So, your dentist has mentioned you might need a dental cap, or perhaps you’ve heard a friend talking about getting one, and now you’re curious – what exactly is a dental cap? In simple terms, a dental cap, commonly known as a crown, is like a protective cover placed over a tooth. It’s designed to restore the tooth’s shape, size, and function, especially if it’s been damaged or weakened.
Not only does it safeguard the tooth underneath, but it also blends seamlessly with your natural teeth, giving you back that confident smile. Whether it’s due to decay, a fracture, or after a root canal, crowns are a trusty solution to keep your teeth both healthy and looking great. Get in touch with our friendly team to discuss your options if you are looking for a private dentist in Sheffield. For more information on how to prepare for dental treatment, take a look at our article What to do Before a Dentist Appointment?
So, you’ve come across the terms “dental cap” and “crown” and are wondering if there’s a difference. In the dental world, these terms are often used interchangeably, but let’s break it down in a way that’s easy to grasp.
What Exactly is a Dental Cap or Crown?
Imagine your tooth as a castle. Over time, due to battles with decay, injuries, or even after procedures like root canals, the castle walls can weaken. A dental crown (or cap) acts like a protective fortress, encasing the entire visible part of the tooth above the gum line. This not only restores the tooth’s shape and size but also strengthens it, ensuring it can withstand the daily grind of chewing and biting [1].
Cap vs. Crown: Is There a Difference?
The terms “cap” and “crown” essentially refer to the same thing. “Crown” is the formal term used by dental professionals, while “cap” is a more colloquial term that patients often use. So, whether someone mentions a cap or a crown, they’re talking about the same protective covering for a tooth [2].
What’s the difference between a cap (or crown) and fillings?
A cap (or crown) and a filling serve different purposes in dental care, although both aim to restore tooth function and health. In most cases, your dentist will recommend whether you need a filling or a crown based on the extent of damage to your tooth. However, understanding when each option is appropriate can help you feel more confident about the decision.
- Fillings are used to repair smaller areas of damage, such as cavities. Dentists remove the decayed part of the tooth and fill the space with materials like composite resin, amalgam, or gold. Fillings preserve most of the natural tooth structure and are ideal for minor damage or decay.
- Caps (Crowns), on the other hand, are used when a tooth is extensively damaged, weakened, or cracked. A crown is a tooth-shaped cap that covers the entire visible portion of the tooth, providing full protection and support. Crowns are typically needed when a filling alone isn’t sufficient to maintain the tooth’s strength or function.
In short, a filling addresses smaller, isolated damage, while a cap or crown is used for more significant repairs when the tooth requires reinforcement and full coverage.
How Does a Dental Crown Procedure Differ from a Filling?
It’s important to understand how these procedures differ, as each serves a specific purpose based on the extent of tooth damage and the treatment required.
- Preparation
- Filling: The dentist removes the decayed portion of the tooth and shapes the cavity to hold the filling. Minimal tooth structure is removed.
- Crown: The tooth is reshaped extensively, often reducing it on all sides to create space for the crown. If the tooth is damaged, a core buildup may be needed for support.
- Steps Involved
- Filling: Completed in a single appointment. The dentist places the filling material (composite, amalgam, or other) and shapes it to restore the tooth’s form. The material is then hardened and polished.
- Crown: Typically involves two appointments. During the first visit, the dentist prepares the tooth, takes an impression or digital scan, and places a temporary crown. During the second visit, the custom-made permanent crown is cemented and adjusted.
- Time Required
- Filling: Usually takes 30 minutes to an hour in a single visit.
- Crown: The initial appointment may take an hour or more, with a follow-up appointment a few weeks later to fit the permanent crown.
- Pain and Discomfort
- Filling: Minimal discomfort, usually numbed with local anaesthesia. Patients typically feel no pain once the anaesthetic takes effect.
- Crown: Similar to fillings in terms of anaesthesia, but there may be additional sensitivity due to the tooth reshaping. Temporary crowns can cause mild discomfort until the permanent crown is fitted.
These differences highlight that while fillings are simpler and quicker, crowns involve more complex preparation and multiple steps to provide full protection and long-term durability.
