Dental crowns are a common and effective solution for restoring damaged teeth, improving both their function and appearance. If your dentist has recommended a dental crown, understanding the different types available and their associated costs is crucial. This guide breaks down everything you need to know about the cost of dental crowns, helping you make an informed decision for your oral health.
Do You Actually Need a Dental Crown?
Before delving into the costs, it’s important to confirm if a dental crown is the right solution for you. A dentist will conduct a thorough examination to determine the best course of treatment, which might include a crown, inlay, onlay, or even just a filling. Common reasons for needing a dental crown include:
- A tooth weakened by severe decay or a large cavity
- Covering a dental implant
- Replacing a large filling when little natural tooth remains
- A cracked or damaged natural tooth
- Protecting a tooth after a root canal (particularly on back teeth)
- Correcting bite alignment
- Improving aesthetics by reshaping, resizing, or recoloring a tooth
What’s Involved in Getting a Dental Crown?
Getting a custom-made dental crown usually requires multiple visits to the dentist, unless they utilize CEREC® or similar technology that allows for same-day crown creation. The general process involves:
- Tooth Preparation: The dentist will prepare the tooth, which might involve removing decay or performing a root canal.
- Impression: An impression is taken to ensure the crown fits perfectly.
- Temporary Crown: A temporary crown protects the tooth while the permanent crown is being made. Special care is needed to avoid cracking the temporary crown by avoiding hard or sticky foods.
- Permanent Crown Placement: After about a week, the permanent crown is ready to be placed.
Exploring the 5 Main Types of Dental Crowns and Their Costs
The cost of a dental crown depends heavily on the material used. Here’s a breakdown of five common types:
1. Gold Crowns
Gold crowns are a combination of gold with other metals like copper, nickel, or chromium. They’re known for their strength and durability, making them a good option for back teeth.
Advantages:
- Highly resistant and strong
- Long-lasting with proper care
- Requires less natural tooth removal
- Wears down slowly, similar to natural enamel
- Ideal for posterior (back teeth) restorations, especially molars
Disadvantages:
- Poor aesthetics due to their color
- Potential allergic reactions in some individuals
2. All-Porcelain Crowns
All-porcelain crowns are the most popular choice today due to their natural appearance. They are made entirely of porcelain material.
Advantages:
- Provide the most natural look, matching surrounding teeth in shape, size, and color
- Best option for front teeth restorations
- Biocompatible and metal-free
Disadvantages:
- Not as strong as metal crowns
- Patients with bruxism (teeth grinding) may not be ideal candidates
- Can be more expensive than other types of crowns
3. Porcelain Fused-to-Metal Crowns (PFM)
PFM crowns combine strength (metal structure) and aesthetics (porcelain coating).
Advantages:
- Offer good aesthetics and durability
- Have a long track record of success (over 50 years)
- Less expensive than all-porcelain crowns
Disadvantages:
- The metal can cause a grey line at the gumline
- May wear down more easily against opposing teeth in people who clench their teeth
4. Zirconia Crowns
Zirconia is a relatively new material that offers both the strength of metal and the aesthetic appeal of porcelain.
Advantages:
- Excellent aesthetics
- Strong and long-lasting with less chance of chipping or breaking
- Can often be created in the dental office, reducing turnaround time
- Less likely to wear down due to their strength
- Biocompatible and metal-free, reducing the risk of allergic reactions
Disadvantages:
- Their strength can cause wear on opposing teeth
- Solid zirconia can be difficult to adjust
5. E-Max (Lithium Disilicate) Crowns
E-Max crowns are made of lithium disilicate, a type of all-ceramic material that is light and thin.
Advantages:
- Excellent aesthetics
- Durable and strong
- Suitable for both front and back teeth
Disadvantages:
- Can be more expensive
- Some dental professionals have reported failures when used for multiple-unit posterior restorations
Breaking Down the Cost of Dental Crowns
The cost of dental crowns varies based on the material used and any additional procedures required. All-porcelain crowns are typically more expensive than metal crowns. Other factors that can impact the price include:
- Core Build-Up: Required to protect the tooth’s integrity before crown placement.
- Gingivectomy: Minor gum surgery to improve aesthetics or prognosis.
- Root Canal: If needed, this can significantly increase the overall cost.
Generally, dental crowns can range from $500 to $2000 or more, depending on insurance coverage, the dentist’s fees, and any additional procedures.
A lower-cost option is an indirect resin crown, a restoration made by your dentist (not an outside lab). These can cost between $400-$600 and usually require only one visit. However, they are less durable and recommended as a short-term solution.
Average Cost of a Tooth Crown by Type:
According to estimates, the typical cost ranges for dental crowns are:
- Gold Crowns: $600 – $2,500
- All-Porcelain Crowns: $800 – $3,000
- Porcelain-Fused-to-Metal Crowns: $500 – $1,500
- Zirconia and E-Max Crowns: Approximately the same as all-porcelain crowns
Dental insurance may cover around 50% of the crown’s cost, but this depends on the specific plan and the reason for the crown. Cosmetic treatments are less likely to be covered than preventative or restorative treatments.
In-Network vs. Out-of-Network Dentist: Cost Considerations
The cost can also vary depending on whether you visit an in-network or out-of-network dentist. Although insurance coverage might be similar (e.g., 50%), your out-of-pocket expenses could be higher with an out-of-network dentist because they aren’t bound by the insurance company’s fee schedule.
For instance, if an in-network dentist charges $1000 for a crown, your cost might be $500. An out-of-network dentist charging $1300 for the same crown could result in a $650 out-of-pocket expense.
It’s essential to consider factors beyond cost. A dentist with good reviews, recommendations, or a comfortable bedside manner might be worth the extra expense. Be cautious of practices that inflate costs by adding unnecessary services.
It’s best to consult with your preferred dentist and have their staff conduct an insurance check to determine your coverage and out-of-pocket costs. Compare these costs with other dentists, but remember to weigh the value of quality care and a positive experience.
Key Considerations When Getting a Dental Crown
A dental crown is a long-term investment in your oral health. When considering the types of dental crowns and cost, avoid focusing solely on the least expensive option without evaluating all factors. Investing a bit more might ensure better and longer-lasting results. Choosing solely based on cheap options can lead to poor-quality treatments, resulting in more money, time, and discomfort in the future.
Check whether your dentist is in-network or out-of-network with your insurance. Even out-of-network dental offices often file claims for you to receive direct reimbursement. Sometimes, opting for an out-of-network provider can ensure higher quality care and an improved overall experience.
Dental Crown Costs: FAQs
What Are the Types of Dental Crowns?
The main types of dental crowns are gold, all-porcelain, porcelain-fused-to-metal, zirconia, and E-max crowns. Each type varies in durability, aesthetics, and cost.
How Much Do Dental Crowns Cost?
The average cost of a regular dental crown ranges from $1100 to $1500, but prices vary depending on the type of crown, additional procedures required (like bone grafting or root canals), and insurance coverage.
What Materials Are Used in Dental Crowns?
Common materials include porcelain, porcelain fused to metal, gold, and zirconia. These materials vary in price, appearance, and suitability for different situations.
What Are the Most Common Dental Crown Problems?
While dental crowns are a long-term solution for various dental issues, problems can arise, such as cavities under the crown, chipping, breakage, or discomfort. Regular check-ups and good oral hygiene are essential to prevent these issues. If you experience any problems or allergic reactions, consult your dentist immediately.
