Dental crowns are essential restorations in modern dentistry. They are designed to restore a damaged tooth's shape, size, strength, and appearance. Your dentist can recommend a dental crown if your teeth are broken, severely worn, or have large fillings. Different types of dental crowns are available, and they vary depending on the material.

Selecting the appropriate type of crown impacts the tooth's function, aesthetics, and longevity. When you consult a dentist with dental complications, they will assess your teeth and determine whether a crown is appropriate.

Additionally, they will guide you on the correct type of crown depending on the condition of your teeth, desired appearance, and budget for the procedure. The outcome of a crowning procedure can impact the appearance and function of teeth. Therefore, you must consult a reliable dentist.

The different types of crowns from which you can choose include:

Porcelain-Fused-to-Metal (PFM) Crowns

Porcelain-fused-to-metal crowns are a commonly used restorative option. These are made of a metal substrate with a porcelain surface. The metal gives it a solid and intense structure. The porcelain over the crown creates a more natural, tooth-like appearance. PFM crowns display a good compromise between strength and aesthetics.

The benefits of choosing a PFM crown include:

  • Natural look. The porcelain mimics the color and texture of natural teeth. The natural look makes PFM crowns suitable for visible areas, like the front teeth.

  • Strong and durable. The metal core gives these crowns strength and long-term durability. They can handle the pressure of chewing and biting.

  • Versatile use. PFM crowns work well on both front and back teeth. They are perfect for patients who need both function and appearance.

  • Long track record. Dentists have used PFM crowns for decades. For this reason, their reliability is well-known.

Before choosing the PFM crowns, you must consider these setbacks:

  • Porcelain chipping. Although durable, the porcelain layer in these crowns can chip or crack over time. Chipped crowns may need repair or replacement.

  • Metal visibility. In some cases, the metal underneath the porcelain may become visible. The metal color can affect the crown’s appearance.

  • Tooth reduction is needed. To place a PFM crown, the dentist must remove more of the natural tooth than with other types. Tooth reduction interferes with the integrity of the enamel, which can cause tooth sensitivity.

  • Gum irritation poses a risk. The metal base may cause gum irritation or allergic reactions in some patients. The allergic reactions can cause discomfort when chewing or speaking.

A PFM crown usually costs between $800 and $2,400 per tooth. Cost will vary based on the complexity of the case, the metals utilized, and the dentist. If the crown is deemed medically necessary, dental insurance might partially cover the procedure.

All-Porcelain Crowns

These crowns are made entirely from porcelain and have a lifelike appearance. They offer the best natural color match among all crown types. Because they contain no metal, they are an excellent option for people with metal allergies or sensitivities. All-porcelain crowns are custom-made to blend seamlessly with surrounding teeth.

The pros of all-porcelain crowns include:

  • Excellent aesthetic results. The translucent quality of porcelain mimics real enamel well. They are nearly indistinguishable from natural teeth when matched correctly in color.

  • Ideal for front teeth due to superior color matching. All-porcelain crowns are especially favored for visible teeth where appearance is most important. Your dentist will choose a shade that matches your natural tooth enamel.

  • Biocompatible. Since these crowns contain no metal, there is no allergic reaction or irritation risk. This quality makes them a safe choice for people with sensitivities.

  • Resistant to staining. Porcelain is less porous than natural enamel. These crowns do not readily absorb coffee, tea, or tobacco stains.

  • Do not cause a dark line at the gum. Unlike metal-based crowns, all-porcelain ones maintain a uniform color. This avoids the gray line often seen at the gum with metal cores.

You should consider the following cons before opting for all-porcelain crowns:

  • Less durable than metal-based crowns. Porcelain is strong but brittle. It can crack under heavy pressure or be used on the back teeth for chewing. Chipped porcelain does not serve the aesthetic purpose. Therefore, they may need constant replacement.

  • May wear down opposing teeth more quickly. The hardness of porcelain can lead to wear on the enamel of opposing natural teeth, especially in people who grind their teeth.

  • Requires filing down of the tooth enamel. The dentist must remove a larger portion of the natural tooth to fit the all-porcelain crown. Removing the tooth enamel can cause sensitivity to hot or cold food and drinks.

  • More fragile in high-pressure areas. Dentists do not recommend porcelain crowns for molars or people with bruxism.

Porcelain crowns range from $1,000 to $3,500 per tooth. The exact price you can incur for these crowns will depend on the geographic location of the tooth and the dentist’s experience. Dental insurance may cover part of the cost. However, you should consult with your insurance provider beforehand.