Does It Hurt to Get a Tooth Capped?
The short answer is no, not really. Thanks to modern anaesthesia, most patients feel little to no pain during the procedure [3]. Most patients only experience slight discomfort during tooth preparation due to the vibration of dental tools. The anaesthetic keeps things pain-free, though you may feel pressure or hear the sound of drilling.
You might experience some mild sensitivity or discomfort after the numbing wears off, especially around the gum area where the crown was placed. Over-the-counter pain relief can help, and any discomfort shouldn’t last longer than 2 weeks at most [4].
By following this process, you’ll have a crown that restores your tooth’s function and appearance, giving you the confidence to smile and chew with ease!
Types of Dental Crowns
Just like choosing materials for a home renovation, dental crowns come in various types, each with its own pros and cons. The material you choose can affect durability, appearance, and cost. Let’s break them down:
Metal Crowns
Think of these as the sturdy, no-nonsense option. Made from metals like gold, platinum, or base metal alloys, they’re incredibly durable and can handle heavy chewing without breaking. This makes them ideal for molars at the back of your mouth, where strength matters more than aesthetics. However, because of their metallic colour, they’re not the best choice for visible teeth unless you’re going for a very unique smile!
Advantages: High durability, excellent for molars.
Disadvantages: Noticeable metallic appearance.
Porcelain-Fused-to-Metal (PFM) Crowns
PFM crowns strike a balance between strength and aesthetics. They have a strong metal core for durability, with a porcelain layer on top that blends with your natural teeth. These crowns are popular for both front and back teeth, but over time, the porcelain can chip, exposing the metal underneath.
Advantages: Good strength and a natural tooth-like appearance.
Disadvantages: Porcelain layer can chip, potentially revealing the metal core.
All-Ceramic or All-Porcelain Crowns
If you’re after a natural look, these crowns are your best bet. They mimic the colour and translucency of real teeth, making them ideal for front teeth where appearance is crucial. These are now as durable as metal based crowns due to advanced ceramics used such as Emax or Zirconia which have made them more durable than ever.
Advantages: Excellent aesthetics, blends seamlessly with natural teeth.
Disadvantages: Less durable than metal or PFM crowns, particularly for back teeth under heavy chewing pressure.
Resin Crowns
Resin crowns are the budget-friendly option. They can be colour-matched to your natural teeth but are less durable than other materials. They’re more prone to wear and can fracture more easily, making them better suited for temporary restorations than long-term solutions.
Advantages: Lower cost, good aesthetic match.
Disadvantages: Less durable, prone to wear and tear.
Zirconia Crowns
Zirconia is a newer option in dental crown materials, known for being both strong and aesthetically pleasing. It offers a balance between durability and appearance, with a natural tooth-like colour. It’s becoming increasingly popular for patients who want the best of both worlds—strength and aesthetics.
Advantages: High durability, tooth-coloured, resistant to wear.
Disadvantages: Can be more expensive than other options.
Whether you go for a metal crown, porcelain-fused-to-metal, or an all-ceramic option, the goal is the same: to restore and protect your tooth. The best material for you depends on factors like the location of the tooth, your budget, and how important appearance is to you. Your dentist can help guide you through the decision, ensuring you get the right crown for your needs and smile.
Longevity and Maintenance of Dental Caps
How long a cap lasts depends on the type of material used and how well you care for it. On average, dental crowns can last anywhere from 10 to 15 years, but with proper care, they can sometimes last 20 years or more. Metal crowns, for example, tend to be the most durable, while porcelain or ceramic crowns may require more attention to avoid chipping or cracking.
To extend the lifespan of your crown, it’s important to maintain good oral hygiene. Brush your teeth twice a day and floss daily, paying special attention to the area where the crown meets the gumline. Avoid biting down on hard objects like ice, pens, or hard candies, as this can cause cracks or damage. If you grind your teeth at night, wearing a custom mouthguard can help protect your crown from excessive wear.
Regular dental check-ups are also crucial. Your dentist can monitor the condition of your crown and catch any potential issues early. By following these tips, you can maximise the durability of your dental cap and keep your smile in top shape.
