Restorative dentistry is a field in which patients often feel lost. Crown, veneer, bridge, inlay, the names sound similar, yet they differ significantly in both their application and their cost. Before you decide on tooth restoration or improving the aesthetics of your smile, it is worth understanding what each option really is and in which situations each one makes sense.
Dental crown, when a tooth needs a “cap”
A prosthetic crown is a restoration that covers the entire visible part of the tooth above the gumline. It is used when a tooth is so damaged that a regular filling is not enough. The most common cases include extensive root canal treatment, large cavities, or a fractured or cracked tooth.
A crown restores the tooth’s full chewing function and protects it from further damage. When made correctly, it is virtually indistinguishable from a natural tooth.
At PerfectSmile, two basic types of crown are available. A porcelain-fused-to-metal crown is a durable and cost-effective option, available at £590. A full-ceramic zirconia crown at £680 is the premium option, offering excellent aesthetics and no risk of a dark shadow at the gumline. It is particularly recommended for front teeth, where aesthetics are most important.
Veneer, minimal intervention, maximum aesthetic impact
A veneer is a thin porcelain or composite shell bonded to the front surface of a tooth. It is not a solution for damaged or diseased teeth, its application is primarily aesthetic.
Veneers work excellently for staining that does not respond to whitening, small gaps between teeth, minor irregularities, or teeth that are too small and spoil the proportions of the smile. The visual result can be spectacular, as porcelain ceramic reflects light in a way similar to natural enamel.
A composite veneer costs £300 at our practice and is made directly during the appointment. A porcelain veneer at £650 is made in a laboratory and requires two visits, but is more durable and gives a more natural long-term result.
An important note: veneers require minimal shaving of the tooth surface to accommodate their thickness. The procedure is essentially irreversible, which is why we always recommend a thorough consultation before making a decision.
Dental bridge, a proven solution for a missing tooth
A dental bridge is the classic method for replacing one or more missing teeth. It consists of crowns placed on the neighbouring teeth that serve as abutments, with an artificial tooth suspended between them.
The advantage of a bridge is that it is fixed, comfortable, and relatively quick to make. It does not require the healing time that an implant does. The disadvantage is the need to grind down healthy neighbouring teeth for the abutment crowns. This is a permanent intervention that cannot be undone.
A bridge is a good solution when the neighbouring teeth require prosthetic restoration anyway, or when an implant is not possible for medical or financial reasons. It is not the optimal choice, however, when the neighbouring teeth are healthy and strong.
Crown or implant, which is the better choice?
This question comes up very frequently. The answer depends on the condition of the remaining root. If the root is in good condition, a crown on a post and core allows the natural tooth to be preserved and is usually less expensive. If the tooth must be extracted or is already missing, an implant is generally the better long-term solution than a bridge, as it requires no intervention in neighbouring teeth.
The decision should always be made after a thorough examination and discussion with the dentist. At PerfectSmile, we present all available options to patients with a clear explanation of the advantages, disadvantages and cost of each.
Inlay and onlay, when a filling is not enough but a crown is too much
An inlay fills a cavity within the tooth, while an onlay also covers part of the chewing surface. Both are made in a laboratory from precisely fitted materials and are more durable than standard composite fillings.
At PerfectSmile, a fibre-reinforced composite inlay or onlay is available at £450. This is a good solution for large but not catastrophic cavities, when we want to preserve as much natural tooth tissue as possible.
How long do crowns, veneers and bridges last?
The durability of prosthetic restorations depends largely on the patient’s oral hygiene and the regularity of check-ups. A zirconia crown with good care can last 15 to 20 years or longer. A porcelain veneer typically lasts 10 to 15 years. A bridge similarly, although much depends on the condition of the abutment teeth.
It is worth remembering that a prosthetic restoration does not protect the abutment teeth from decay. Regular cleaning of the space between the crown and the gum with dental floss is essential for the longevity of any prosthetic solution.
Book a restorative consultation
Choosing the right prosthetic restoration is a decision that should not be made hastily or based solely on internet research. At PerfectSmile we offer detailed consultations during which the dentist assesses your dental condition, discusses available options and prepares an individual treatment plan. The entire conversation takes place in Polish, without rush or pressure.
PerfectSmile: 36 Crown St, London W3 8SB. Tel: 07490 565656. Open Monday to Friday 9:00 to 20:00 and Saturdays 9:00 to 18:00.
