How to Know If You Need a Filling or a Crown: Our Conservative Approach
When you have a damaged or decayed tooth, one of the first questions that comes up is whether you’ll need a composite filling or a porcelain crown. At Minimally Invasive Dental Aesthetics, we take a conservative approach to care—focusing on preserving as much natural tooth structure as possible. That means our dentists in Bellevue, WA, carefully evaluate each case to determine the least invasive treatment that will still offer long-term results.
Fillings vs. Crowns: What’s the Difference?
Dental fillings are typically used to restore small to moderate areas of decay or minor cracks. They involve cleaning out the affected portion of the tooth and filling it with a durable material, such as composite resin. Fillings are quick, affordable, and require minimal alteration to your tooth.
Crowns, on the other hand, are recommended when a tooth is too weak or damaged to support a filling alone. A crown is a custom-made cap—often crafted from porcelain in a dental lab—that fits over your natural tooth. It protects the tooth from further damage and restores both function and aesthetics.
Our Conservative Approach to Treatment
We know that no one wants more dental work than necessary. That’s why we prioritize a minimally invasive approach whenever possible. If a filling will provide adequate protection and restore your tooth’s function, we’ll recommend it over a porcelain dental crown. Our goal is to remove as little of your natural tooth structure as possible while still giving you a healthy, lasting result.
When we do recommend a , it’s because your tooth has significant damage—such as a deep crack, extensive decay, or a large, failing filling—that puts it at risk of breaking. In these cases, a porcelain crown provides the strength your tooth needs to withstand daily chewing and protect it for years to come.
How We Decide Which Is Right for You
During your appointment, we’ll perform a detailed exam using digital imaging and diagnostic tools to assess the extent of the damage.
Factors we consider include:
- Size and depth of the cavity or crack
- Amount of healthy tooth structure remaining
- Tooth’s location and function (front vs. back teeth)
- Previous restorations or history of root canal treatment
We’ll walk you through your options and explain why we’re recommending a particular treatment. If a is sufficient, that’s what we’ll suggest. If a crown is needed, you can rest assured it’s because it’s the best choice to protect your tooth and avoid more complex issues later.
Your Comfort and Long-Term Health Matter
We know that dental treatments can feel overwhelming, especially when you’re unsure what to expect. That’s why our team emphasizes gentle, conservative care. We’re here to answer your questions, explain every step, and make sure you feel confident in your treatment plan.
Schedule an Appointment with Us
If you’re experiencing tooth pain or think you may need a filling or crown, our dentists in Bellevue, WA, are here to help you make the most informed and comfortable decision for your smile. To schedule an appointment, please call Minimally Invasive Dental Aesthetics at (425) 454-7690. You may also fill out our online contact form and a member of our team will reach out to you soon.