Potential Risks and Disadvantages of Dental Crowns
While dental crowns are a reliable solution for restoring damaged teeth, they do come with some potential risks and drawbacks. Understanding these can help you make an informed decision.
- Loss of Vitality
One of the key considerations when getting a crown is the small possibility that the tooth’s nerve may lose vitality, meaning it may stop functioning properly. In such cases, a root canal treatment may be recommended to prevent further issues like infection or an abscess.
Thankfully, this is a relatively rare occurrence, affecting only about 10-15% of cases. However, with good care and monitoring, your dentist can help manage and minimise the risk, ensuring your tooth stays as healthy as possible.
- Tooth Sensitivity and Discomfort
After getting a crown, you might experience sensitivity, especially to hot or cold foods. This is more common if the enamel was significantly reduced during the preparation process. For most patients, this sensitivity decreases over time, but in rare cases, it may persist. - Chipping or Cracking
Porcelain and ceramic crowns, while aesthetically pleasing, can be prone to chipping. A small chip can sometimes be repaired, but larger cracks may require the entire crown to be replaced. Being cautious with hard or crunchy foods can help minimise this risk. - Gum Irritation or Recession
The edge of a crown, where it meets your gumline, can sometimes cause irritation. Over time, gums may recede slightly, potentially exposing part of the tooth underneath and creating a gap where bacteria can build up. Proper dental hygiene can help prevent this. - Loose or Dislodged Crown
Crowns can occasionally become loose or fall off, particularly if the underlying tooth structure deteriorates or if the cement weakens. If this happens, it’s important to see your dentist promptly to have the crown re-cemented or replaced. - Risk of Tooth Decay
While the crown itself cannot decay, the tooth underneath is still vulnerable to cavities if plaque and bacteria build up along the gumline. Regular brushing, flossing, and dental check-ups are crucial to prevent decay. - Allergic Reactions (Rare)
In rare cases, patients may have an allergic reaction to the metals used in certain types of crowns. If you have known metal allergies, your dentist can recommend a crown material that’s hypoallergenic, such as ceramic or zirconia.
Discuss your options with your dentist to determine the best crown material for your specific needs. Factors like the location of the tooth, your lifestyle, and your budget should all be taken into account. While crowns are a long-term solution, they may require occasional maintenance or replacement over time. By being aware of the potential risks and caring for your crown properly, you can enjoy its benefits for many years to come.
Cost of Dental Caps vs Fillings
The cost of dental treatment varies significantly depending on whether you need a crown (cap) or a filling. Both procedures serve different purposes, and the costs reflect the complexity of each treatment. Understanding the difference in pricing and options can help you make an informed decision.
NHS Treatment
Under NHS Band 2 treatment, a filling costs around £70, covering the entire procedure. However, if your tooth damage is extensive and requires a crown, you’ll move to NHS Band 3 treatment, costing approximately £300-£350. NHS crowns may have limited material options, often prioritising metal crowns for molars due to their durability, though they may not be aesthetically pleasing.
Private Treatment
The cost difference between a private filling and a crown is much larger. A private filling can range from £100 to £300 depending on the material (e.g., composite or amalgam) and the tooth’s location. A private crown, however, can cost between £600 and £1,500 or more. The price depends on factors such as the crown material (metal, ceramic, or zirconia), the dentist’s expertise, and the complexity of the case. Private treatment gives you quicker access to care, more material options, and personalised service.
Factors Affecting Price
Several factors influence the cost difference between crowns and fillings:
- Extent of damage: Fillings are for minor repairs, while crowns cover extensive damage, requiring more preparation and higher material costs.
- Materials: Composite or amalgam is typically used for fillings, whereas crowns can be made from metal, porcelain-fused-to-metal, ceramic, or zirconia. Ceramic and zirconia are more expensive due to their aesthetics and strength.
- Location of the tooth: Molars require more durable materials and precise shaping, often making both fillings and crowns more costly in those areas.
