Crowns or Fillings? How We Decide and Why It Matters

Crowns or Fillings? How We Decide and Why It Matters

Northbridge Dental
November 18, 2025

The decision rule of thumb



  • Filling: Small–moderate cavities/chips where enough strong tooth remains.

  • Crown: Large fractures, multiple cracked cusps, or after root canal—when we need 360° protection.


Why it matters

Undertreating a weakened tooth can lead to new cracks and emergency visits; overtreating removes unnecessary tooth. The goal is conservative strength.


How we decide

Exam, bite analysis, history (clenching/grinding), and imaging help us judge remaining tooth structure.


Cost & durability

Fillings are more conservative and cost less; crowns last longer in high-stress situations.


FAQ


Can a big filling be upgraded later?


Yes, but cracks can develop—timing matters.


Do crowns look natural?


Modern ceramics match colour and translucency.


Do crowns whiten?


No—whiten first, then match shade.


Unsure which you need? Book an evaluation at our Waterloo clinic.

*This article is for general information and does not replace a dental exam.