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A confident smile isn’t just about looks—it’s about connection. From Friday night football games and neighborhood cookouts to fishing weekends at Meeman-Shelby Forest, smiles are part of how our community comes together. But what happens when a toothache or damage gets in the way?
If you’ve ever been told you need dental work, you’ve likely heard your dentist mention crowns and fillings. At first, they might sound similar, but these treatments serve very different purposes. Understanding how each one works can help you feel at ease and make the right decision for your smile.

What Are Fillings?

Think of fillings as the go-to solution for smaller dental issues. Most people in Millington have had at least one cavity filled at some point—it’s one of the most common dental treatments.

Here’s how they work:

  • Your dentist removes the decayed part of the tooth.
  • A tooth-colored composite resin is placed to “fill in” the area.
  • The material is shaped and hardened to blend seamlessly with your natural tooth.

Fillings are perfect for:

  • Small to medium cavities.
  • Minor chips or cracks.
  • Quick, same-day treatment with minimal downtime.

What Are Crowns?

Crowns take things a step further. Instead of filling in a small space, a crown covers the entire visible part of the tooth. That makes them the best choice when a tooth is too damaged for a filling to hold up.

Here’s what to expect with crowns:

  • Your dentist shapes the tooth and takes an impression.
  • A custom-made crown (often porcelain or ceramic) is created to fit perfectly.
  • The crown is cemented into place, restoring both strength and appearance.

Crowns are often recommended when:

  • A tooth has a large cavity that can’t be safely filled.
  • The tooth is cracked, broken, or worn down.
  • You’ve had a root canal and the tooth needs reinforcement.

Yes, crowns usually take two visits—but they’re built to last. For Millington residents who enjoy an active, outdoorsy lifestyle or don’t want to worry about avoiding crunchy or chewy foods, crowns can be a long-term solution that provides peace of mind.

Crowns vs. Fillings: What’s the Difference?

While both treatments aim to restore your tooth, the choice comes down to the size of the problem and your long-term goals:

  • Extent of Damage: Fillings repair smaller issues; crowns handle more severe damage.
  • Durability: Crowns are stronger and longer-lasting than fillings.
  • Aesthetics: Both look natural, but crowns can fully reshape or improve the appearance of a tooth.
  • Time Commitment: Fillings are completed in one visit; crowns usually require two.

Put simply: fillings are the quick fix, while crowns are the heavy-duty solution.

Deciding Between a Filling or a Crown

So, how do you know which one you need? Here are some scenarios:

  • Filling: You have a new cavity, most of your tooth is healthy, and you’re looking for a simple, cost-effective fix.
  • Crown: You’ve had repeated issues with the same tooth, a filling that’s failed, or you’re dealing with cracks and sensitivity.

And here’s an extra Millington tip: seasonal temperature swings—cold winters and humid summers—can aggravate tooth sensitivity. If you notice discomfort, it’s smart to schedule an evaluation before the problem worsens.
Schedule an appointment today with Millington Family Dentistry and get personalized guidance.

Factors to Keep in Mind

When choosing between a crown or filling, lifestyle matters just as much as the tooth itself. Here’s what families often consider:

    • Diet: Sticky sweets, sweet tea, and tender-but-chewy BBQ ribs can be tough on teeth. A crown may hold up better if your favorite foods are harder on enamel.
    • Activity Level: If you’re active in sports, outdoor work, or high-contact activities, crowns provide extra reinforcement.
    • Family Schedules: Fillings offer a faster turnaround if you’re juggling school pickups, practices, and work commitments.

Millington Family Dentistry takes all of these factors into account, helping you choose an option that fits both your dental health and your lifestyle.

Caring for Your Crown or Filling

No matter which treatment you choose, good habits make the biggest difference in how long it lasts. Here’s how to keep your restoration strong:

  • Brush twice a day with fluoride toothpaste.
  • Floss daily to prevent decay around the edges.
  • Limit sugary foods and drinks whenever possible.
  • Never use your teeth as tools (skip opening bags or bottles with them at your next BBQ!).
  • Visit your dentist twice a year for checkups and cleanings.

With consistent care, fillings can last several years, and crowns often last a decade or longer.

FAQs About Crowns and Fillings

Do crowns or fillings hurt?

Both treatments are done with local anesthesia, so you’ll stay comfortable during the procedure.

How long do fillings last?

On average, 5–10 years, though good oral care can extend their lifespan.

How long do crowns last?

Crowns typically last 10–15 years, sometimes longer with excellent care.

Are crowns or fillings covered by insurance?

Most dental insurance plans cover both, but coverage varies. Our team at Millington Family Dentistry can help you understand your benefits.

Can I eat normally after getting a filling or crown?

With fillings, you can usually eat the same day. With crowns, you may need to be cautious until the permanent crown is placed.

The Bottom Line

Crowns and fillings both play an important role in keeping your smile strong and healthy. The right choice depends on the size of the problem, your lifestyle, and your long-term goals.
At Millington Family Dentistry, our goal is to make the process simple, stress-free, and tailored to you. Whether you need a quick filling or the lasting strength of a crown, we’ll help you make the best decision for your smile—and keep you ready for every Millington moment.
Learn more about restorative dentistry or book your appointment with Millington Family Dentistry today!