Crowns vs. Veneers: Comparison of Costs & Benefits.
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Table of Contents
- Crowns vs. Veneers
- Pros and Cons of Crowns
- Pros & Cons of Veneers
- Cosmetic Corrections
- Consult Your Dentist
Some dental problems greatly affect the aesthetics of your smile. You may have a chipped front tooth, a cracked or missing tooth, or off-white teeth that no amount of brushing seems to improve. Your dentist may suggest some cosmetic solutions, like crowns or veneers, that can greatly improve the look of your teeth.
Crowns and veneers typically apply to different underlying dental needs, so your dentist may suggest one versus the other due to issues with your teeth. Generally, crowns are considered necessary since they are used to cover or replace a damaged or missing tooth. Veneers are usually a cosmetic choice.
Since crowns provide a more complete solution, they are usually a bit more expensive than veneers. But crowns may be more likely to be partially covered by dental insurance.
Crowns vs. veneers: how do they compare?
If you have had a root canal or a large filling in a tooth, your dentist will want to put a crown on top of the tooth to protect the dental work and to replicate the shape of your original tooth. You may get a crown over a broken tooth once it is cleaned if your dentist determines there is no need for a filling.
If you need a tooth removed, a crown will be needed to cover an implant that replaces the original tooth. Your dentist may put a crown on one or two teeth to help attach a dental bridge, which replaces more than one tooth at a time.
Crowns mimic the appearance and feel of teeth. You may need to see your dentist more often to check on the area and make sure the crown is not wearing away too fast. Since it is synthetic, rather than natural like your permanent teeth, it is more likely to need repairs or replacement over the years. Crowns are designed to last for a long time, however.
Getting a crown may take several visits, depending on what the crown covers. For example, if you need a root canal, you will not get a crown until the area has healed, and your dentist has had time to sculpt the crown to match your original tooth shape.
If you have teeth that are different shapes, too small, or stained, you may pursue veneers as a way to improve your smile. A veneer is a thin piece of porcelain or resin that is placed on top of your teeth, often your front teeth, to create a natural, healthy appearance. Your dentist will contour the veneer to suit the shape of your teeth after the piece has bonded to your tooth.
Like a crown, getting veneers takes several in-office visits — usually two to three. They can be used to correct small gaps or misalignments in your teeth. For these minor misalignment issues, they can provide a faster solution than straightening teeth with braces.
Resin veneers are inexpensive, but they do not last very long. Porcelain veneers are more expensive, but they last longer — usually between 10 and 20 years.
Veneers may cover fractured, chipped, or cracked teeth, especially in the front. Unlike crowns, they should not be used to cover extensive damage or repair done to teeth. Crowns protect teeth, but veneers are not designed as protection. Instead, they are designed to cosmetically improve your appearance.
Crowns and veneers serve different purposes, although both can be used to treat cosmetic issues caused by underlying tooth damage and decay.
They also have different costs, which are based on materials and related issues. They may be partially covered by dental insurance, or you may have to pay entirely out of pocket. Coverage often comes down to why you need the crowns or veneers.
Pros & cons of crowns.
A crown can be used to cover a tooth that has been damaged or had extensive tooth decay. It can also be used after a root canal procedure.
Crowns have many advantages. They can:
- Provide support and protection for a damaged tooth.
- Bond teeth that have been broken or cracked.
- Keep a tooth from being further worn down or damaged.
- Provide adequate cover for a dental implant.
- Be a long-term solution, lasting between 5 and 15 years.
- Improve tooth appearance by correcting color and/or shape.
There are potential downsides of crowns.
- Expense: Crowns are more expensive than veneers.
- Allergic reaction: It is possible to experience an allergic reaction to the materials used in the crown, either the metal or the porcelain.
- Potential for breakage: Crowns can crack, break, or fail. As a result, they can end up trapping bacteria underneath them. This can lead to tooth decay in the event that the crown becomes loose and the dental cement washes away.
- Invasive procedure: The tooth will have to be filed down and reshaped to fit a crow, so it is a permanent decision. Crowns take multiple appointments to place, as the tooth must first be prepared, an impression taken, and the crown made in a lab.
Most of the potential issues with crowns are related to the type of material used and fit of the crown, which can be remedied with sufficient dental experience and treatment.
Pros & cons of veneers.
Veneers can be a good option for minor repairs and imperfections of the teeth. Among their many advantages, veneers can:
- Be a durable, versatile, and long-term solution.
- Offer a more affordable and less invasive option for dental restorations.
- Be easier to place since they usually take two or more dental appointments to place.
- Be fully customized to fit your teeth specifically, including to match the exact color of your teeth.
