmore. Let’s decide — together — what’s best for your smile, your comfort, and your long-term oral health.

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Image from Authority Dental under CC 2.0

Categorised in: Dental Crowns, Dental Fillings, Restorative Dental Care