Choosing the right crown for you

If your dentist has told you that you need a crown, you might find yourself wondering: which kind? The choice of crown matters — not just for how it looks, but for how it will perform over time, how much tooth structure needs removal, how it stands up to chewing forces, and how it fits your budget.

When do you need a crown?

A crown might be used to cover a tooth that’s cracked or broken, to protect a weak tooth, to cover a tooth after a root canal, or to finish off a dental implant or anchor a bridge.

Key factors

When considering your crown type, there are a few things to keep in mind.

A back molar takes heavy forces during chewing, and if aesthetics (what you see in the mirror) are less critical, you might pick a more durable material.

On front teeth where appearance matters, you may lean toward something that mimics natural enamel. Also: your budget, potential metal allergies, how much natural tooth is left, and what your dentist recommends all come into play.

Material types

  • Metal crowns (such as gold alloy or base‐metal alloy) are very durable, require minimal removal of tooth, and resist breaking or chipping. But they don’t look like a natural white tooth.

  • Porcelain‐fused‐to‐metal (PFM) crowns mix a metal core with a porcelain outer layer. They give you better aesthetics than full metal and good strength, but the metal edge may show over time or the porcelain layer may chip.

  • All‐ceramic or all‐porcelain crowns (including zirconia, lithium disilicate) offer the best in appearance, are often metal‐free (good for allergies), and match natural teeth quite well. The trade‐off: some are less strong under heavy chewing forces and may cost more.

  • Resin/temporary crowns are used when you need something interim while the “real” crown is being made; they’re less durable and not meant for long term.

How to decide for you?

If you’re restoring a back tooth where strength is paramount and you don’t mind how it looks, a metal crown might be smart. If you’re restoring a visible front tooth and want it to look as natural as possible, all-ceramic might be the way to go. If you have a moderate budget and want a good balance, a PFM could fit. Always ask your dentist about tooth prep (how much of your natural tooth will be removed), lifespan, cost, and whether you grind your teeth (which may push toward a stronger material).

The ‘best’ crown

There’s no one “best” crown type that suits everyone. The right type is the one that fits your tooth’s location, how much chewing it will deal with, how it looks in your smile, your budget, and any other personal factors (like allergies or existing dental work). Ask your dentist lots of questions: “What material do you recommend and why?”, “What will it cost?”, “How long do you expect it to last?”, “Are there any trade‐offs?” With the right information you’ll end up with a restoration that not only functions well but also blends with your smile and gives you confidence.

Joel Harding