- Improve the appearance of teeth and lead to a straighter and whiter smile.
Overall, veneers offer a quicker and less extreme solution for minor teeth straightening and shaping than braces and other orthodontic treatment methods.
Some potential disadvantages of veneers include the following:
- Durability: Veneers’ durability depends on the material used. More durable materials, such as porcelain, will cost more than composite, but composite veneers have more potential to chip, crack, or stain. Even the more durable materials are still vulnerable to cracks and chips.
- Enamel removal: Veneers require removing some of the enamel of the tooth to place the veneer, which can result in tooth sensitivity to hot and cold temperatures.
- Limited restoration abilities: Unlike crowns, veneers are not designed to restore teeth beyond cosmetic and minor imperfections. More significant protection, support, and restoration will require a crown or other more significant dental restoration.
- Shorter term: Veneers will typically not last as long as crowns or other dental restoration methods, with the more durable options being more expensive.
- Limited insurance coverage: Often, veneers will not be covered by dental or medical insurance as they are not considered to be medically necessary. Instead, they are classified as a cosmetic dentistry procedure.
The cost of crowns vs. veneers.
Since veneers and crowns apply to different dental needs, they have different costs. They may be covered by dental insurance, but if you get them for cosmetic reasons, you likely need to fully pay out of pocket. It is important to understand the costs upfront so you can decide which option might work better for you.
If you need a crown, the implant can cost between $1,000 and $3,500, depending on the material used. Crowns are custom made for you in a separate lab and then delivered to your dentist to be implanted. They can last between 10 and 15 years.
Materials used to make crowns include:
- Porcelain-infused metal crowns. These crowns are durable and aesthetically pleasing. With wear and tear over time, they may show the underlying metal around the gumline. They cost around $1,000 to $1,400 per crown.
- All-porcelain/all-ceramic crowns. These look the most like natural teeth and do not use metal. Their reduced thickness without the metal underlay means they do not last as long. These cost anywhere from $800 to $3,000 per tooth.
- Gold. These are not used as often because they do not look like a natural tooth, but they are very durable. Gold crowns may be recommended if you have a strong bite and need the metal support. They can cost about $800 per tooth, but they may sometimes cost $2,000.
Porcelain lasts 10 to 15 years, while Lumineers may last up to 10 years, depending on how well you care for them and the skill of the dentist involved.
Other factors that can determine the cost of this procedure include:
- Fees associated with the cosmetic dentist performing the procedure.
- Any underlying periodontal work that is required before the veneers are placed.
- The artistic and technical skill of the ceramic artist who makes the veneers.
- The location where you receive treatment.
- The type of dental insurance you have, which may somewhat offset the cost.
- The number of teeth that will have veneers as well as their size.
Crowns are more likely to be applied to medically necessary dental treatments, whereas veneers are more often used to improve the appearance of your smile by making your teeth more uniform.
While veneers can correct some minor alignment issues, such as closing gaps between teeth, it’s generally preferable to straighten your smile via other means. Getting veneers involves grinding down your natural teeth, and it’s better to keep as much of your natural teeth as possible.
While braces can straighten teeth well, many people want alternatives because they do not want the embarrassment of metal pieces on their teeth or the expense and time involved in regularly visiting an orthodontist for appointments. As clear aligner treatments have become more popular and easier to access, more people choose this approach to getting a healthy, straight smile.
Most orthodontists and some dentists offer aligner treatment, where customers regularly visit them to pick up new aligner sets. This type of aligner treatment tends to be the most expensive since it still involves regular visits in a dental office. Doctor-monitored, at-home aligners are another option that don’t require any in-person visits.
To start, you make impressions of your teeth at home, which are sent to the aligner company for evaluation. If you are a good candidate for at-home aligners, you’ll have a treatment plan designed for you. A series of clear aligners will then be mailed to you, along with an outlined treatment schedule.
Aligner treatment can fix gaps, crowding, or crooked teeth. It works best for mild to moderate cases. If you have a severe case of dental misalignment, you may need braces. The aligner company will let you know if you aren’t a good candidate for their product.
Veneers only cover very minor misalignment issues. If you are seeking to straighten your teeth, at-home aligners are likely to be a much cheaper and easier option.
Consult your dentist.
If your dentist has recommended crowns, it’s likely you have an underlying dental issue that necessitates them. Crowns are usually used on teeth in the back of the mouth that have been damaged or removed. Veneers are more common on the front teeth, to cover cosmetic issues.
Before getting either crowns or veneers, confirm the specific price with your dentist. They can consult your dental insurance provider to see what kind of coverage, if any, they offer for the procedure.
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