Different Types of Dental Crowns and How to Choose

When a tooth weakens or breaks, simple fixes won’t do. That’s where dental crowns come in, restoring structure, function, and appearance. With several options available, each offering unique advantages, choosing the right crown can feel overwhelming. In this blog, we break down the most common types to help you make a confident, informed decision that suits your smile and needs.

What Is a Dental Crown?

A dental crown is a highly custom-made cover placed over a tooth that’s weak, broken, or misshapen. It restores strength, improves appearance, and protects what’s underneath. Crowns are cemented into place and can last many years with good care.

They’re often used:

• After a root canal
• To restore a large cavity
• For cracked or chipped teeth
• To anchor a dental bridge
• On top of a dental implant

Each crown type offers something different. A skilled tooth crown dentist can help determine whether appearance, strength, or longevity matters most for your tooth’s location and your personal goals.

Porcelain or Ceramic Crowns

These are popular for a reason. Porcelain crowns look almost exactly like real teeth. The color, shape, and texture mimic natural enamel, which makes them a good option for front teeth.

Why consider porcelain or ceramic crowns?

• Great match for tooth color
• No metal, so it’s a good choice if you have metal sensitivities
• Natural-looking and often used for visible areas

One thing to keep in mind is that they may wear down the opposing teeth over time if you grind or clench at night. Still, if you’re looking for a crown that blends in perfectly, this might be your best bet.

Porcelain-Fused-to-Metal (PFM) Crowns

Think of these as a blend of beauty and durability. A PFM crown contains a metal core with a porcelain coating. It offers added strength compared to full porcelain while still looking natural.

Benefits:

• Strong enough for back teeth
• Better appearance than metal-only crowns
• Long track record of success

The only downside? Sometimes, a dark line near the gum may become visible over time as gums recede. But if you want both strength and appearance in one crown, this is worth considering.

Zirconia Crowns

Zirconia is a powerhouse. It’s a white ceramic that’s nearly unbreakable, yet still looks good. Dentists often use it for molars or teeth that need extra strength.

Advantages of zirconia crowns:

• Extremely tough and long-lasting
• Can be matched to tooth color
• Less risk of chipping compared to porcelain

Zirconia crowns work well for patients who have dealt with broken crowns before or tend to grind their teeth. If you’re looking for a strong, natural-looking solution, many patients find this option ideal when seeking a trusted dentist near you for lasting protection and a clean, seamless smile.

E-max (Lithium Disilicate) Crowns

This crown is made from a high-strength glass ceramic called lithium disilicate. E-max crowns are both strong and beautiful. They’re often used for front and side teeth, where appearance matters most.

Highlights of E-max crowns:

• Excellent aesthetics, very close to natural teeth
• Strong and durable
• Minimal tooth preparation needed

If you value aesthetics but still want something that holds up well, this is a top-tier choice. E-max has become popular among younger adults and professionals who want both looks and function.

Gold Crowns

Gold might seem old-fashioned, but it’s still a trusted material. Gold crowns, often mixed with other metals, are known for their strength and durability. They don’t chip or break, and they’re gentle on surrounding teeth.

What makes gold crowns special?

• Outstanding durability
• Great for back teeth
• Less wear on opposing teeth

Of course, gold is noticeable. Some people prefer not to have a shiny tooth. But if durability matters most to you, gold delivers.

Stainless Steel Crowns (Typically for Children)

These are usually used as temporary solutions, especially for kids. Stainless steel crowns protect baby teeth that have decay or damage until the tooth naturally falls out.

Benefits for pediatric patients:

• Quick and easy to place
• Budget-friendly
• Keeps the tooth protected until it’s ready to come out

Your child’s dentist may suggest this option if a baby tooth has a large cavity but isn’t ready to fall out soon.

Temporary Crowns

These are exactly what they sound like: short-term crowns placed while your permanent one is being made. They help protect your teeth and let you eat and speak normally in the meantime.

Things to know:

• Usually made from acrylic or composite
• Not meant for long-term use
• Placed with temporary cement so they’re easy to remove

Always treat a temporary crown with care, chew gently, and avoid sticky foods until your permanent crown arrives.

How to Choose the Right Type of Crown

Choosing a crown isn’t just about materials. It’s about your goals, habits, and what matters most to you.

Here’s what to think about:

• Tooth location: Front teeth need a natural look. Molars need strength.
• Bite force: If you grind or clench, choose something strong like zirconia or gold.
• Budget: Some materials cost more. Your insurance may only cover certain types.
• Allergies: Avoid metals if you’ve had reactions in the past.
• Appearance: If a visible tooth is involved, porcelain or E-max might be better.

Talking openly with your dentist in Glastonbury helps ensure you make the right choice.

Caring for Your Dental Crown

A crown can last 10–15 years or longer if you treat it well. It doesn’t need special tools or products, just good habits.

Tips to protect your crown:

• Brush and floss every day
• Avoid chewing hard objects like ice
• Wear a nightguard in case you grind your teeth
• Visit your dentist for regular clean-ups and checkups

A crown can’t get a cavity, but the tooth underneath still can. Keep your whole mouth healthy to protect your investment.

Final Thoughts

Choosing the right crown can protect your tooth and renew your confidence. From appearance to durability, each option offers something different. Let Steven F. Hinchey, DMD, help you decide what fits best. Schedule your visit today to restore your smile with expert care and trusted guidance. It’s a choice your future self will thank you for.