Zirconia Crowns

Zirconia crowns are dental restorations made of zirconium dioxide. They repair damaged or weakened teeth. Zirconia crowns have gained popularity in aesthetic and restorative dentistry for their excellent performance regarding durability and natural appearance. The benefits of zirconia crowns include the following:

  • Durable and wear-resistant. Zirconia crowns are powerful and resist chipping, cracking, and everyday wear.

  • Natural look. These crowns are more translucent, like real teeth, and the dentist can shade them to match the adjacent teeth.

  • Non-staining and biocompatible. These crowns are stain-resistant to food and drinks and are suitable for most patients as they do not produce significant allergic reactions.

  • Minimal tooth reduction. Less natural tooth structure removal is necessary compared to other crowns.

  • Long-lasting and ideal for molars. With proper care, Zirconia crowns handle strong chewing forces well and can last 10–15 years.

The following are some cons you can consider when choosing zirconia crowns:

  • Possible abrasion. If not polished appropriately, Zirconia can cause abrasion of adjacent natural dentition.

  • Restrictions on appearance. Certain zirconia materials are more opaque and less like natural enamel.

  • Adjustment required. The dentist will have to adjust them when placed and might have to change the bite to ensure comfort.

  • Difficult to repair. Zirconia crowns are harder to fix if damaged compared to porcelain crowns. Therefore, you may need to repair the crowns if they are damaged.

  • Higher cost and skill required. Zirconia crowns are more expensive, and their proper placement depends on the dentist's expertise.

Zirconia crowns cost between $1,000 and $3,000 per tooth. Cost depends on the location, clinic, and provider. Some dental insurances may include partial coverage for the cost. Most dentists also provide payment plans to make costs more manageable. While they are initially priced, they are a cost-effective solution in the long term as they are durable.

Gold Crowns

Gold crowns are caps created from gold or gold alloy. Dentists also use them to repair damaged, cracked, or decayed teeth. They are exceptionally preferred on back teeth because they are durable and strong. While less frequently employed in front teeth, gold crowns are appreciated for their quality, performance, and longevity. The advantages of gold crowns are:

  • Durability. Gold crowns are durable and very strong. They withstand heavy forces of mastication and are not prone to chipping or cracking. Gold crowns can last 20 years or longer.

  • Gentler on other teeth. Gold has also been described as a “soft” metal. It does not grind down the teeth; it bites over. The softness of gold also makes it a good choice for individuals who grind or clench their teeth.

  • Perfect fit. Gold shapes and fits easily, allowing the crown to fit tightly onto the tooth. A better fit prevents slippage, which may cause decay or discomfort.

  • Less tooth reduction. The dentist usually removes Less natural tooth structure when preparing a tooth for a gold crown. It allows the retention of more of the natural tooth structure.

  • Compatibility with living systems. Gold is biocompatible and considered to be safe. Gold crowns are rarely known to cause allergic reactions.

The downsides of choosing gold crowns are:

  • Appearance. Gold crowns are very noticeable due to their bright metallic color. For this reason, they are not ideal for front teeth.

  • Cost. Gold is an expensive material. Gold crowns often cost more than porcelain or ceramic ones. They also require skilled lab work, which adds to the total price.

  • Temperature sensitivity. Some patients are sensitive to hot or cold when wearing metal crowns, including gold.

  • Not suitable for visible teeth. Gold crowns are more appropriate for molars that are not readily visible when smiling or speaking due to their color.

A gold crown ranges from $800 to $2,500 per tooth. The final price depends on several factors, including:

  • The gold content and weight

  • Dentist’s fees and location

  • Dental lab charges

Composite Resin Crowns

Composite resin crowns are made from a tooth-colored synthetic resin that mimics natural enamel. Their aesthetic advantages make these types of crowns popular for anterior teeth. They are often used as a temporary or inexpensive option when more permanent crown types are recommended. The advantages of choosing these crowns are:

  • Aesthetic appeal. Composite resin is a tooth-colored material that blends with the natural color of your teeth. It is also aesthetically pleasing and thus suitable for any anterior area, including the patient’s smile line.

  • Less invasive. Less tooth structure is removed when placing a composite crown than a porcelain or metal crown. It allows for the conservation of healthier teeth.

  • Affordable. One of the most attractive features of composite crowns is their cost. They are among the most budget-friendly crown options. For this reason, it is accessible to more patients.

  • Quick fabrication. Composite crowns are created and placed in a single dental visit. Dentists can shape and cure the material directly on the tooth, reducing the time needed for treatment.

  • Repairable. If a composite crown chips or wears down, your dentist can repair it to restore the structure and appearance.

The setbacks of composite resin crowns are:

  • Less durable. Composite resin is softer than porcelain or metal, making it more susceptible to chipping or cracking.

