Choosing the right dental crown can be overwhelming with so many options available. In this guide by Project Smiles Dental, we will break down each type, highlighting their features, benefits, and potential drawbacks. We firmly believe in the concept that knowledge is power, and every patient has their own preferences. We want our patients to harness that power so that they make the right choice based on their preferences and priorities.
What are Dental Crowns?
Dentists design dental crowns to encase damaged or decayed teeth, effectively restoring their original shape, size, strength, and appearance. They are an essential part of restorative dentistry, offering both functional and aesthetic benefits.
Doctors usually suggest crowns post-root canal treatment to offer strength and protection to the tooth, as dehydration after root canal therapy makes the tooth brittle.
5 Different Types of Dental Crowns
Porcelain Crowns
Features: Dentists use porcelain crowns for front teeth because of their natural appearance. They replicate the translucency and hue of natural teeth. They are termed E. Max, where E stands for esthetics. Showbiz professionals, models, actors, and individuals who prioritize appearance most commonly choose these crowns.
- Pros: highly aesthetic, biocompatible, and stain-resistant.
These range from 14000 to 18000 INR per unit based on the warranty provided by the dental laboratory.
Metal Crowns
Features: Metal crowns, often made from cobalt-chromium or nickel-chromium, are extremely durable and long-lasting. They are typically used for molars. These are outdated and were commonly practiced in the 1990`s. Currently, due to advancement in technology, they have been replaced by far superior-quality crowns However, as these are the most affordable crowns, they are still preferred by few of our patients who are on a budget.
Pros and Cons:
- Pros: superior strength, longevity, and requires less tooth removal.
- Cons: Unattractive metallic color can cause sensitivity to temperature changes. Also, the material is a ferromagnetic substance. It might be an issue if the patient is going for an MRI scan.
These range from 3000-4000 INR per crown based on the warranty provided by the dental laboratory.
Porcelain-Fused-to-Metal Crowns (PFM)
Features: PFM crowns combine the strength of metal with the aesthetics of porcelain. They have a metal core covered by a porcelain exterior. These are the most extensively practiced crowns in current days.
Pros and Cons:
- Pros: Strong and durable; better aesthetics than metal-only crowns.
- Cons: Porcelain layer can chip, metal margin may show if gums recede.
These crowns usually range around 6,000 INR. These are without any warranty. However, there is one more variety of PFM named DMLS (Direct Metal Laser Sintered) crowns. These are of superior quality than basic PFM crowns and come with a warranty of 10 years provided by the dental laboratory.
Zirconia Crowns
Features: Zirconia crowns are made of zirconium oxide. These are the most opted-for crowns by our patients. The best feature about them is their unmatched strength, especially when it comes to replacing crowns in the back teeth. They are esthetic too, as they replicate natural tooth color. They are ideally suited for patients who are looking for value for their money/investment.
Pros and Cons:
- Pros: extremely durable, natural-looking, and biocompatible.
- Cons: Can be abrasive to opposing teeth, slightly more expensive than other options.
Zirconia crowns have to varieties. Zirconia Monolith, which is made from a single block and milled in a CAD/CAM machine. This is priced around $10,000–$12,000 based on the warranty provided by the dental laboratory. Another variety is a multi-layered zirconia in which, after milling the single block of zirconia in a milling machine, another round of powdered zirconia is added with a different shade from the parent block to have better esthetics. This multi-layered zirconia is ranging between 12,000 and 15000 INR based on the warranty provided by the dental laboratory.
Resin Crowns
Features: Resin crowns are made from composite resin material. They are often used as a temporary solution.
Pros and Cons:
- Pros: cost-effective, quick to produce, and aesthetically pleasing.
- Cons: Less durable, prone to wear and discoloration over time.
Providers charge 500-1000 INR per unit based on the quality of material used.
Comparison of Dental Crowns
Durability
When it comes to durability, zirconia tops the list. They can withstand the forces of chewing and are less likely to crack or chip compared to porcelain or PFM crowns.
Aesthetics
For front teeth, aesthetics are crucial. E-max is the best when it matters the most. Zirconia, especially the multi-layered varient, is also the next best option. PFM crowns provide a balance between strength and aesthetics but might show a metal margin over time.
Cost of the right dental crown near you
Cost is a significant factor for many patients. Resin crowns (1000 INR) are the most affordable but offer the least durability (maximum a month). For those on a budget, PFM (6000 INR) is a good choice, irrespective of the tooth being replaced. However, adding 1000 INR will get you a DMLS variant (7000 INR). Zirconia monolith (10,000 INR) provides the best value for your investment, regardless of the tooth being replaced.
Zirconia multi-layered (12,000–14,000). Choosing this option will give you the best esthetics, but your budget might slightly confine you. E-Max (Esthetics Max) (starts at 14,000 INR) is the one where you do not want to compromise on any bit and want the best out of all.
Choosing the Right Dental Crown for You
Factors to Consider When Choosing The Right Dental Crown
When selecting a dental crown, consider the following factors:
- Location of the tooth: Front teeth often require more aesthetic solutions like E. max or zirconia crowns. For the back teeth, you can opt for PFM if on a budget or Zirconia monolith if you want the best strength.
- Allergies: If you have metal allergies, ceramic or zirconia crowns might be the best choice.
- Budget: Assess your budget; however, keep in mind that a crown is a one-time investment for you. Do discuss finances if that is an issue with us so that we can help you or recommend you which crown to go for even on a budget.
- Durability needs: For molars that undergo heavy chewing, more durable options like zirconia monolith is advisable.
Consulting with Your Dentist: Importance of Professional Advice
Your dentist is the best resource for helping you choose the right dental crown. They can assess your specific dental needs, consider your preferences, and recommend the most suitable type of crown.
Maintaining Your Dental Crown
Tips for Longevity
Proper care is crucial for the longevity of your dental crown. Here are some tips:
- Practice good oral hygiene: Brush twice a day and floss daily to prevent decay and gum disease.
- Avoid hard foods: Be cautious with foods that can crack or damage your crown.
- Regular dental visits: Schedule regular check-ups and cleanings with your dentist to monitor the condition of your crown.
- Water-flosser: We recommend using water-flosser for every crown to keep your gums in good health. The least you could do is floss the area regularly.
Conclusion
Choosing the right dental crown is a vital decision that impacts both your oral health and your smile’s appearance. By understanding the different types of dental crowns and considering your unique needs and preferences, you can make an informed choice. Remember to consult with your dentist to find the best option for you.