Why Consider Private Treatment for Crowns
NHS waiting times for crowns can be long, and the material options may not meet your aesthetic needs. Delays in treatment could worsen tooth damage, leading to more invasive and costly procedures like root canals or extractions. Opting for private treatment provides faster appointments, more customisation, and higher-quality materials.
Insurance Coverage
Many dental insurance policies cover fillings and crowns, but the level of coverage differs. Basic policies often fully cover fillings but may offer partial reimbursement for crowns. Metal or porcelain-fused-to-metal crowns might be covered more fully than high-cost ceramic or zirconia crowns. Always check your policy for details on waiting periods, coverage limits, and exclusions. NHS treatments may be covered in full, but private treatments are often only partially reimbursed.
What Happens if You Do Nothing?
Leaving a damaged tooth untreated can escalate the problem. For minor issues, neglect may lead to the need for a more expensive crown later on. For severely damaged teeth, postponing treatment can result in fractures, infections, or tooth loss, which may require root canals or implants—significantly more expensive options than a crown or filling.
Managing Treatment Costs
Private clinics often offer payment plans to spread the cost of crowns, making them more manageable over time. Interest-free and flexible options are also available. If you have dental insurance, combining it with a payment plan can reduce your out-of-pocket costs, ensuring both crowns and fillings are more affordable. Always discuss payment and financing options with your dentist to find a plan that works for you.
Crown/Cap Preventative Care
Preventative dental care plays a crucial role in avoiding the need for a crown. By following good oral hygiene practices and making mindful choices, you can minimise the risk of extensive tooth damage. Here’s what you can do:
- Maintain Proper Oral Hygiene
Brush your teeth twice a day with fluoride toothpaste and floss daily to remove plaque and prevent cavities. Plaque buildup can lead to decay, which, if left untreated, may weaken the tooth to the point where a crown is necessary. - Get Regular Dental Check-ups
Routine check-ups allow your dentist to catch minor issues early, such as cavities or enamel wear. Early intervention can prevent minor damage from escalating into a situation where a crown is required. - Avoid Hard and Sticky Foods
Chewing on hard objects like ice, pens, or hard candies can crack or chip your teeth. Sticky foods, such as toffee or caramel, can also cause fillings to dislodge. Protecting your teeth from such damage reduces the risk of needing a crown. - Wear a Mouthguard
If you grind your teeth (bruxism), especially during sleep, a custom mouthguard can protect your teeth from excessive wear and cracking. Teeth grinding can significantly weaken your teeth over time, making crowns or other restorative treatments necessary. - Limit Sugary and Acidic Foods
Frequent consumption of sugary or acidic foods and drinks can erode tooth enamel, increasing the risk of cavities. This can eventually lead to significant tooth damage requiring a crown. Drink water regularly to rinse your mouth and reduce acid exposure. - Protect Your Teeth During Sports
If you play contact sports, wearing a protective mouthguard can prevent traumatic tooth injuries. A hard impact can crack or break a tooth, which may then require a crown or other restorative procedure. - Address Dental Problems Early
Don’t delay treatment for dental issues like cavities or cracked fillings. Small problems are easier and less costly to fix, and early treatment can often prevent the need for more extensive procedures like crowns.
Crown Maintenance
Maintaining your dental crown starts with consistent care. Regular brushing with fluoride toothpaste, daily flossing, and limiting sugary foods and drinks help prevent plaque buildup and cavities around the crown.
Using an antibacterial mouthwash can also reduce harmful bacteria in your mouth. Additionally, wearing a mouthguard at night is advisable if you grind your teeth, as grinding can weaken or damage both natural teeth and crowns. Routine dental check-ups are essential to monitor the crown’s condition and catch any potential problems early.
How Mola Dental Can Help
Preventative care
Here at Mola Dental in Sheffield, we offer an advanced preventative care option: Guided Biofilm Therapy (GBT). This minimally invasive dental cleaning procedure targets and removes harmful biofilm—a bacterial buildup on teeth and gums—using state-of-the-art technology. Unlike traditional cleaning methods, GBT is more comfortable and effective, helping to prevent cavities, gum disease, and even systemic health issues.