  • Shorter lifespan. These crowns last 3 to 5 years, whereas ceramic, zirconia, or metal crowns can last over a decade with proper care.

  • Not ideal for molars. Due to their limited strength, dentists do not recommend composite crowns for back teeth with more biting force.

  • Color changes. Over time, composite material can stain from food, drinks, or smoking.

  • More maintenance. Composite crowns require more frequent dental visits for polishing or repairs to maintain appearance.

Composite resin crowns cost between $300 and $600 per tooth. The price can vary depending on location and whether it is a temporary or permanent crown. Dental insurance may partially cover the cost if the procedure is medically necessary.

E-Max Crowns

E-Max crowns are a type of all-ceramic crown made from lithium disilicate. They are known for their strength, beauty, and natural appearance. Dentists often recommend them for visible front teeth, but they can also be used on premolars. These crowns are custom-made to match the shade and shape of your natural teeth. You can choose these crowns for their:

  • Aesthetic appeal. E-Max crowns look very similar to natural teeth due to their translucency.

  • Durability. These crowns are made from strong ceramic and can last many years with proper care.

  • Minimally invasive. The dentist must shave down less tooth enamel for these crowns than for others.

  • Metal-free. E-max crowns are safe for patients with metal allergies or sensitivities.

  • Stain-resistant. These crowns maintain their color and shine over time.

  • Biocompatible. Ceramic is gentle on the surrounding gums and tissues.

The cons of the E-Max crowns include:

  • High cost. Ceramic crowns are more expensive than traditional PFM or metal crowns.

  • Not ideal for heavy biters. E-Max crowns are not strong enough for molars in patients who grind their teeth.

  • Requires precision. An experienced dentist and lab are needed to fit these crowns for the best results.

  • Fragile during fabrication. The material used for these crowns is brittle before placement.

An E-Max crown costs from $1,000 to $2,500 per tooth. Your location, dentist’s fees, and presence of dental insurance can influence the cost.

Factors Affecting Your Choice of a Dental Crown

With the many types of crowns available, you can choose the one that suits your needs by considering the following factors:

Type of Material

Material is a significant factor to consider when choosing a dental crown. Dental crowns come in several materials, including porcelain, metal, ceramic, zirconia, or a mix. Porcelain looks most natural, while metal lasts the longest. Zirconia is strong and tooth-colored. Your dentist will explain which material fits your needs best.

Cost

Dental crowns can be expensive. The price depends on the material, the dentist, and your location. Metal crowns usually cost less. Porcelain and zirconia tend to cost more. Insurance may help cover the costs of the crown procedure. However, it does not cover the full price. Knowing your budget before deciding on the correct crown type is critical.

Location of the Tooth

The tooth's location that needs crowning is a significant factor when choosing the right crown. Back teeth take more pressure from chewing. Therefore, strength matters more. Front teeth need to look good, which makes porcelain or ceramic crowns a better choice. Your dentist will match the crown to the tooth's job.

Appearance

If the tooth is visible when you smile, your desired appearance can impact your choice of a crown. Many people want a crown that looks natural and blends in. Porcelain and ceramic crowns match the color of your other teeth. Metal crowns are strong but stand out more. The look you want makes a big difference.

Durability

Some crowns last longer than others. Metal crowns are the most durable and can last decades. Porcelain crowns look great but may chip over time. Zirconia is strong and resists cracking. If you want a crown that lasts, you must consider the durability of each.

Allergies or Sensitivities

Some people have metal allergies or are sensitive to certain materials. If you have a known allergy, you must avoid crowns that could trigger a reaction. Your dentist might suggest all-ceramic or zirconia as a safer option.

Dentist’s Recommendation

Your dentist’s advice matters when choosing a dental crown. After assessing your oral health, they suggest a crown that fits your bite, habits, and overall dental health. You should trust their experience, but do not hesitate to ask questions.

Find Expert Dental Services Near Me

Choosing the right dental crown is a crucial decision. It affects the appearance of your smile, oral health, comfort, and long-term dental function. You can choose crowns made from all-porcelain, zirconia, gold, composite resin, and E-Max crowns. Each material offers unique benefits and drawbacks in durability, aesthetics, and cost.

The ideal choice for you depends on factors like the location of the tooth, your budget, aesthetic preferences, and any allergies. If you need a dental crown, consult an experienced dentist. The dentist will evaluate your needs and recommend the most suitable crown for lasting results.

At Beach Dental Care Anaheim, we offer personalized advice and professional service for our Anaheim, CA, clients. Contact us today at 714-995-4000 to schedule a consultation.