Two popular options are often compared when restoring damaged or missing teeth: dental implants and crowns. Both treatments can provide incredible results, but each has distinct pros and cons. This blog explores the core differences between implants and crowns to help you consider all angles before deciding on your treatment.
What Are Dental Impants?
Dental implants are a long-term solution for replacing missing teeth. They consist of three main components, each crucial in creating a stable, durable replacement tooth.
- The implant is a small titanium post surgically implanted into the jawbone. This post acts as an artificial tooth root and provides a strong foundation for the replacement tooth.
- The abutment is a specially designed connector that holds the implant post and crown in place.
- The crown is a custom-made artificial tooth that attaches to the abutment. This is the visible part, and it is typically so well-crafted and color-matched that it blends perfectly into your natural teeth.
Once the implant post is placed in the jawbone, it fuses with the bone through osseointegration. The fusion of manufactured and natural materials creates a sturdy foundation that can last indefinitely.
Advantages of Dental Implants
Dental implants offer numerous benefits, making them suitable for many patients. Some of the main advantages include:
- Natural appearance and sensation. Dental implant crowns are custom-made to mimic the patient’s natural teeth. They are shaped to match the opposite tooth, to look and feel like natural teeth.
- Longevity. With proper care, dental implant posts can last a lifetime. Crowns may need to be replaced every 10-15 years, but you will likely not need surgery on that tooth again.
- Bone preservation. The osseointegration of the post and the jawbone stimulates the bone, preventing the loss of bone density typical of missing teeth.
- No impact on nearby teeth. Unlike other options, such as dental bridges, implants don’t require altering adjacent teeth.
Disadvantages of Dental Implants
Dental implants are an excellent option for replacing missing teeth, but they have considerable drawbacks that make them unsuitable for some patients.
- The cost of dental implants is significantly higher than that of other tooth replacement options. This is because of the surgical element involved and the invasive nature of the procedure.
- Dental implants require surgery for post-placement, and some patients require bone graft surgery before the implant process can start.
- Dental implants typically don’t work for patients with severe bone loss or insufficient bone density. Some health conditions may also make some patients unsuitable candidates.
- Getting dental implants may take several months due to the surgical component and healing time required between steps.
What Are Dental Crowns?
Dental crowns are custom-made covers that fit over existing teeth and dental implants. They are designed to restore the shape, size, appearance, and function of damaged teeth. Crowns can be made from various materials, each with durability, appearance, and cost advantages. Some of the most commonly used materials are:
- Porcelain or ceramic
- Metal alloys
- Porcelain fused to metal
- Resin
Advantages of Dental Crowns
Dental crowns are an excellent option for patients who can’t have dental implants. They offer many of the same benefits and additional ones that may appeal to patients put off by the drawbacks of implants.
- Versatility. Dental crowns can address many dental issues, from severe decay to masking aesthetic concerns like staining.
- Protection. Crowns are an ideal option for protecting teeth that are weak or damaged, such as chips and cracks.
- Speed. Getting dental crowns is much faster than getting implants, and it can usually be completed in two visits.
- Affordability. Dental crowns are less expensive than implants and may only be costly if you require multiple crowns.
- Non-Invasive. Crowns are non-invasive and can be fitted without surgery, unlike implants, which are exceedingly invasive and require several months of healing.
Disadvantages Dental Crowns
As with all dental procedures, there are also some drawbacks that you must consider before receiving a dental crown. While they are cheaper and less invasive, the drawbacks that patients commonly face include:
- Crowns require periodic replacement, which can be every 5 – 15 years, depending on several individual factors.
- There is a risk of increased sensitivity to hot and cold, which could make it more difficult to enjoy some foods and drinks.
- Eating hard food and flossing incorrectly can compromise the seal between the crown and the underlying tooth. If the seal isn’t repaired quickly, bacteria can get trapped under the crown, leading to severe decay.
Factors to Consider Before Making a Choice
The extent of the damage to your tooth plays a vital role in the choice between crowns and implants. An implant may be necessary if the tooth is severely compromised or missing.
Bone density is the most important deciding factor because weak bones cannot support implants, and implant posts will not integrate correctly with the bone. Sometimes, the jawbone may be supplemented with a bone graft, which requires additional surgery. Your oral health will also determine your eligibility for implants, as oral health issues like gum disease can impact the viability of the implants and their successful integration.
Due to the difference in cost between the two options, your budget and level of dental insurance coverage will impact your choice. While implants have a higher upfront cost, they are typically more cost-effective in the long run because of their longevity.
For some patients, the timeline of each method can affect their choice. Implants require surgery and significant healing time between each step. Crowns, on the other hand, can be done much faster.
Finally, your preferences for maintenance, aesthetics, and comfort with invasive dental procedures must be considered before you start. Your dentist will explain each step of both processes and what you can expect, including time, pain, cost, and maintenance, so that you can make an informed decision.
Making Your Decision
Ultimately, the choice between dental implants and crowns depends on various factors. Speaking to a dentist is crucial to determine what is best for you based on your circumstances, needs, and preferences. Your dentist will thoroughly examine your oral health to understand your situation fully.
Our dental practice is committed to providing personalized care that meets each patient’s needs. We will explain your options and answer all your questions to help you make a decision that aligns with your goals and lifestyle.
Contact Dr. Nargiz Zadeh for a consultation. We can work together to find the best way to improve your smile and quality of life.