By combining daily oral hygiene practices with regular professional care like GBT, you can ensure your crown stays in excellent condition, protecting your smile and overall oral health. Contact Mola Dental to learn more about how we can support your long-term dental care.
High Quality Crowns
At Mola Dental in Sheffield, we provide high-quality ceramic crowns that are both lifelike and extremely strong. Our experienced team is dedicated to restoring your smile with crowns that blend seamlessly with your natural teeth, ensuring both durability and aesthetics.
- Expertise: Our skilled dentists have extensive experience in crown placement, ensuring precise and comfortable fittings.
- Quality Materials: We use top-grade ceramic materials for crowns, offering a natural appearance and long-lasting strength.
- Personalised Care: We tailor our treatments to meet your specific needs, ensuring optimal results and patient satisfaction.
Flexible Payment Options
Understanding that dental treatments can be a significant investment, Mola Dental offers flexible payment plans to make your care more affordable. We also provide membership plans that offer reduced rates on treatments, including crowns. For instance, our standard crown pricing starts from £799, but with membership, prices start from £679.15.
Comprehensive Dental Services
Beyond crowns, Mola Dental offers a wide range of dental services, including cosmetic dentistry, root canal treatments, and composite bonding. This comprehensive approach ensures that all your dental needs can be met under one roof, providing convenience and continuity of care.
If you’re considering a dental crown or exploring your options, don’t hesitate to contact Mola Dental. Our friendly team is ready to assist you in achieving a healthy, beautiful smile.
Conclusion
A dental crown can be a game-changer for restoring the health, strength, and appearance of a damaged tooth. Timely treatment prevents further complications and helps you maintain a confident, pain-free smile.
If you’re in Sheffield or nearby areas, Mola Dental offers expert care with top-quality ceramic crowns designed to look and feel natural. Our experienced team, flexible payment plans, and commitment to personalised service make us the ideal choice for your dental needs. Contact Mola Dental today to discuss how we can help restore your smile.
References
- Cleveland Clinic, Dental Crowns: Types, Procedure and Care. Available at: https://my.clevelandclinic.org/health/treatments/10923-dental-crowns
- Holger Dental Group, What is the Difference Between a Cap and a Crown for Your Teeth? Available at: https://holgerdentalgroup.com/blog/what-is-the-difference-between-a-cap-and-a-crown-for-your-teeth/
- Jennifer Larson (2021) Dental Crown Prep for Traditional and One-Day Procedures. healthline.com. https://www.healthline.com/health/dental-and-oral-health/crown-prep
- Julie Marks (2020) Dental Crown Tooth Pain: Causes and Treatment. healthline.com. https://www.healthline.com/health/what-causes-dental-crown-tooth-pain-and-how-to-relieve-it
Medically Reviewed by: Chetan Mistry
As owner and Clinical Director of Mola Dental, Dr Mistry is affectionately known as “Chet” by his patients and prides himself on providing the very best care.
Having graduated in 2009 from the University of Sheffield, Chet spent the early part of his career at practices in Chesterfield and Doncaster before joining the practice under the previous ownership of Centre For Dentistry. In 2020 Chet took over the practice and rebranded it to Mola Dental with the aim to build on an already great reputation to make it the best dental practice in Sheffield.
Chet’s clinical interests are in general and cosmetic dentistry. He is currently due to graduate from the University of Central Lancashire in 2021 with an MSc In Endodontology which will allow him accept referrals from other general dentists for the provision of complex root canal treatments which will potentially allow him to save teeth which others can’t.
In my spare time I enjoy keeping fit, watching sport and spending time with friends and family.
“I enjoy helping patients achieve healthy, beautiful smiles that they can be proud of and as the owner of the practice provide patients with the best caring experience of a dental practice they have ever had. “
You can read more about Chet and the whole Mola Dental team on our ‘About’ page here.
DISCLAIMER: The information provided in this article is intended for general informational purposes only and should not be construed as medical advice, diagnosis, or treatment. The products and methods mentioned are not a substitute for professional medical advice from a trained healthcare specialist. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Use of the information and products discussed is at your own risk.