11 doctors weighed in:
Is it necessary to replace old fillings with crowns eventually?
11 doctors weighed in

Dr. Reid Winick
Dentistry
2 doctors agree
In brief: Onlay vs crown
Another option for a big failing filling can be an onlay instead of a crown.
It allows for a more conservative procedure. Think of an onlay like a puzzle piece that just replaces the broken down portion of the tooth, leaving the healthy part intact.

In brief: Onlay vs crown
Another option for a big failing filling can be an onlay instead of a crown.
It allows for a more conservative procedure. Think of an onlay like a puzzle piece that just replaces the broken down portion of the tooth, leaving the healthy part intact.
Dr. Reid Winick
Dr. Reid Winick
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2 doctors agree
In brief: Not at all
If the filling isn't broken - why replace it!

In brief: Not at all
If the filling isn't broken - why replace it!
Dr. Jennifer Holtzman
Dr. Jennifer Holtzman
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Dr. Jeff Malyon
Dentistry
1 doctor agrees
In brief: Not always
Many fillings can last for several years.
A silver filling can last 30+ years and still be fine. Problems can arise when recurrent decay forms, or when cracks develop adjacent the filling. If there isn't enough healthy tooth structure left, a crown may be the best option.

In brief: Not always
Many fillings can last for several years.
A silver filling can last 30+ years and still be fine. Problems can arise when recurrent decay forms, or when cracks develop adjacent the filling. If there isn't enough healthy tooth structure left, a crown may be the best option.
Dr. Jeff Malyon
Dr. Jeff Malyon
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In brief: Crown vs filling
It depends how big the filling is.
If therer is unsuported tooth structure, that can leed to a brocken tooth and tooth loss, than get a crown to prevent fractures. Otherwise most dentists except some holistic dentists say leave it alone if there is no decay or issues.

In brief: Crown vs filling
It depends how big the filling is.
If therer is unsuported tooth structure, that can leed to a brocken tooth and tooth loss, than get a crown to prevent fractures. Otherwise most dentists except some holistic dentists say leave it alone if there is no decay or issues.
Dr. Abraham Jaskiel
Dr. Abraham Jaskiel
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Dr. Rafael Morales
Dentistry
In brief: Usually not
Just because a filling is 'old' doesn't mean it needs to be replaced with a crown, or anything at all.
If the filling is old and is failing for other reasons such as leakage of bacteria between the filling and the tooth, breakage of the filling, decay, etc, then it'll likely need to be replaced. Whether it's replaced with a crown, depends on the size of the filling and the extent of the damage.

In brief: Usually not
Just because a filling is 'old' doesn't mean it needs to be replaced with a crown, or anything at all.
If the filling is old and is failing for other reasons such as leakage of bacteria between the filling and the tooth, breakage of the filling, decay, etc, then it'll likely need to be replaced. Whether it's replaced with a crown, depends on the size of the filling and the extent of the damage.
Dr. Rafael Morales
Dr. Rafael Morales
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Dr. Hamid Imankhan
Dentistry
In brief: Not always.
It depends on the condition of each individual tooth.
Usually if an old filling/fillings show no signs of caries and patient has no discomfort when chewing they don't need to be replaced.

In brief: Not always.
It depends on the condition of each individual tooth.
Usually if an old filling/fillings show no signs of caries and patient has no discomfort when chewing they don't need to be replaced.
Dr. Hamid Imankhan
Dr. Hamid Imankhan
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