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crowns vs composite

can one develop hair line fractures with crown protecting tooth?

are porcelian crowns stronger and long lasting than composite fillings and inlays?

i had done two crowns on teeth #4, and 5.. choice i had to make... tooth #4 end up having a cavity on the side, and #5 was severely leaking upon removal of both. so i put crowns rather than composites. was told no need for additional dental work in the short term. where composites maybe could break down since 4 and 5 not as big as back teeth?
Poster
  • Male | 36 years old
June 25, 04:55 PM

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Composites, Inlays, and Crowns can all develop hairline fractures depending on your bite. You are least likely to develop a fracture under a crown. A more conservative way of doing things would be having the composite fillings done first, then if the composites fillings start to break down have a crown placed. With this being said your dentist must of viewed something for him/her to suggest getting/having a crown placed. Without personally viewing your tooth or an X-ray, there must have been a reason to have a crown placed. If there are fractures in other teeth, it might be a good idea, to get a night guard. This would help increase the life of other natural teeth and decrease the chance of fracture propagating under a crown.
Anthony Edward Marra
Anthony Edward Marra, DDS, PLLC
Dentist in Huntersville, NC
Level: Master Contributor (94)
October 17, 10:46 PM
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Crowns covering your tooth is a great dental option to prevent future fractures. A crown should last about 12-15 years if maintained properly. Crowns are much stronger than composites. Discuss treatment details with a dentist.
David Westerberg
David Westerberg, DDS
Dentist in Redlands, CA
Level: Master Contributor (63)
September 24, 06:50 PM
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Crowns are an exotic filling that is utilized when more conventional fillings I.e. Composites can no longer be used. The tooth serves as a matrix to hold the filling in place and support the tooth. When the ways of the tooth get very thin and the filling is very big then you are prone to fracturing the tooth and subject to more involved and expensive dentistry.
James A. Vito
James A. Vito, DMD
General Dentist in Wayne, PA
Level: Master Contributor (63)
July 29, 11:46 AM
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With a crown protecting your tooth, the tooth will not develop a new fracture. A filling or inlay will not protect your tooth from fracturing down the road.
Jeff Turner
Jeff Turner, DDS
Dentist in Aliso Viejo, CA
Level: Top Contributor (25)
Website: Turner Dental Care | Jeff Turner, DDS
July 13, 04:56 PM
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Yes, you can develop hair line fractures with a crown protecting the tooth. Yes, a well done porcelain crown is stronger and last longer than composite fillings. But there are multiple other considerations that are part of the decision of how to restore a tooth that are related to your individual situation and your dentist's preferences and abilities. Find a dentist you trust and listen to their expert opinion.
Laji J. James
Laji J. James, DDS
Pediatric Dentist in Houston, TX
Level: Master Contributor (55)
Website: Dr. James Pediatric Dentistry
July 02, 08:37 PM
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The fact is that most patients cannot understand that because the tooth has a crown (or any other "restoration"!) it is not "indestructible". You mention one tooth got a "cavity on the side". That is often a result of either suboptimal work, or all too often suboptimal home care. Seeking way too much technical information often confuses rather than informs--- and it sounds like you need to find someone in whom you have confidence and trust.
John R. Scuba
John R. Scuba, MD, DDS
Oral and Maxillofacial Surgeon in Columbus, GA
Level: Master Contributor (93)
Website: Columbus Oral and Maxillofacial Surgery
June 29, 09:36 PM
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Crowns are a very good way to restore teeth. They are often used when teeth have small fracture lines to prevent future breakage of teeth. Crowns should last 15 years or longer as long as they are maintained properly. Daily brushing, flossing and regular dental check ups are recommended. Of course this will benefit your overall dental health. Porcelain crowns are very strong, however they can fracture if they are under too much stress. Also they are harder than enamel so they can cause wear in the teeth underneath them. All dental restorations have pros and cons. The best thing is prevention. If cavities are prevented then there is no need to worry about restorations. In your case it sounds like the crowns have already been done, so take care of them and the rest of your teeth. And don't forget about maintaining the health of your gums. Most people who neglect their teeth will have some form of gum disease which leads to tooth loss.
Michael Stein
Michael Stein, DDS
Dentist in Parma Heights, OH
Level: Master Contributor (52)
Website: Michael Stein, DDS
June 27, 10:42 PM
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Any tooth can develop a hairline fracture regardless of what restoration is placed on top of it. The ideal in dentistry is to keep as much of the healthy tooth structure when preparing a tooth for restoration. What is left of the tooth afterward will determine the most appropriate restoration, which could be a composite filling or some type of lab made restoration. Hope this helps.
Arlene Messer
Arlene Messer, DDS
Dentist in Rochester, NY
Level: Top Contributor (39)
Website: Contemporary Dentistry
June 27, 12:12 PM
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Crowns are able to provide ultimate protection of the forces the produce the fracture lines I assume you wrote about. But.........crowns can fracture too!

Better a crown to fracture than you tooth, losing more tooth in the process.

In some cases a composite filling will provide adequate support, factors in the decision process involve the overall condition of the tooth AND the clenching habit that is putting the tooth at risk.

Ignoring the CAUSE of the fractures can result in the final treatment being worthless.
Kurt Mitchler
Kurt Mitchler, DDS, FAGD
Dentist in Windsor, CA
Level: Master Contributor (73)
Website: Mitchler Dental Care
June 26, 11:52 PM
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Dental crown vs Composite filling

If it was my own mouth, I will do the least invasive dental treatment such as white fillings or composite restoration vs dental crown, by an expert dentist! Why?

Because dental porcelain crown, you can always do, if the composite fails.You can never go back from a crown to a filling !

Why cut more precious tooth structure, when it is healthy and it does not need to be removed?

Dental crowns are stronger, so is porcelain inlays, which is a wise choice in between! At least with porcelain inlays, less healthy tooth structure is removed by your dentist !

Dental crowns or composite white fillings, all can get micro-fractures, depending on your occlusion and bite !

Now that you have placed your dental crown, take good care of them, so you do not get cavity on the roots of your teeth, and brush properly. and have preventative dental care by your dentist, so there will be no recession, to expose the roots.

Best of Luck.
Anthony A Mobasser
Anthony A Mobasser, DMD
Dentist in Los Angeles, CA
Level: Key Opinion Leader (113)
Website: http://www.celebritydentist.com
June 26, 09:03 PM
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